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TrkAIII: A tumor promoting switch of potential<br />
importance in Neuroblastoma and Glioblastoma<br />
mutliforme<br />
Antonella Tacconelli 1 , Antonietta R. Farina 1 , Lucia Cappabianca 1 ,<br />
Isabella Screpanti 2 , Alberto Gulino 2 and Andrew R. Mackay 1<br />
1<br />
Dept. of Experimental Medicine, University of L’Aquila, L’Aquila, Italy; 2 Dept. of<br />
Experimental Medicine and Pathology, University of Rome “La Sapienza”, Rome, Italy<br />
The discovery of a novel hypoxia-regulated alternative TrkAIII splice variant has<br />
challenged the current concept of an exclusively tumor-suppressor role for TrkA in<br />
the aggressive paediatric tumor, Neuroblastoma (NB). TrkAIII, initial data for which<br />
suggests predominant expression in advanced stage NB, is devoid of exons 6 and 7,<br />
omitting extracellular IgGC1 domain and several N-glycosylation sites of functional<br />
importance. In NB cells TrkAIII exhibits spontaneous activity, signals through<br />
PI3K/Akt/NFκB but not Ras/MAPK, antagonises NGF/TrkAI anti-oncogenic signalling<br />
through Ras/MAPK and promotes NB tumorigenic and metastatic capacity in vivo.<br />
The mechanisms through which TrkAIII exerts its tumor and metastasis promoting<br />
activity will be discussed, as will the extension of our observations to Glioblastoma<br />
multiforme.<br />
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