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Preprint WatchMildOctober 1st, 2026

The Actin Cytoskeleton and Caveolae Regulate MERTK Cleavage by ADAM17.

Nicholson, R. A.; Vrieze, A.; Heit, B.

MERTK and its inactivating protease ADAM17 occupy distinct plasma membrane microdomains, actin corrals and caveolae respectively, and MERTK is cleaved only after actin reorganisation permits it to diffuse into ADAM17-containing microdomains.

Mild contradiction

1 prior failure

One documented clinical failure (Phase 1 or 2) overlaps with the claimed mechanism.

This super-resolution imaging study shows that MERTK cleavage by ADAM17 is controlled by spatial segregation in the plasma membrane rather than by protease activity, with cleavage occurring only once actin reorganisation lets MERTK reach ADAM17-containing caveolae. The Claidex graph holds one MERTK programme, the PF-07265807 MERTK and AXL inhibitor reprioritised in phase 1 (pf-07265807-mertk-axl-solid-tumors-phase1-strategic-reprioritization), and that programme was stopped on strategy rather than on biology, which is why this flag is MILD. The result matters for TAM-directed development because receptor-level target engagement may not predict surface receptor availability if cleavage is regulated by membrane organisation that varies with cell state. Any TAM programme relying on MERTK expression as a patient-selection biomarker should establish whether the assay measures intact surface receptor or includes cleaved protein.

Abstract excerpt

Cell surface receptors are regulated via a variety of mechanisms including proteolytic inactivation by metalloproteases. Cells often co-express both the receptor and its cognate protease simultaneously on the cell surface, often with the proteases in an active state. Despite this, receptor cleavage is generally not constitutive, and rather must be induced. How a receptor and its inactivating protease can both be present in their active form on the cell surface with no cleavage of the target receptor is unclear. Using the efferocytic receptor MERTK and its inactivating protease ADAM17 as a model, along with super-resolution microscopy approaches, we demonstrate that MERTK and ADAM17 are localized to distinct sub-regions of the plasma membrane. These microdomains are distinct subcellular structures, with MERTK contained within actin-based corrals and ADAM17 contained within caveolae. Induction of MERTK cleavage by PMA results in the reorganization of the membrane-proximal actin cytoskeleton that enables MERTK to diffuse into ADAM17-containing microdomains. Only after localizing to ADAM17-containing microdomains is MERTK cleaved. These results demonstrate that the spatial organization of the plasma membrane is dynamically regulated, with reorganization of membrane microdomains playing a role in the regulation of ADAM17 activity.

Matching Claidex post-mortems

1 of 1 indexed

This is an automated contradiction flag, not an editorial judgment on the preprint's quality. Flags identify where the preclinical literature and the clinical failure record diverge.