Receptor tyrosine kinases (RTKs) are a class of cell surface receptors that, upon ligand binding, stimulate a variety of critical cellular functions. The orphan receptor anaplastic lymphoma kinase (ALK) is one of very few RTKs that remain without a firmly established protein ligand. Here we present a novel cytokine, FAM150B, which we propose naming augmentor-α (AUG-α), as a ligand for ALK. AUG-α binds ALK with high affinity and activates ALK in cells with subnanomolar potency. Detailed binding experiments using cells expressing ALK or the related receptor leukocyte tyrosine kinase (LTK) demonstrate that AUG-α binds and robustly activates both ALK and LTK. We show that the previously established LTK ligand FAM150A (AUG-β) is specific for LTK and only weakly binds to ALK. Furthermore, expression of AUG-α stimulates transformation of NIH/3T3 cells expressing ALK, induces IL-3 independent growth of Ba/F3 cells expressing ALK, and is expressed in neuroblastoma, a cancer partly driven by ALK. These experiments reveal the hierarchy and specificity of two cytokines as ligands for ALK and LTK and set the stage for elucidating their roles in development and disease states.cell signaling | surface receptors | phosphorylation | cancer | protein kinases R eceptor tyrosine kinases (RTKs) are cell surface receptors that serve as a signaling relay across the membrane for growth factors, cytokines, and hormones. They function to coordinate proliferation, differentiation, cell survival, and metabolism in multicellular organisms. The era of RTK study began more than half of a century ago (reviewed in ref. 1) and has significantly advanced over the last 3 decades, with numerous studies shedding light on the function, structure, and regulation of RTKs and their ligands (2-4).The RTK anaplastic lymphoma kinase (ALK) was originally identified in anaplastic large-cell non-Hodgkin's lymphoma as an oncogenic fusion protein with nucleophosmin resulting from a 2;5 chromosomal translocation (5, 6). The ALK gene is a hotspot for a variety of chromosomal translocations that result in the formation of fusion proteins that undergo spontaneous dimerization, leading to constitutive activation of the ALK kinase domain (reviewed in refs. 7 and 8). These chimeric ALK proteins were shown to drive numerous human cancers, both in hematopoietic malignancies and in solid tumors (7). Full-length, nonchimeric ALK is a driving force in neuroblastoma (NBL), where genetic studies have identified it as a major target of genetic alterations (i.e., gene amplification and somatic and germline mutations) (7,(9)(10)(11)(12). The majority of missense mutations in ALK found in NBL are located in the kinase domain and lead to constitutive receptor activation. Amplification of ALK and coamplification with the N-myc proto-oncogene (MYCN) (both genes are located on chromosome 2p) drive and cooperate in NBL progression (13). Collectively, these studies underscore the role of ALK in tumorigenesis, along with approval by the US Food and Drug Administration of an ALK inhibit...