Receptor tyrosine kinases are a highly regulated family of proteins in normal cells but may undergo mutations or structural alterations to become oncoproteins in human malignancies. Oncogenic activation of receptor tyrosine kinases can result from genetic lesions such as point mutations or overexpression by gene amplification (see 1, 2). Alternatively, chromosomal rearrangements leading to the formation of an oncogenic gene fusion can involve receptor tyrosine kinasesencoding genes (1). In this case, a fusion protein is created in which the tyrosine kinase domain is fused to a dimerization domain contributed by the fusion partner (1). Resulting chimeric tyrosine kinases are thought to constitutively activate downstream signaling cascades of the wild-type receptor tyrosine kinases, potentially leading to oncogenesis. However, the mechanisms by which many of these oncogenic tyrosine kinases link to effector pathways remains largely unknown.We previously cloned the breakpoints of the t(12;15)(p13; q25) translocation associated with congenital fibrosarcoma, a pediatric spindle cell malignancy of the soft tissues (3). This rearrangement generates a gene fusion encoding the sterile alpha motif dimerization domain of the ETV6 (TEL) transcription factor linked to the protein-tyrosine kinase domain of the neurotrophin-3 receptor NTRK3 (TRKC) (3). ETV6-NTRK3 fusion transcripts are also expressed in a related pediatric tumor, cellular mesoblastic nephroma (4, 5), and were reported in a case of adult acute myeloid leukemia (6). Moreover, we recently discovered that expression of ETV6-NTRK3 occurs in human secretory breast carcinoma, a rare variant of ductal carcinoma (7). This gene fusion is therefore unique in being expressed in tumors derived from multiple cell lineages, and the resulting ETV6-NTRK3 (EN) 1 fusion protein has potent transformation activity in fibroblasts (8), hematopoietic cells (9), and breast epithelial cells (7).The transforming properties of EN require both an active protein-tyrosine kinase domain and the sterile alpha motif oligomerization domain (8). EN expression leads to constitutive elevation of cyclin D1 mRNA and protein levels, and EN-in-