Figure 7. Proposed mechanistic scheme of RON promoting tumor invasion in bladder cancer. MSP stimulation induces RON dimerization by binding the sema domain, which stimulates the Erk1/2-RSK signal transduction pathway regulating RON-mediated activities such as cell growth and invasiveness. Activated ERK1 and ERK2 also stimulate RSK2 and promote RSK2 nuclear translocation, which induced CREB phosphorylation. Phospho-CREB binds cAMP-responsive element (CRE) site of CXCR4, thereby inducing its transcription and over-expression.