FGF receptor mutations: dimerization syndromes, cell growth suppression, and animal models
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Updated: Oct 2, 2026

Screening and Identification of Small Peptides Targeting Fibroblast Growth Factor Receptor2 using a Phage Display Peptide Library
Published on: September 30, 2019
1Department of Molecular Cell Biology, Weizmann Institute of Science, Rehovot, Israel.
Abstract:
This review describes recent progress in the field of fibroblast growth factor receptors (FGFRs) with an emphasis on the role of FGFR mutants in skeletal malformations. This family of four receptors contains the most frequent germline mutations in humans. More than 75 mutations have been recorded, which account for more than seven skeletal syndromes. The common cause for all the mutant phenotypes is gain-of-function by receptor activation through three major mechanisms: receptor dimerization, kinase activation, and increased affinity for FGF. The severity of the disease is correlated with both the extent of receptor activation and the specific tissue in which the mutant receptor form is expressed. Paradoxically, the consequence of receptor activation is inhibition of chondrocyte cell growth through signaling pathways that are cell-type specific. The structure of the FGFR-FGF complex and its possible ternary complex with heparin explain the mechanism of receptor dimerization in the ectodomain and the possible contribution by some of the mutations to this process. Analysis of FGFR3 mutant mice produced by gene targeting as models for human disease, and studies in cell lines, have begun to delineate the novel signaling pathways of FGFR3 and to define possible targets for therapy.
Insights
Fibroblast growth factor receptor (FGFR) mutations cause skeletal malformations through gain-of-function mechanisms. Disease severity depends on receptor activation extent and tissue expression, impacting chondrocyte growth.
Area of Science:
- Genetics
- Molecular Biology
- Developmental Biology
Background:
- Fibroblast growth factor receptors (FGFRs) are crucial for development.
- FGFR mutations are the most common germline mutations in humans, causing over seven skeletal syndromes.
- Over 75 mutations have been identified, often leading to gain-of-function phenotypes.
Purpose of the Study:
- To review recent advancements in understanding FGFRs.
- To emphasize the role of FGFR mutants in skeletal malformations.
- To explore therapeutic targets for FGFR-related disorders.
Main Methods:
- Review of existing literature on FGFR mutations and skeletal syndromes.
- Analysis of the structural basis of receptor dimerization and activation.
- Utilizing gene-targeted FGFR3 mutant mice and cell line studies.
Main Results:
- Gain-of-function mutations in FGFRs activate receptors via dimerization, kinase activation, and increased FGF affinity.
- Disease severity correlates with receptor activation and tissue-specific expression.
- Paradoxically, FGFR activation inhibits chondrocyte growth through cell-type specific pathways.
Conclusions:
- Understanding FGFR structure and mutation mechanisms is key to explaining skeletal malformations.
- FGFR3 signaling pathways are being delineated using mouse models and cell studies.
- Novel therapeutic targets for FGFR-related skeletal disorders are emerging.
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