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Updated: Aug 11, 2026

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Loss of heterozygosity at 4p16.3 and mutation of FGFR3 in transitional cell carcinoma
K Sibley1, D Cuthbert-Heavens, M A Knowles
1ICRF Clinical Centre, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK.
Abstract:
4p16.3 has previously been identified as a region of non-random LOH in transitional cell carcinoma, suggesting the presence of a tumour suppressor gene. One candidate within this region is fibroblast growth factor receptor 3 (FGFR3). Germline mutations in FGFR3 are known to cause several autosomal dominant skeletal dysplasias, the severity of which depends on the position and nature of the mutation in the protein. We investigated the frequency and nature of FGFR3 mutations in a panel of transitional cell carcinomas and cell lines and studied the possible link between mutation and loss of heterozygosity (LOH) on 4p16.3. FGFR3 coding sequence from 63 transitional cell carcinomas (TCC) of various stages and grades, and 18 cell lines was analysed by fluorescent SSCP. Samples with abnormal migration patterns were sequenced to identify the mutation or polymorphism. Thirty-one of the 63 tumours had previously been assessed to have LOH at 4p16.3. Twenty-six of the 63 tumours (41%) and 4/18 (22%) of the cell lines had missense mutations in FGFR3. All mutations detected in our panel have been reported in the germline where all apart from one cause lethal conditions. One tumour contained K652Q which has recently been identified in less severe cases of skeletal dysplasia. Tumours with and without LOH at 4p16.3 had mutations in FGFR3 suggesting that these two events are not causally linked. The frequency of FGFR3 mutation indicates that this protein plays an important role in TCC.
Insights
Fibroblast growth factor receptor 3 (FGFR3) mutations are frequent in transitional cell carcinoma (TCC), indicating its role in tumor development. Loss of heterozygosity (LOH) at 4p16.3 and FGFR3 mutations appear independent events in TCC.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- The 4p16.3 region shows non-random loss of heterozygosity (LOH) in transitional cell carcinoma (TCC), suggesting a tumor suppressor gene.
- Fibroblast growth factor receptor 3 (FGFR3) is a candidate gene in this region, with known germline mutations causing skeletal dysplasias.
Purpose of the Study:
- To determine the frequency and types of FGFR3 mutations in TCC.
- To investigate the relationship between FGFR3 mutations and LOH at 4p16.3 in TCC.
Main Methods:
- Analysis of FGFR3 coding sequences from 63 TCC tumors and 18 cell lines using fluorescent single-strand conformation polymorphism (SSCP).
- Sequencing of samples with abnormal migration patterns to identify mutations or polymorphisms.
Main Results:
- Missense mutations in FGFR3 were found in 41% of TCC tumors and 22% of cell lines.
- FGFR3 mutations were present in tumors with and without LOH at 4p16.3, indicating these events are not causally linked.
- Most detected mutations were previously reported in germline, associated with skeletal dysplasias.
Conclusions:
- The high frequency of FGFR3 mutations suggests a significant role for this protein in TCC development.
- FGFR3 mutations and 4p16.3 LOH are independent events in TCC pathogenesis.

