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Fibroblast growth factors and their receptors in urological cancers: basic research and clinical implications
M V Cronauer1, W A Schulz, H-H Seifert
1Department of Urology, Heinrich-Heine University, Moorenstrasse 5, Düsseldorf D-40225, Germany.
Abstract:
Because therapeutical options for advanced urological cancers are limited, the understanding of key elements responsible for invasion and metastasis is very important. It has been hypothesized that progression to malignant growth is associated with a dysregulation of growth factors and/or their receptors. In the last few years, signaling pathways of the fibroblast growth factor (FGF) family have been subject to intense investigation. Fibroblast growth factors constitute one of the largest families of growth and differentiation factors for cells of mesodermal and neuroectodermal origin. The family comprises two prototypic members, acidic FGF (aFGF) and the basic FGF (bFGF), as well as 21 additionally related polypeptide growth factors that have been identified to date. FGFs are involved in many biological processes during embryonic development, wound healing, hematopoesis, and angiogenesis. In prostate, bladder, and renal cancers, FGFs regulate the induction of metalloproteinases (MMP) that degrade extracellular matrix proteins, thus facilitating tumor metastasis. Probably due to their potent angiogenic properties, aFGF and bFGF have received the most attention. However, there is increasing evidence that other FGFs also play crucial roles in tumors of the prostate, bladder, kidney, and testis. This review will discuss the different elements involved in FGF signaling and summarize the present knowledge of their biological and clinical relevance in urological cancers.
Insights
Understanding fibroblast growth factors (FGFs) is crucial for treating advanced urological cancers. FGFs promote invasion and metastasis in prostate, bladder, and kidney cancers by degrading extracellular matrix proteins.
Area of Science:
- Oncology
- Molecular Biology
- Cell Signaling
Background:
- Limited therapeutic options exist for advanced urological cancers, necessitating research into invasion and metastasis mechanisms.
- Progression to malignant growth is linked to dysregulated growth factors and their receptors.
- Fibroblast growth factors (FGFs) are key regulators of cell growth and differentiation, with implications in cancer progression.
Purpose of the Study:
- To review the role of FGF signaling pathways in urological cancers.
- To summarize the biological and clinical relevance of FGFs in prostate, bladder, kidney, and testicular cancers.
Main Methods:
- Literature review of studies on FGF signaling in urological malignancies.
- Analysis of FGFs' involvement in processes like extracellular matrix degradation and angiogenesis.
- Synthesis of current knowledge on FGFs in various urological cancers.
Main Results:
- FGFs, including acidic FGF (aFGF) and basic FGF (bFGF), are implicated in promoting tumor invasion and metastasis.
- FGFs induce metalloproteinases (MMPs) that degrade the extracellular matrix, facilitating cancer spread.
- While aFGF and bFGF are well-studied for their angiogenic properties, other FGFs also play significant roles in urological tumors.
Conclusions:
- FGF signaling is a critical factor in the progression of urological cancers.
- Targeting FGF pathways presents a potential therapeutic strategy for advanced urological malignancies.
- Further research into the diverse roles of FGF family members is warranted for improved cancer treatment.
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