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Cancer genomics and genetics of FGFR2 (Review)
1Genetics and Cell Biology Section, National Cancer Center Research Institute, Chuo-ward, Tokyo 104-0045, Japan. mkatoh-kkr@umin.ac.jp
Abstract:
FGFR2 gene encodes FGFR2b in epithelial cells, and FGFR2c in mesenchymal cells. FGFR2b is a high affinity receptor for FGF1, FGF3, FGF7, FGF10 and FGF22, while FGFR2c for FGF1, FGF2, FGF4, FGF6, FGF9, FGF16 and FGF20. Here genomics and genetics of FGFR2, and therapeutics targeted to FGFR2 will be reviewed. Single nucleotide polymorphisms (SNPs) of FGFR2 are associated with increased risk of breast cancer. Gene amplification or missense mutation of FGFR2 occurs in gastric cancer, lung cancer, breast cancer, ovarian cancer, and endometrial cancer. Genetic alterations of FGFR2 induce aberrant FGFR2 signaling activation due to release of FGFR2 from autoinhibition, or creation of FGF signaling autocrine loop. Class switch of FGFR2b to FGFR2c is associated with more malignant phenotype. FGF and canonical WNT signals synergize during mammary carcinogenesis, but counteract during osteogenesis and adipogenesis. Among PD173074, SU5402, and AZD2171 functioning as FGFR inhibitors, AZD2171 is the most promising anti-cancer drug. Cancer genomics and genetics are utilized to predict cancer-driving pathway for therapeutic optimization. FGFR2ome is defined as a complete data set of SNP, copy number variation (CNV), missense mutation, gene amplification, and predominant isoform of FGFR2. FGFR2ome analyses in patients with several tumor types among various populations should be carried out to establish integrative database of FGFR2 for the rational clinical application of FGFR2-targeted cancer therapy.
Insights
Fibroblast Growth Factor Receptor 2 (FGFR2) gene alterations are linked to various cancers. FGFR2ome analysis can guide targeted therapies, with AZD2171 showing promise as an anti-cancer drug.
Area of Science:
- Genomics and Genetics
- Cancer Biology
- Pharmacology
Background:
- The FGFR2 gene produces FGFR2b and FGFR2c receptors, crucial for cell signaling.
- FGFR2 alterations, including SNPs and mutations, are implicated in breast, gastric, lung, ovarian, and endometrial cancers.
- Aberrant FGFR2 signaling, driven by genetic changes or isoform switching, promotes cancer development.
Purpose of the Study:
- To review the genomics and genetics of FGFR2.
- To discuss therapeutics targeting FGFR2.
- To define and advocate for FGFR2ome analysis for clinical application.
Main Methods:
- Literature review of FGFR2 genomics, genetics, and targeted therapies.
- Analysis of genetic alterations (SNPs, amplification, mutation) and their functional consequences.
- Evaluation of FGFR inhibitors (PD173074, SU5402, AZD2171).
Main Results:
- FGFR2 SNPs increase breast cancer risk; mutations/amplifications occur in multiple cancer types.
- Genetic alterations lead to FGFR2 signaling activation and potentially more malignant phenotypes via FGFR2b to FGFR2c switching.
- AZD2171 demonstrates the most promise among evaluated FGFR inhibitors.
Conclusions:
- Comprehensive FGFR2ome analysis across diverse populations and tumor types is essential.
- An integrated FGFR2 database will enable rational clinical application of FGFR2-targeted cancer therapies.
- Understanding FGFR2 signaling interplay with WNT pathways is critical for specific cancer types.
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