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Updated: May 26, 2026

Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
Adding to the mix: fibroblast growth factor and platelet-derived growth factor receptor pathways as targets in
S A Kono1, L E Heasley, R C Doebele
1Aerodigestive and Thoracic Tumor Program, Winship Cancer Institute, Emory University, Room C3005, 1365 Clifton Road NE, Atlanta, GA 30322, USA. skono@emory.edu
Abstract:
The treatment of advanced non � small cell lung cancer (NSCLC) increasingly involves the use of molecularly targeted therapy with activity against either the tumor directly, or indirectly, through activity against host-derived mechanisms of tumor support such as angiogenesis. The most well studied signaling pathway associated with angiogenesis is the vascular endothelial growth factor (VEGF) pathway, and the only antiangiogenic agent currently approved for the treatment of NSCLC is bevacizumab, an antibody targeted against VEGF. More recently, preclinical data supporting the role of fibroblast growth factor receptor (FGFR) and platelet-derived growth factor receptor (PDGFR) signaling in angiogenesis have been reported. The platelet-derived growth factor (PDGF) and fibroblast growth factor (FGF) pathways may also stimulate tumor growth directly through activation of downstream mitogenic signaling cascades. In addition, 1 or both of these pathways have been associated with resistance to agents targeting the epidermal growth factor receptor (EGFR) and VEGF. A number of agents that target FGF and/or PDGF signaling are now in development for the treatment of NSCLC. This review will summarize the potential molecular roles of PDGFR and FGFR in tumor growth and angiogenesis, as well as discuss the current clinical status of PDGFR and FGFR inhibitors in clinical development.
Insights
New targeted therapies for advanced non-small cell lung cancer (NSCLC) focus on fibroblast growth factor receptor (FGFR) and platelet-derived growth factor receptor (PDGFR) pathways. These pathways are crucial for tumor growth, angiogenesis, and resistance to other treatments.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Advanced non-small cell lung cancer (NSCLC) treatment increasingly utilizes molecularly targeted therapies.
- Vascular endothelial growth factor (VEGF) pathway is a key target for anti-angiogenesis, with bevacizumab as an approved agent.
- Emerging research highlights the roles of fibroblast growth factor receptor (FGFR) and platelet-derived growth factor receptor (PDGFR) signaling in tumor growth and angiogenesis.
Purpose of the Study:
- To review the molecular roles of PDGFR and FGFR in tumor growth and angiogenesis in NSCLC.
- To discuss the potential of targeting PDGF and FGF pathways in NSCLC treatment.
- To summarize the clinical development status of PDGFR and FGFR inhibitors for NSCLC.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of signaling pathways involved in angiogenesis and tumor growth.
- Summary of ongoing clinical trials for FGFR and PDGFR inhibitors.
Main Results:
- FGFR and PDGFR signaling pathways contribute to tumor growth and angiogenesis.
- These pathways may also drive resistance to existing therapies like EGFR and VEGF inhibitors.
- Several agents targeting FGF and/or PDGF signaling are currently in clinical development for NSCLC.
Conclusions:
- Targeting FGFR and PDGFR represents a promising strategy for advanced NSCLC.
- Inhibitors of these pathways may overcome resistance mechanisms and improve treatment outcomes.
- Further clinical investigation of PDGFR and FGFR inhibitors is warranted for NSCLC patients.
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