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Updated: May 18, 2026

Genome-Wide CRISPR Screen for Unveiling Radiosensitive and Radioresistant Genes
Published on: May 23, 2025
RNA interference screening identifies a novel role for autocrine fibroblast growth factor signaling in neuroblastoma
Abstract:
Chemotherapeutic drug resistance is one of the major causes for treatment failure in high-risk neuroblastoma (NB), the most common extra cranial solid tumor in children. Poor prognosis is typically associated with MYCN amplification. Here, we utilized a loss-of-function kinome-wide RNA interference screen to identify genes that cause cisplatin sensitization. We identified fibroblast growth factor receptor 2 (FGFR2) as an important determinant of cisplatin resistance. Pharmacological inhibition of FGFR2 confirmed the importance of this kinase in NB chemoresistance. Silencing of FGFR2 sensitized NB cells to cisplatin-induced apoptosis, which was regulated by the downregulation of the anti-apoptotic proteins BCL2 and BCLXL. Mechanistically, FGFR2 was shown to activate protein kinase C-δ to induce BCL2 expression. FGFR2, as well as the ligand fibroblast growth factor-2, were consistently expressed in primary NB and NB cell lines, indicating the presence of an autocrine loop. Expression analysis revealed that FGFR2 correlates with MYCN amplification and with advanced stage disease, demonstrating the clinical relevance of FGFR2 in NB. These findings suggest a novel role for FGFR2 in chemoresistance and provide a rational to combine pharmacological inhibitors against FGFR2 with chemotherapeutic agents for the treatment of NB.
Insights
Fibroblast growth factor receptor 2 (FGFR2) drives chemotherapy resistance in neuroblastoma (NB). Inhibiting FGFR2 sensitizes NB cells to cisplatin by downregulating anti-apoptotic proteins, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Chemotherapy resistance is a major challenge in treating high-risk neuroblastoma (NB), a common childhood cancer.
- MYCN amplification is linked to poor prognosis in NB patients.
Purpose of the Study:
- To identify genes contributing to cisplatin resistance in neuroblastoma using a kinome-wide RNA interference screen.
- To investigate the role of fibroblast growth factor receptor 2 (FGFR2) in NB chemoresistance.
Main Methods:
- Loss-of-function kinome-wide RNA interference screening was employed to identify sensitization genes.
- Pharmacological inhibition of FGFR2 and gene silencing were used to assess its role in chemoresistance.
- Western blotting and expression analysis were performed to elucidate the underlying mechanisms.
Main Results:
- Fibroblast growth factor receptor 2 (FGFR2) was identified as a key determinant of cisplatin resistance in NB.
- FGFR2 inhibition sensitized NB cells to cisplatin by downregulating anti-apoptotic proteins BCL2 and BCLXL.
- FGFR2 activates protein kinase C-δ, leading to BCL2 expression and contributing to chemoresistance.
- FGFR2 expression correlates with MYCN amplification and advanced disease stage in NB.
Conclusions:
- FGFR2 plays a significant role in mediating chemoresistance in neuroblastoma.
- Targeting FGFR2, potentially in combination with chemotherapy, represents a promising therapeutic strategy for NB treatment.
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