Fibroblast growth factor receptors, developmental corruption and malignant disease
Fergal C Kelleher1, Hazel O'Sullivan, Elizabeth Smyth
1Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria VIC8006, Australia.
Abstract:
Fibroblast growth factors (FGF) are a family of ligands that bind to four different types of cell surface receptor entitled, FGFR1, FGFR2, FGFR3 and FGFR4. These receptors differ in their ligand binding affinity and tissue distribution. The prototypical receptor structure is that of an extracellular region comprising three immunoglobulin (Ig)-like domains, a hydrophobic transmembrane segment and a split intracellular tyrosine kinase domain. Alternative gene splicing affecting the extracellular third Ig loop also creates different receptor isoforms entitled FGFRIIIb and FGFRIIIc. Somatic fibroblast growth factor receptor (FGFR) mutations are implicated in different types of cancer and germline FGFR mutations occur in developmental syndromes particularly those in which craniosynostosis is a feature. The mutations found in both conditions are often identical. Many somatic FGFR mutations in cancer are gain-of-function mutations of established preclinical oncogenic potential. Gene amplification can also occur with 19-22% of squamous cell lung cancers for example having amplification of FGFR1. Ontologic comparators can be informative such as aberrant spermatogenesis being implicated in both spermatocytic seminomas and Apert syndrome. The former arises from somatic FGFR3 mutations and Apert syndrome arises from germline FGFR2 mutations. Finally, therapeutics directed at inhibiting the FGF/FGFR interaction are a promising subject for clinical trials.
Insights
Fibroblast growth factor receptors (FGFR) mutations are linked to cancer and developmental disorders like craniosynostosis. Targeting the FGF/FGFR interaction shows promise for new cancer therapies.
Area of Science:
- Molecular Biology
- Genetics
- Developmental Biology
Background:
- Fibroblast growth factors (FGF) are ligands that interact with four cell surface receptors (FGFR1-4).
- FGFRs possess a conserved structure with extracellular Ig-like domains and intracellular tyrosine kinase domains.
- Alternative splicing generates FGFRIIIb and FGFRIIIc isoforms, influencing function and distribution.
Purpose of the Study:
- To review the role of fibroblast growth factor receptor (FGFR) mutations in cancer and developmental syndromes.
- To highlight the shared mutational landscape between oncogenic FGFR alterations and germline mutations causing developmental disorders.
- To discuss the therapeutic potential of targeting the FGF/FGFR signaling pathway.
Main Methods:
- Literature review of studies on FGFR mutations in cancer and developmental syndromes.
- Analysis of shared mutation types and their functional consequences (gain-of-function, gene amplification).
- Comparison of ontologic features associated with specific FGFR mutations.
Main Results:
- Somatic FGFR mutations are prevalent in various cancers, often exhibiting gain-of-function activity or gene amplification (e.g., FGFR1 in lung cancer).
- Germline FGFR mutations are associated with developmental syndromes, notably craniosynostosis (e.g., FGFR2 in Apert syndrome).
- Identical mutations can be found in both cancer and developmental disorders, indicating conserved pathogenic mechanisms.
Conclusions:
- FGFR mutations play a critical role in both oncogenesis and embryonic development.
- The study of FGFR mutations provides insights into shared molecular pathways across diseases.
- Targeted therapies inhibiting FGF/FGFR signaling represent a promising avenue for clinical intervention in FGFR-driven cancers.
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