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A Mouse Model to Investigate the Role of Cancer-Associated Fibroblasts in Tumor Growth
Published on: December 22, 2020
Fibroblast growth factor family aberrations in cancers: clinical and molecular characteristics
A Parish1, M Schwaederle, G Daniels
1a Center for Personalized Cancer Therapy; University of California San Diego; Moores Cancer Center ; San Diego , CA , USA.
Abstract:
Fibroblast growth factor ligands and receptors (FGF and FGFR) play critical roles in tumorigenesis, and several drugs have been developed to target them. We report the biologic correlates of FGF/FGFR abnormalities in diverse malignancies. The medical records of patients with cancers that underwent targeted next generation sequencing (182 or 236 cancer-related genes) were reviewed. The following FGF/FGFR genes were tested: FGF3, 4, 6, 7, 10, 12, 14, 19, 23 and FGFR1, 2, 3, and 4. Of 391 patients, 56 (14.3%) had aberrant FGF (N = 38, all amplifications) and/or FGFR (N = 22 including 5 mutations and one FGFR3-TACC3 fusion). FGF/FGFR aberrations were most frequent in breast cancers (26/81, 32.1%, p = 0.0003). In multivariate analysis, FGF/FGFR abnormalities were independently associated with CCND1/2, RICTOR, ZNF703, RPTOR, AKT2, and CDK8 alterations (all P < 0.02), as well as with an increased median number of alterations (P < 0.0001). FGF3, FGF4, FGF19 and CCND1 were co-amplified in 22 of 391 patients (5.6%, P < 0.0001), most likely because they co-localize on the same chromosomal region (11q13). There was no significant difference in time to metastasis or overall survival when comparing patients harboring FGF/FGFR alterations versus those not. Overall, FGF/FGFR was one of the most frequently aberrant pathways in our population comprising patients with diverse malignancies. These aberrations frequently co-exist with anomalies in a variety of other genes, suggesting that tailored combination therapy may be necessary in these patients.
Insights
Fibroblast growth factor (FGF) and receptor (FGFR) abnormalities occur in 14.3% of diverse cancers, particularly breast cancer. These alterations were associated with other gene changes but not survival outcomes, suggesting combination therapies may be needed.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Fibroblast growth factor (FGF) ligands and receptors (FGFR) are crucial in cancer development.
- Targeted therapies for FGF/FGFR pathways are emerging.
- Understanding FGF/FGFR alterations in various cancers is essential.
Purpose of the Study:
- To investigate the frequency and biologic correlates of FGF/FGFR abnormalities in a diverse cohort of cancer patients.
- To identify associations between FGF/FGFR alterations and other genetic changes.
- To explore the impact of FGF/FGFR alterations on clinical outcomes like metastasis and survival.
Main Methods:
- Retrospective review of medical records for 391 cancer patients.
- Targeted next-generation sequencing of 182 or 236 cancer-related genes, including specific FGF and FGFR genes.
- Multivariate analysis to assess associations between FGF/FGFR alterations and other genetic alterations and clinical outcomes.
Main Results:
- FGF/FGFR aberrations were identified in 14.3% (56/391) of patients, most commonly amplifications.
- Aberrations were most frequent in breast cancers (32.1%).
- FGF/FGFR alterations were associated with alterations in CCND1/2, RICTOR, ZNF703, RPTOR, AKT2, and CDK8, and a higher median number of alterations.
- No significant difference in time to metastasis or overall survival was observed between patients with and without FGF/FGFR alterations.
Conclusions:
- FGF/FGFR pathways are frequently altered in diverse malignancies.
- These alterations often co-occur with anomalies in other cancer-related genes.
- The frequent co-occurrence suggests that combination therapies may be required for effective treatment.
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