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Detection of Targetable Alterations in Non-small Cell Lung Cancer using Next-generation Sequencing
Published on: October 10, 2025
FGFR as potential target in the treatment of squamous non small cell lung cancer
Marcello Tiseo1, Francesco Gelsomino2, Roberta Alfieri3
1Division of Medical Oncology, University Hospital of Parma, Parma, Italy.
Abstract:
To date therapeutic options for squamous cell lung cancer patients remain scarce because no druggable targets have been identified so far. Aberrant signaling by FGFs (fibroblast growth factors) and FGFRs (fibroblast growth factors receptors) has been implicated in several human cancers and, particularly, in squamous non-small cell lung cancer (NSCLC). FGFR gene amplifications, somatic missense mutations, chromosomal translocations are the most frequent mechanisms able to induce aberrant activation of this pathway. Data from literature have established that the presence of an aberrant FGFR signaling has to be considered a possible negative prognostic factor but predictive of potential sensitivity to FGFR inhibitors. In the last years, clinical research efforts allowed to identify and evaluate promising FGFR inhibitors, such as monoclonal antibodies, ligand traps, non-selective or selective tyrosine kinase inhibitors. This review summarizes the current knowledge about FGFR alterations in NSCLC and the relative inhibitors in development, in particular in squamous NSCLC.
Insights
Therapeutic options for squamous cell lung cancer are limited. Aberrant fibroblast growth factor receptor (FGFR) signaling is implicated in this cancer, suggesting potential sensitivity to FGFR inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Therapeutic options for squamous cell lung cancer (SCC) are limited due to a lack of identified druggable targets.
- Aberrant signaling of fibroblast growth factors (FGFs) and their receptors (FGFRs) is implicated in various cancers, notably squamous non-small cell lung cancer (NSCLC).
Purpose of the Study:
- To review current knowledge on FGFR alterations in NSCLC.
- To summarize the development of FGFR inhibitors for squamous NSCLC.
Main Methods:
- Literature review of studies on FGFR alterations and inhibitors in NSCLC.
- Analysis of mechanisms driving aberrant FGFR signaling, including gene amplifications, mutations, and translocations.
Main Results:
- Aberrant FGFR signaling is a frequent mechanism in squamous NSCLC.
- FGFR alterations can serve as a negative prognostic factor but predict sensitivity to FGFR inhibitors.
- Various FGFR inhibitors, including monoclonal antibodies, ligand traps, and tyrosine kinase inhibitors, are under clinical investigation.
Conclusions:
- FGFR alterations represent a potential therapeutic target in squamous NSCLC.
- Targeted therapies inhibiting FGFR signaling show promise for treating this subset of lung cancer.
- Further research and clinical evaluation of FGFR inhibitors are warranted for squamous NSCLC patients.
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