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Published on: September 30, 2019
Fibroblast Growth Factor Receptor 1 and Related Ligands in Small-Cell Lung Cancer
Liping Zhang1, Hui Yu, Andrzej Badzio
1*Department of Pathology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Tongji University Institute, Shanghai, People's Republic of China; †Division of Medical Oncology, University of Colorado Anschutz Medical Campus, Aurora, Colorado; ‡Department of Oncology and Radiotherapy, Medical University of Gdansk, Gdansk, Poland; §Institute of Pathology, University Hospital Cologne, Medical Centre, Cologne, Germany; ‖Department of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, Colorado; ¶Department of Craniofacial Biology, University of Colorado Anschutz Medical Campus, Aurora, Colorado; and #Department of Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Tongji University Institute, Shanghai, People's Republic of China.
Introduction:
Small-cell lung cancer (SCLC) accounts for 15% of all lung cancers and has been understudied for novel therapies. Signaling through fibroblast growth factors (FGF2, FGF9) and their high-affinity receptor has recently emerged as a contributing factor in the pathogenesis and progression of non-small-cell lung cancer. In this study, we evaluated fibroblast growth factor receptor 1 (FGFR1) and ligand expression in primary SCLC samples.
Methods:
FGFR1 protein expression, messenger RNA (mRNA) levels, and gene copy number were determined by immunohistochemistry (IHC), mRNA in situ hybridization, and silver in situ hybridization, respectively, in primary tumors from 90 patients with SCLC. Protein and mRNA expression of the FGF2 and FGF9 ligands were determined by IHC and mRNA in situ hybridization, respectively. In addition, a second cohort of 24 SCLC biopsy samples with known FGFR1 amplification by fluorescence in situ hybridization was assessed for FGFR1 protein expression by IHC. Spearman correlation analysis was performed to evaluate associations of FGFR1, FGF2 and FGF9 protein levels, respective mRNA levels, and FGFR1 gene copy number.
Results:
FGFR1 protein expression by IHC demonstrated a significant correlation with FGFR1 mRNA levels (p < 0.0001) and FGFR1 gene copy number (p = 0.03). The prevalence of FGFR1 mRNA positivity was 19.7%. FGFR1 mRNA expression correlated with both FGF2 (p = 0.0001) and FGF9 (p = 0.002) mRNA levels, as well as with FGF2 (p = 0.01) and FGF9 (p = 0.001) protein levels. There was no significant association between FGFR1 and ligands with clinical characteristics or prognosis. In the second cohort of specimens with known FGFR1 amplification by fluorescence in situ hybridization, 23 of 24 had adequate tumor by IHC, and 73.9% (17 of 23) were positive for FGFR1 protein expression.
Conclusions:
A subset of SCLCs is characterized by potentially activated FGF/FGFR1 pathways, as evidenced by positive FGF2, FGF9, and FGFR1 protein and/or mRNA expression. FGFR1 protein expression is correlated with FGFR1 mRNA levels and FGFR1 gene copy number. Combined analysis of FGFR1 and ligand expression may allow selection of patients with SCLC to FGFR1 inhibitor therapy.
Insights
A subset of small-cell lung cancer (SCLC) shows activated fibroblast growth factor (FGF)/FGFR1 pathways. FGFR1 expression correlates with mRNA levels and gene copy number, suggesting potential for FGFR1 inhibitor therapy in SCLC patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Small-cell lung cancer (SCLC) represents 15% of lung cancers and has limited targeted therapy options.
- Fibroblast growth factor (FGF) signaling, involving FGF2 and FGF9, is implicated in non-small-cell lung cancer progression.
- Investigating fibroblast growth factor receptor 1 (FGFR1) and its ligands in SCLC is crucial for identifying novel therapeutic targets.
Purpose of the Study:
- To evaluate the expression of FGFR1 and its ligands (FGF2, FGF9) in primary SCLC samples.
- To determine the correlation between FGFR1 expression, mRNA levels, and gene copy number.
- To assess the potential of targeting the FGF/FGFR1 pathway in SCLC.
Main Methods:
- Analysis of FGFR1 protein, mRNA, and gene copy number in 90 primary SCLC tumors using immunohistochemistry (IHC) and in situ hybridization.
- Assessment of FGF2 and FGF9 protein and mRNA expression via IHC and in situ hybridization.
- Evaluation of FGFR1 protein expression in a separate cohort of 24 SCLC biopsy samples with known FGFR1 amplification.
Main Results:
- FGFR1 protein expression significantly correlated with FGFR1 mRNA levels (p < 0.0001) and gene copy number (p = 0.03).
- FGFR1 mRNA positivity was observed in 19.7% of cases and correlated with FGF2 and FGF9 mRNA and protein levels.
- In cases with FGFR1 amplification, 73.9% showed positive FGFR1 protein expression.
Conclusions:
- A subset of SCLC exhibits potentially activated FGF/FGFR1 signaling pathways.
- FGFR1 protein expression is linked to its mRNA levels and gene amplification.
- Combined analysis of FGFR1 and ligand expression may guide patient selection for FGFR1 inhibitor therapies in SCLC.
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