FGFR3-TACC3: A novel gene fusion in cervical cancer

Benedito A Carneiro1, Julia A Elvin2, Suneel D Kamath3

  • 1Northwestern Medicine Developmental Therapeutics Institute, Robert H. Lurie Comprehensive Cancer Center of Northwestern University 645 N Michigan Ave Suite 1006 Chicago, IL, 60611, Unites States.

Insights

Cervical cancer treatment advanced with the discovery of an FGFR3-TACC3 fusion, a new target for therapies. Comprehensive genomic profiling identified this fusion, paving the way for personalized treatment strategies.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Cervical cancer prevention is highly successful due to the human papillomavirus (HPV) vaccine, yet advanced stages present treatment challenges.
  • The HPV vaccine has significantly reduced cervical cancer incidence, but effective treatments for advanced disease are still needed.

Observation:

  • Three cases of advanced cervical carcinoma with an FGFR3-TACC3 gene fusion were identified.
  • This fusion activates the FGFR pathway, a known factor in HPV-driven cancers.
  • Comprehensive genomic profiling was used to detect the FGFR3-TACC3 fusion.

Findings:

  • The FGFR3-TACC3 fusion represents a novel therapeutic target in cervical cancer.
  • One patient with the fusion received an investigational FGFR tyrosine kinase inhibitor.
  • Additional molecular alterations in PI3K/AKT/mTOR and RAF/MEK pathways were observed, suggesting further therapeutic avenues.

Implications:

  • Comprehensive genomic profiling is crucial for identifying new therapeutic targets in cervical cancer.
  • Targeted therapies based on genomic alterations can guide treatment selection for advanced cervical cancer patients.
  • The identification of the FGFR3-TACC3 fusion opens new possibilities for treating advanced cervical cancer.