Targeting fibroblast growth factor receptor (FGFR) pathway in renal cell carcinoma

Francesco Massari1, Chiara Ciccarese1, Matteo Santoni2

  • 1a Medical Oncology , Azienda Ospedaliera Universitaria Integrata, University of Verona , Verona , Italy.

Insights

Targeting the Fibroblast Growth Factor (FGF)/FGF Receptor (FGFR) pathway may overcome resistance to VEGF-targeted therapies by inhibiting tumor angiogenesis. This approach shows promise for renal cell carcinoma treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Tumor angiogenesis, crucial for cancer growth, can become independent of vascular endothelial growth factor (VEGF).
  • The Fibroblast Growth Factor (FGF)/FGF Receptor (FGFR) pathway acts as a compensatory mechanism in VEGF-independent angiogenesis.
  • This compensatory pathway contributes to resistance against VEGF-targeted therapies in various cancers.

Purpose of the Study:

  • To review the role of the FGF/FGFR pathway in renal cell carcinoma (RCC) pathogenesis.
  • To discuss the potential of targeting the FGF/FGFR axis to overcome resistance to VEGF-targeted therapies in RCC.
  • To highlight ongoing clinical trials investigating novel agents targeting the FGF/FGFR pathway in RCC.

Main Methods:

  • Literature review of preclinical and clinical studies.
  • Analysis of the molecular mechanisms underlying FGF/FGFR signaling in RCC.
  • Summary of ongoing clinical trials for FGF/FGFR inhibitors in RCC.

Main Results:

  • The FGF/FGFR pathway is implicated in driving VEGF-independent tumor angiogenesis in RCC.
  • Inhibition of the FGF/FGFR axis demonstrates potential in sensitizing tumors to VEGF-targeted therapies.
  • Emerging agents targeting FGF/FGFR are under investigation in various phases of clinical trials for RCC.

Conclusions:

  • Targeting the FGF/FGFR pathway represents a promising strategy to combat tumor angiogenesis and resistance in RCC.
  • Further research and clinical trials are warranted to establish the efficacy of FGF/FGFR-targeted agents in RCC treatment.

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