A place for precision medicine in bladder cancer: targeting the FGFRs

Erica di Martino1, Darren C Tomlinson2, Sarah V Williams1

  • 1Section of Molecular Oncology, Leeds Institute of Cancer & Pathology, St James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK.

Insights

Fibroblast growth factor receptors (FGFRs) are frequently altered in bladder tumors. Targeting these FGFR alterations shows promise for new bladder cancer therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Bladder cancer exhibits diverse molecular profiles and clinical outcomes.
  • Muscle-invasive bladder cancer (MIBC) has a poor prognosis, necessitating novel systemic therapies.
  • Non-muscle-invasive bladder cancer (NMIBC) has a good prognosis but high recurrence rates, demanding lifelong monitoring.

Purpose of the Study:

  • To review the molecular alterations of Fibroblast Growth Factor Receptors (FGFRs) in bladder tumors.
  • To summarize preclinical evidence supporting FGFRs as therapeutic targets.
  • To discuss available FGFR-targeted agents and early clinical trial results in bladder cancer.

Main Methods:

  • Literature review of molecular alterations in bladder tumors.
  • Analysis of preclinical studies on FGFR-targeted therapies.
  • Summary of clinical trial data for FGFR inhibitors in bladder cancer.

Main Results:

  • Frequent alterations in FGFRs, including FGFR3 mutations and dysregulated FGFR1/FGFR3 expression, are observed in bladder tumors.
  • Preclinical studies validate FGFRs as actionable therapeutic targets.
  • Early clinical trials show potential for FGFR-targeted agents in bladder cancer treatment.

Conclusions:

  • FGFR alterations represent a significant molecular feature in bladder cancer.
  • Targeting FGFRs offers a promising therapeutic strategy for bladder cancer patients.
  • Further clinical investigation of FGFR-targeted therapies is warranted.

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