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Updated: Mar 18, 2026

Culture of Bladder Cancer Organoids as Precision Medicine Tools
Published on: December 28, 2021
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.
Abstract:
Bladder tumors show diverse molecular features and clinical outcome. Muscle-invasive bladder cancer has poor prognosis and novel approaches to systemic therapy are urgently required. Non-muscle-invasive bladder cancer has good prognosis, but high recurrence rate and the requirement for life-long disease monitoring places a major burden on patients and healthcare providers. Studies of tumor tissues from both disease groups have identified frequent alterations of FGFRs, including mutations of FGFR3 and dysregulated expression of FGFR1 and FGFR3 that suggest that these may be valid therapeutic targets. We summarize current understanding of the molecular alterations affecting these receptors in bladder tumors, preclinical studies validating them as therapeutic targets, available FGFR-targeted agents and results from early clinical trials in bladder cancer patients.
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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