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3-D Cell Culture System for Studying Invasion and Evaluating Therapeutics in Bladder Cancer
Published on: September 13, 2018
Fibroblast growth factor receptor (FGFR) alterations in squamous differentiated bladder cancer: a putative
Philipp H Baldia1, Angela Maurer1, Timon Heide1
1Institute of Pathology, RWTH Aachen University, Aachen, Germany.
Abstract:
Although drugable fibroblast growth factor receptor (FGFR) alterations in squamous cell carcinomas (SCC) of various entities are well known, little is known about FGFR modifications in squamous differentiated bladder cancer. Therefore, our study evaluated FGFR1-3 alterations as a putative therapeutic target in this subgroup. We analyzed 73 squamous differentiated bladder cancers (n = 10 pT2, n = 55 pT3, n = 8 pT4) for FGFR1-3 protein expression, FGFR1-3 copy number variations, FGFR3 chromosomal rearrangements (fluorescence in situ hybridization (FISH)) and FGFR3 mutations (SNapShot analysis). Only single cases displayed enhanced protein expression, most frequently FGFR3 overexpression (9.4% (6/64)). FISH showed no amplifications of FGFR1, 2 or 3. Break apart events were only slightly above the cut off in 12.1% (8/66) of cases and no FGFR3-TACC3 rearrangements could be proven by qPCR. FGFR3 mutations (p.S249C) were found in 8.5% (6/71) of tumors and were significantly associated with FGFR3 protein overexpression (p < 0.001), and unfavourable clinical outcome (p = 0.001). Our findings are consistent with the results of the TCGA data set for the "squamous-like" subtype of bladder cancer (n = 85), which revealed reduced overall expression of FGFR1 and FGFR2 in tumors compared to normal tissue, while expression of FGFR3 remained high. In the TCGA "squamous-like" subtype FGFR3 mutations were found in 4.9% and correlated with high FGFR3 RNA expression. Mutations of FGFR1 and FGFR2 were less frequent (2.4% and 1.2%). Hence, our comprehensive study provides novel insights into a subgroup of squamous differentiated bladder tumors that hold clues for novel therapeutic regimens and may benefit from FGFR3-targeted therapies.
Insights
Fibroblast growth factor receptor 3 (FGFR3) mutations in squamous differentiated bladder cancer are linked to overexpression and poor outcomes. These findings suggest FGFR3-targeted therapies may benefit this patient subgroup.
Area of Science:
- Oncology
- Genetics
- Urology
Background:
- Drugable fibroblast growth factor receptor (FGFR) alterations are known in squamous cell carcinomas (SCC).
- FGFR modifications in squamous differentiated bladder cancer remain understudied.
- This study investigates FGFR1-3 as potential therapeutic targets in this bladder cancer subtype.
Purpose of the Study:
- To evaluate fibroblast growth factor receptor (FGFR) 1-3 alterations in squamous differentiated bladder cancer.
- To assess FGFRs as potential therapeutic targets in this specific bladder cancer subgroup.
- To correlate FGFR alterations with clinical outcomes.
Main Methods:
- Analysis of 73 squamous differentiated bladder cancers for FGFR1-3 protein expression, copy number variations, and FGFR3 rearrangements (FISH).
- Investigated FGFR3 mutations using SNapShot analysis.
- Compared findings with The Cancer Genome Atlas (TCGA) data for the 'squamous-like' subtype.
Main Results:
- FGFR3 overexpression observed in 9.4% of cases.
- FGFR3 mutations (p.S249C) found in 8.5% of tumors, significantly associated with overexpression and poor prognosis.
- TCGA data confirmed high FGFR3 expression and mutations in the 'squamous-like' subtype.
Conclusions:
- FGFR3 mutations and overexpression are key findings in squamous differentiated bladder cancer.
- These alterations correlate with unfavorable clinical outcomes.
- FGFR3-targeted therapies show promise for this specific bladder cancer subgroup.
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