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Targeting FGF19/FGFR4 Pathway: A Novel Therapeutic Strategy for Hepatocellular Carcinoma
Dimitra Repana1, Paul Ross2,3
1Department of Medical Oncology, Guy's and St. Thomas' NHS Foundation Trust, SE1 9RT London, UK. dimitra.repana@gstt.nhs.uk.
Abstract:
Hepatocellular carcinoma (HCC) is a lethal cancer with limited systemic therapeutic options. Liver carcinogenesis is a complex procedure and various pathways have been found to be deregulated which are potential targets for novel treatments. Aberrant signalling through FGF19 and its receptor FGFR4 seems to be the oncogenic driver for a subset of HCCs and is associated with poor prognosis. Inhibition of the pathway in preclinical models has shown antitumour activity and has triggered further evaluation of this strategy to in vivo models. This review aims to describe the role of the FGF19/FGFR4 pathway in hepatocellular carcinoma and its role as a potential predictive biomarker for novel targeted agents against FGF19/FGFR4 signalling.
Insights
Aberrant signaling through Fibroblast Growth Factor 19 (FGF19) and its receptor FGFR4 drives a subset of hepatocellular carcinoma (HCC) cases. Targeting this pathway shows promise for novel HCC treatments and as a predictive biomarker.
Area of Science:
- Oncology
- Molecular Biology
- Hepatology
Background:
- Hepatocellular carcinoma (HCC) presents limited systemic treatment options.
- Liver carcinogenesis involves complex deregulated pathways, offering targets for new therapies.
- Aberrant Fibroblast Growth Factor 19 (FGF19)/Fibroblast Growth Factor Receptor 4 (FGFR4) signaling is an oncogenic driver in a subset of HCCs, correlating with poor prognosis.
Purpose of the Study:
- To review the role of the FGF19/FGFR4 pathway in hepatocellular carcinoma.
- To explore the potential of the FGF19/FGFR4 pathway as a predictive biomarker for targeted therapies.
Main Methods:
- Literature review of studies investigating the FGF19/FGFR4 pathway in HCC.
- Analysis of preclinical data on FGF19/FGFR4 pathway inhibition.
- Evaluation of FGF19/FGFR4 as a predictive biomarker.
Main Results:
- The FGF19/FGFR4 pathway is implicated as a key oncogenic driver in a specific HCC cohort.
- Preclinical studies demonstrate anti-tumor activity upon inhibition of this pathway.
- The pathway's role supports its evaluation in in vivo models and clinical settings.
Conclusions:
- The FGF19/FGFR4 pathway is a significant target for novel hepatocellular carcinoma treatments.
- FGFR4 may serve as a predictive biomarker for targeted therapies in HCC.
- Further investigation into FGF19/FGFR4-targeted agents is warranted for HCC management.
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