Functional screening of FGFR4-driven tumorigenesis identifies PI3K/mTOR inhibition as a therapeutic strategy in

Timothy McKinnon1, Rosemarie Venier1, Marielle Yohe2

  • 1Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada.

Oncogene
|March 1, 2018
PubMed

Insights

Rhabdomyosarcoma (RMS) research shows FGFR4 mutations drive cancer. A dual PI3K/mTOR inhibitor, GSK2126458, effectively reduced tumor growth in preclinical models, offering a promising new therapy for pediatric RMS.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Rhabdomyosarcoma (RMS) is a common pediatric soft tissue sarcoma with stagnant outcomes, necessitating novel therapeutic strategies.
  • Genomic analyses reveal frequent alterations in the receptor tyrosine kinase (RTK)/RAS/PI3K pathway, including mutations and overexpression of FGFR4, a druggable target.
  • The precise functions of FGFR4 in RMS pathogenesis remain largely undefined.

Purpose of the Study:

  • To investigate the oncogenic potential of FGFR4-activating mutations and overexpression in RMS development.
  • To establish and utilize murine tumor models for identifying therapeutic targets.
  • To evaluate the efficacy of a dual PI3K/mTOR inhibitor as a potential treatment for RMS in a preclinical setting.

Main Methods:

  • Development of murine models expressing specific FGFR4 mutations (V550E, N535K) or wild-type (wt) overexpression to assess RMS generation.
  • In vitro drug screening of RMS cell lines (murine and human) using a panel of compounds, assessing potency via area under the dose-response curve (AUC).
  • Mass cytometry analysis to validate drug specificity and downstream signaling inhibition (phosphorylated Akt, mTOR effectors) in RMS cells.

Main Results:

  • Murine myoblasts expressing FGFR4V550E exhibited enhanced cellular transformation, engraftment, and rapid formation of RMS tumors resembling human disease, establishing a relevant preclinical model.
  • RMS cells demonstrated high sensitivity to PI3K/mTOR inhibitors, with GSK2126458 (omipalisib) showing potent inhibition of cell viability in both FGFR4V550E-derived and human RMS cell lines (low nanomolar EC50 values).
  • In vivo studies confirmed that PI3K/mTOR inhibition significantly suppressed RMS tumor growth.

Conclusions:

  • FGFR4-activating mutations, particularly V550E, play a significant role in RMS tumorigenesis, providing a mechanistic link between genetic alterations and disease.
  • Dual PI3K/mTOR inhibition, exemplified by GSK2126458, represents a promising therapeutic strategy for pediatric RMS.
  • The developed preclinical platform enables effective testing of novel therapies for RMS, paving the way for clinical translation.

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