FGFR Fusions in Cancer: From Diagnostic Approaches to Therapeutic Intervention

Antonella De Luca1, Riziero Esposito Abate1, Anna Maria Rachiglio1

  • 1Cell Biology and Biotherapy Unit, Istituto Nazionale Tumori-IRCCS-Fondazione G. Pascale, 80131 Naples, Italy.

Insights

Fibroblast growth factor receptor (FGFR) gene fusions are key drivers in various cancers. Next-generation sequencing aids in detecting these alterations, offering promising therapeutic targets for precision oncology.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Fibroblast growth factor receptors (FGFRs) are critical tyrosine kinases regulating cellular functions.
  • Aberrant FGFR signaling is implicated in the pathogenesis and progression of numerous human cancers.
  • FGFR genomic alterations, particularly gene fusions, are emerging as significant therapeutic targets.

Purpose of the Study:

  • To review common FGFR aberrations in human cancers.
  • To discuss methodologies for detecting FGFR gene fusions.
  • To explore the utility of FGFR alterations as prognostic and predictive biomarkers.

Main Methods:

  • Literature review of studies on FGFR aberrations and their clinical relevance.
  • Analysis of next-generation sequencing (NGS) techniques for identifying FGFR fusions.
  • Evaluation of clinical trial data for FGFR-targeted therapies.

Main Results:

  • Frequent FGFR aberrations, including gene fusions, identified across various cancer types.
  • NGS technologies have enhanced the sensitivity and specificity of FGFR fusion detection.
  • FGFR alterations show potential as biomarkers for guiding targeted treatment strategies.

Conclusions:

  • FGFR genomic alterations represent actionable targets in oncology.
  • Accurate detection of FGFR fusions is crucial for patient stratification.
  • Targeted therapies inhibiting FGFR signaling hold promise for patients with specific FGFR alterations.

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