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Published on: December 26, 2016
Biological Significance and Targeting of the FGFR Axis in Cancer
Athina-Myrto Chioni1, Richard P Grose2
1School of Life Sciences Pharmacy and Chemistry, Kingston University, Penrhyn Road, Kingston upon Thames KT1 2EE, UK.
Abstract:
The pleiotropic effects of fibroblast growth factors (FGFs), the widespread expression of all seven signalling FGF receptors (FGFRs) throughout the body, and the dramatic phenotypes shown by many FGF/R knockout mice, highlight the diversity, complexity and functional importance of FGFR signalling. The FGF/R axis is critical during normal tissue development, homeostasis and repair. Therefore, it is not surprising that substantial evidence also pinpoints the involvement of aberrant FGFR signalling in disease, including tumourigenesis. FGFR aberrations in cancer include mutations, gene fusions, and amplifications as well as corrupted autocrine/paracrine loops. Indeed, many clinical trials on cancer are focusing on targeting the FGF/FGFR axis, using selective FGFR inhibitors, nonselective FGFR tyrosine kinase inhibitors, ligand traps, and monoclonal antibodies and some have already been approved for the treatment of cancer patients. The heterogeneous tumour microenvironment and complexity of FGFR signalling may be some of the factors responsible for the resistance or poor response to therapy with FGFR axis-directed therapeutic agents. In the present review we will focus on the structure and function of FGF(R)s, their common irregularities in cancer and the therapeutic value of targeting their function in cancer.
Insights
Fibroblast growth factor receptors (FGFRs) are crucial for tissue development and repair. Aberrant FGFR signaling drives cancer, prompting targeted therapies, though tumor complexity can cause treatment resistance.
Area of Science:
- Molecular Biology
- Oncology
- Cell Signaling
Background:
- Fibroblast growth factors (FGFs) and their receptors (FGFRs) exhibit pleiotropic effects and are widely expressed.
- The FGF/FGFR axis is vital for normal tissue development, homeostasis, and repair.
- Dysregulated FGFR signaling is implicated in various diseases, particularly cancer.
Purpose of the Study:
- To review the structure and function of FGFs and FGFRs.
- To discuss common FGFR aberrations in cancer.
- To explore the therapeutic potential of targeting the FGF/FGFR axis in cancer treatment.
Main Methods:
- Literature review focusing on FGFR signaling pathways.
- Analysis of genetic aberrations (mutations, fusions, amplifications) in FGFRs in cancer.
- Examination of therapeutic strategies targeting the FGF/FGFR axis.
Main Results:
- FGFR signaling is complex and essential for normal physiological processes.
- Aberrant FGFR signaling, including mutations and gene fusions, contributes significantly to tumorigenesis.
- Numerous targeted therapies, including inhibitors and antibodies, are being investigated and utilized in cancer treatment.
Conclusions:
- Targeting the FGF/FGFR axis is a promising therapeutic strategy in oncology.
- Tumor microenvironment heterogeneity and signaling complexity can lead to resistance to FGFR-targeted therapies.
- Further research is needed to overcome therapeutic resistance and optimize FGFR-targeted treatments for cancer patients.
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