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Updated: Oct 12, 2025

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
FGF/FGFR-Dependent Molecular Mechanisms Underlying Anti-Cancer Drug Resistance
Jakub Szymczyk1, Katarzyna Dominika Sluzalska1, Izabela Materla1
1Department of Protein Engineering, Faculty of Biotechnology, University of Wroclaw, Ul. F. Joliot-Curie 14a, 50-383 Wroclaw, Poland.
Abstract:
Increased expression of both FGF proteins and their receptors observed in many cancers is often associated with the development of chemoresistance, limiting the effectiveness of currently used anti-cancer therapies. Malfunctioning of the FGF/FGFR axis in cancer cells generates a number of molecular mechanisms that may affect the sensitivity of tumors to the applied drugs. Of key importance is the deregulation of cell signaling, which can lead to increased cell proliferation, survival, and motility, and ultimately to malignancy. Signaling pathways activated by FGFRs inhibit apoptosis, reducing the cytotoxic effect of some anti-cancer drugs. FGFRs-dependent signaling may also initiate angiogenesis and EMT, which facilitates metastasis and also correlates with drug resistance. Therefore, treatment strategies based on FGF/FGFR inhibition (using receptor inhibitors, ligand traps, monoclonal antibodies, or microRNAs) appear to be extremely promising. However, this approach may lead to further development of resistance through acquisition of specific mutations, metabolism switching, and molecular cross-talks. This review brings together information on the mechanisms underlying the involvement of the FGF/FGFR axis in the generation of drug resistance in cancer and highlights the need for further research to overcome this serious problem with novel therapeutic strategies.
Insights
The FGF/FGFR axis drives cancer drug resistance by promoting cell survival and metastasis. Inhibiting this pathway is promising but may cause new resistance mechanisms, necessitating further research for novel therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Fibroblast Growth Factor (FGF) proteins and their receptors (FGFRs) are upregulated in many cancers.
- This aberrant FGF/FGFR axis signaling is linked to chemoresistance and poor therapeutic outcomes.
- Dysregulation of FGF/FGFR signaling contributes to cancer progression and malignancy.
Purpose of the Study:
- To review the mechanisms by which the FGF/FGFR axis contributes to cancer drug resistance.
- To explore the therapeutic potential and challenges of targeting the FGF/FGFR pathway.
- To highlight the need for novel strategies to overcome FGF/FGFR-mediated resistance.
Main Methods:
- Literature review of studies investigating FGF/FGFR signaling in cancer.
- Analysis of molecular mechanisms linking FGF/FGFR axis to chemoresistance.
- Synthesis of information on therapeutic strategies and resistance development.
Main Results:
- FGF/FGFR axis activation promotes cancer cell proliferation, survival, and motility.
- FGFR signaling inhibits apoptosis and enhances angiogenesis and epithelial-mesenchymal transition (EMT).
- Targeting FGF/FGFR is a promising strategy, but resistance can emerge through mutations and cross-talk.
Conclusions:
- The FGF/FGFR axis plays a critical role in the development of cancer drug resistance.
- Inhibitory strategies targeting FGF/FGFR show therapeutic promise but face challenges of acquired resistance.
- Further research is essential to develop effective therapeutic approaches to overcome FGF/FGFR-driven resistance.
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