The D647N mutation of FGFR1 induces ligand-independent receptor activation

Mattia Domenichini1, Cosetta Ravelli1, Michela Corsini1

  • 1Department of Molecular and Translational Medicine, University of Brescia, Brescia 25123, Italy.

Insights

The D647N mutation in fibroblast growth factor receptor 1 (FGFR1) drives cancer aggressiveness and enhances sensitivity to the inhibitor Erdafitinib. This activating mutation may predict a positive response to Erdafitinib treatment in cancer patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • The activation loop (A-loop) of kinases is a critical regulatory region frequently altered in cancer, leading to uncontrolled kinase activity and resistance to targeted therapies.
  • Fibroblast growth factor receptor 1 (FGFR1) is a receptor tyrosine kinase implicated as an oncogene in various solid and hematological malignancies, making it a significant therapeutic target.

Purpose of the Study:

  • To investigate the biochemical and molecular consequences of the D647N mutation within the FGFR1 activation loop.
  • To assess the impact of FGFR1D647N on cancer cell behavior, signaling pathways, and response to the FGFR inhibitor Erdafitinib.

Main Methods:

  • Expression of wild-type (WT) and D647N-mutated FGFR1 in normal and cancer cell models (in vitro).
  • Analysis of FGFR1 phosphorylation, intracellular signaling activation, cell migration, invasiveness, and pro-angiogenic capacity.
  • Evaluation of sensitivity to the ATP-competitive inhibitor Erdafitinib.

Main Results:

  • FGFR1D647N exhibits ligand-independent phosphorylation and activates downstream signaling pathways.
  • Expression of FGFR1D647N significantly enhances cancer cell migration (single and collective), invasiveness, and pro-angiogenic potential in vitro and in vivo.
  • The D647N mutation markedly increases FGFR1 sensitivity to Erdafitinib.

Conclusions:

  • The D647N substitution in FGFR1 is identified as a novel, pro-oncogenic activating mutation.
  • FGFR1D647N may serve as a predictive biomarker for a favorable response to Erdafitinib therapy in cancer patients.
  • Further research is needed to fully elucidate activation mechanisms, develop more specific inhibitors, and confirm clinical relevance.

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