Molecular Targeting of the Fibroblast Growth Factor Receptor Pathway across Various Cancers

Khine S Shan1, Shivani Dalal1, Nyein Nyein Thaw Dar1

  • 1Memorial Health Care, Division of Hematology and Oncology, Pembroke Pines, FL 33028, USA.

Insights

Fibroblast growth factor receptor (FGFR) alterations drive tumor development. This review covers FGFR-targeting agents, their clinical efficacy, and future directions for overcoming resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Fibroblast growth factor receptors (FGFRs) are key regulators of cell growth and survival.
  • FGFR alterations (amplifications, fusions, mutations) activate downstream signaling, promoting tumor development.
  • FGFRs are implicated in cancers like cholangiocarcinoma and urothelial carcinoma.

Purpose of the Study:

  • To review clinical experiences with FGFR-targeting agents.
  • To summarize current developments in FGFR-targeted therapies.
  • To discuss future strategies for FGFR-targeted treatment.

Main Methods:

  • Literature review of clinical trials and preclinical studies.
  • Analysis of data on FGFR inhibitors, ligand traps, antibodies, and antibody-drug conjugates.
  • Synthesis of information on efficacy, toxicity, and resistance mechanisms.

Main Results:

  • Four FGFR inhibitors are FDA-approved for specific cancers.
  • Various agents targeting the FGFR pathway are under development.
  • Current agents show variable responses, toxicities, and acquired resistance.

Conclusions:

  • Targeting FGFR alterations is a validated therapeutic strategy.
  • Further research is needed to optimize FGFR-targeted therapies.
  • Overcoming resistance and improving response rates are critical future directions.

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