Small-molecule FGFR-targeted medicinal chemistry: Advances since 2020 and future perspectives

Hao Yue1, Yu Wang1, Na Zhang1

  • 1School of Pharmaceutical Engineering, Shenyang Pharmaceutical University, 103 Wenhua Road, Shenhe District, Shenyang, 110016, PR China.

PubMed

Insights

Fibroblast Growth Factor Receptor (FGFR) inhibitors show promise in cancer treatment but face challenges like toxicity and resistance. Next-generation FGFR therapeutics aim to improve selectivity and overcome resistance for better patient outcomes.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Fibroblast Growth Factor Receptors (FGFRs) are implicated in various cancers due to alterations like mutations and amplifications.
  • FGFR inhibitors offer therapeutic potential but are limited by off-target toxicities and acquired resistance.

Purpose of the Study:

  • To review recent advances (2020-present) in FGFR inhibitors and degraders.
  • To discuss strategies for enhancing isoform selectivity and overcoming resistance mutations.
  • To provide insights for developing improved FGFR-targeted therapies.

Main Methods:

  • Literature review of FGFR inhibitors and degraders published from 2020 to the present.
  • Analysis of structure-activity relationships (SARs), binding modes, and biological evaluations.
  • Discussion of resistance mechanisms and subtype selectivity.

Main Results:

  • Significant progress has been made in designing selective FGFR inhibitors and degraders.
  • Understanding resistance mechanisms is crucial for developing next-generation agents.
  • Enhanced isoform selectivity is a key strategy for improving therapeutic efficacy.

Conclusions:

  • Next-generation FGFR therapeutics are essential to address limitations of current treatments.
  • Targeting FGFRs with improved selectivity and resistance-overcoming strategies holds promise for oncology.
  • Further research into FGFR biology and drug development is warranted.

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