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Identification of Targetable FGFR Gene Fusions in Diverse Cancers

Open access
Wu, Yi-Mi, Su, Fengyun, Kalyana-Sundaram, Shanker, Khazanov, Nickolay, Ateeq, Bushra, Cao, Xuhong, Lonigro, Robert J., Vats, Pankaj, Wang, Rui, Lin, Su-Fang, Cheng, Ann-Joy, Kunju, Lakshmi P., Siddiqui, Javed, Tomlins, Scott A., Wyngaard, Peter, Sadis, Seth, Roychowdhury, Sameek, Hussain, Maha H., Feng, Felix Y., Zalupski, Mark M., Talpaz, Moshe, Pienta, Kenneth J., Rhodes, Daniel R., Robinson, Dan R., Chinnaiyan, Arul M.·2013·Cancer Discovery

Abstract

Through a prospective clinical sequencing program for advanced cancers, four index cases were identified which harbor gene rearrangements of FGFR2, including patients with cholangiocarcinoma, breast cancer, and prostate cancer. After extending our assessment of FGFR rearrangements across multiple tumor cohorts, we identified additional FGFR fusions with intact kinase domains in lung squamous cell cancer, bladder cancer, thyroid cancer, oral cancer, glioblastoma, and head and neck squamous cell cancer. All FGFR fusion partners tested exhibit oligomerization capability, suggesting a shared mode of kinase activation. Overexpression of FGFR fusion proteins induced cell proliferation. Two bladder cancer cell lines that harbor FGFR3 fusion proteins exhibited enhanced susceptibility to pharmacologic inhibition in vitro and in vivo. Because of the combinatorial possibilities of FGFR family fusion to a variety of oligomerization partners, clinical sequencing efforts, which incorporate transcriptome analysis for gene fusions, are poised to identify rare, targetable FGFR fusions across diverse cancer types. Significance: High-throughput sequencing technologies facilitate defining the mutational landscape of human cancers, which will lead to more precise treatment of patients with cancer. Here, through integrative sequencing efforts, we identified a variety of FGFR gene fusions in a spectrum of human cancers. FGFR fusions are active kinases. Cells harboring FGFR fusions showed enhanced sensitivity to the FGFR inhibitors PD173074 and pazopanib, suggesting that patients with cancer with FGFR fusions may benefit from targeted FGFR kinase inhibition. Cancer Discov; 3(6); 636–47. ©2013 AACR. See related commentary by Sabnis and Bivona, p. 607 This article is highlighted in the In This Issue feature, p. 591

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Authors
Wu, Y.-M., Su, F., Kalyana-Sundaram, S., Khazanov, N., Ateeq, B., Cao, X., Lonigro, R. J., Vats, P., Wang, R., Lin, S.-F., Cheng, A.-J., Kunju, L. P., Siddiqui, J., Tomlins, S. A., Wyngaard, P., Sadis, S., Roychowdhury, S., Hussain, M. H., Feng, F. Y., Zalupski, M. M., Talpaz, M., Pienta, K. J., Rhodes, D. R., Robinson, D. R., & Chinnaiyan, A. M.
Venue
Cancer Discovery
Published
2013-06-01
Volume
3
Issue
6
Pages
636-647
ISSN
  • 2159-8274 (ISSN-L)
  • 2159-8290
OpenAlex
W2107977954
Cited by
744
References
43
FWCI
27.70
Type
journal article
Language
en
Open access
green

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Wu, Y.-M., Su, F., Kalyana-Sundaram, S., Khazanov, N., Ateeq, B., Cao, X., Lonigro, R. J., Vats, P., Wang, R., Lin, S.-F., Cheng, A.-J., Kunju, L. P., Siddiqui, J., Tomlins, S. A., Wyngaard, P., Sadis, S., Roychowdhury, S., Hussain, M. H., Feng, F. Y., . . . Chinnaiyan, A. M. (2013). Identification of Targetable FGFR Gene Fusions in Diverse Cancers. Cancer Discovery. https://doi.org/10.1158/2159-8290.cd-13-0050

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