Target intelligence / Profile preview

Fibroblast growth factor receptor 1 (FGFR1); Fibroblast growth factor receptor 2 (FGFR2) (FGFR1; FGFR2)

Target
FGFR1; FGFR2
Molecular classification
Receptor tyrosine kinase (RTK), Single-pass transmembrane protein, Cell surface receptor
01

Overview

Fibroblast growth factor receptor 1 and 2 are cell surface receptor tyrosine kinases, each consisting of an extracellular ligand-binding domain with three immunoglobulin-like loops, a single transmembrane helix, and an intracellular split kinase domain. They bind to multiple fibroblast growth factors (FGFs), initiating dimerization and autophosphorylation that activate several downstream signaling pathways (notably RAS-MAPK, PI3K-AKT, and PLCγ) vital for cell proliferation, survival, differentiation, and tissue repair. Aberrant activation, such as through gene amplification, fusion, or activating mutation, is implicated in numerous human cancers and developmental disorders. Therapeutically, selective inhibition of FGFR1/FGFR2 is employed in cancers driven by these aberrations, but physiological roles in phosphate metabolism and tissue homeostasis present safety challenges.

Other names
FGFR1: FLGFGFR1: bFGF receptorFGFR2: BEKAdditional: FGF receptor 1Additional: FGF receptor 2
02

Mechanism of action

Small molecule inhibitors block ATP binding to the tyrosine kinase domain, inhibiting phosphorylation and downstream signaling. Monoclonal antibodies and ligand traps can inhibit ligand-receptor interaction (less common clinically). Drug-induced degradation (some small molecules and PROTACs under investigation).

03

Biological functions

Signal transductionCell proliferationCell differentiationSurvival and apoptosis regulationMetabolic homeostasisEndocrine functionsWound repair
04

Disease associations

Cancer (oncogenic mutations and gene fusions)Skeletal dysplasias (e.g., Crouzon syndrome via FGFR2 mutations)Developmental disordersInflammationCardiovascular disease (via vascular proliferation)Other (metabolic syndromes, wound healing abnormalities)
05

Safety considerations

Hyperphosphatemia (due to FGF23/FGFR axis inhibition)Ocular toxicity (retinal pigment epithelial detachment, central serous retinopathy)MucositisDiarrheaTissue calcification and ectopic mineralizationOn-target off-tumor effects (due to physiological roles in development and homeostasis)
06

Interacting drugs

Erdafitinib

4 more in the full profile.

07

Biomarkers

FGFR1/FGFR2 gene amplification/detection (e.g., in lung, breast, cholangiocarcinoma, or urothelial cancers)FGFR1/FGFR2 activating mutationsFGFR1/FGFR2 fusion proteinsFGFR protein expression (immunohistochemistry)Downstream pathway activation markers (e.g., phospho-FRS2)

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