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Fibroblast growth factor receptor 1-4 tyrosine kinase domains (FGFR1-4 TKDs)

Target
FGFR1-4 TKDs
Molecular classification
Receptor tyrosine kinase [1, 14], Enzyme [1, 17], Receptor [1, 10]
01

Overview

The Fibroblast growth factor receptor 1-4 (FGFR1-4) tyrosine kinase domains are the intracellular catalytic components of a family of four highly conserved receptor tyrosine kinases (RTKs) [1, 14]. These domains are responsible for the trans-phosphorylation of specific tyrosine residues upon ligand-induced receptor dimerization, which serves as a critical trigger for downstream signaling cascades including the RAS-MAPK, PI3K-AKT, and PLCγ pathways [5, 10]. In normal physiology, FGFR signaling is essential for processes such as embryonic development, angiogenesis, and tissue repair [2, 13]. However, genetic alterations—including gene fusions, activating mutations, and amplifications—can lead to the constitutive activation of these kinase domains, driving oncogenesis in various malignancies such as cholangiocarcinoma, urothelial carcinoma, and squamous cell lung cancer [6, 7]. Therapeutic targeting of these domains primarily involves small-molecule tyrosine kinase inhibitors (TKIs) that compete with ATP for binding, thereby blocking autophosphorylation and suppressing tumor growth [5, 13].

Other names
FGFR1FGFR2FGFR3FGFR4CD331CD332CD333CD334Fibroblast growth factor receptor 1Fibroblast growth factor receptor 2Fibroblast growth factor receptor 3Fibroblast growth factor receptor 4FLT2BEKCEK2JTK2
02

Mechanism of action

ATP-competitive inhibition of the intracellular tyrosine kinase domains, which prevents receptor autophosphorylation and the subsequent recruitment of adapter proteins (e.g., FRS2), thereby blocking the activation of downstream oncogenic signaling pathways such as MAPK, PI3K/AKT, and STAT [5, 13, 14].

03

Biological functions

Cell proliferation [1, 10]Cell differentiation [1, 10]Cell migration [2, 10]Cell survival [3, 12]Angiogenesis [3, 13]Embryonic development [8, 10]Tissue repair and wound healing [2, 13]Metabolic homeostasis [4, 10]
04

Disease associations

Cancer (e.g., Cholangiocarcinoma, Urothelial carcinoma, Lung cancer, Breast cancer) [1, 2, 6]Skeletal disorders (e.g., Achondroplasia, Craniosynostosis syndromes) [1, 10]Endocrine and metabolic disorders (e.g., Hypophosphatemic rickets, Kallmann syndrome) [8, 10]8p11 myeloproliferative syndrome [8, 16]
05

Safety considerations

Hyperphosphatemia (due to inhibition of FGFR1-mediated FGF23 signaling) [6, 7]Ocular toxicity (e.g., Central serous retinopathy, retinal pigment epithelial detachment) [7, 13]Nail toxicity (e.g., Onycholysis, paronychia) [6, 7]Stomatitis and mucosal inflammation [6, 7]Dermatological effects (e.g., Dry skin, alopecia, hand-foot syndrome) [7, 13]Fatigue and gastrointestinal disturbances [6, 7]
06

Interacting drugs

Erdafitinib [5, 7]

8 more in the full profile.

07

Biomarkers

FGFR2 gene fusions (e.g., FGFR2-BICC1) [6, 7]FGFR3 gene fusions (e.g., FGFR3-TACC3) [5, 18]FGFR3 activating mutations (e.g., S249C, R248C) [2, 13]FGFR1 gene amplification [6, 9]FGFR2 gene amplification [1, 7]FGFR mRNA or protein overexpression [9, 18]

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