Target intelligence / Profile preview

Fibroblast growth factor receptor 1 and fibroblast growth factor receptor 3 (FGFR1/FGFR3)

Target
FGFR1/FGFR3
Molecular classification
Receptor tyrosine kinase, Receptor, Enzyme (specifically, a kinase—tyrosine kinase family)
01

Overview

Fibroblast growth factor receptor 1 and fibroblast growth factor receptor 3 are highly conserved, transmembrane receptor tyrosine kinases belonging to the FGFR family. They are composed of an extracellular ligand-binding domain (with three immunoglobulin-like subdomains), a single transmembrane helix, and an intracellular tyrosine kinase domain. FGFR1 and FGFR3 bind fibroblast growth factors (FGFs) and initiate intracellular signaling cascades that regulate cell proliferation, differentiation, survival, angiogenesis, wound healing, bone growth, and metabolic processes. Genetic alterations—such as activating mutations, fusions, or gene amplification—in these receptors can drive cancer or developmental diseases and are therapeutically actionable with selective small molecule inhibitors. FGFR1 and FGFR3 are well-validated therapeutic targets in several cancer types (notably urothelial carcinoma) and are being actively investigated as predictive biomarkers and drug targets in numerous other diseases.

Other names
Basic fibroblast growth factor receptor 1fms-related tyrosine kinase-2CD331Pfeiffer syndrome proteinCD333fms-related tyrosine kinase 3Achondroplasia proteinFGFR-3
02

Mechanism of action

Competitive inhibition of the ATP-binding site of FGFR1 or FGFR3 kinase domains, thus blocking FGF-mediated receptor phosphorylation and downstream signaling. Inhibition of downstream pathways, including RAS-MAPK, PI3K-AKT, and PLCγ, to suppress proliferation and induce apoptosis in tumor cells with FGFR alterations.

03

Biological functions

Signal transductionCell proliferationCell growth and differentiationAngiogenesisEmbryo developmentBone formation and ossificationWound healingMetabolic homeostasis
04

Disease associations

Cancer (including non–small cell lung cancer, bladder cancer, multiple myeloma, glioblastoma, and others)Skeletal dysplasias (e.g., achondroplasia, hypochondroplasia; especially with FGFR3)Developmental syndromes (e.g., Pfeiffer syndrome—especially with FGFR1)InflammationOther (such as metabolic/endocrine disorders and cardiovascular development)
05

Safety considerations

Hyperphosphatemia (due to FGF23 pathway inhibition)Ocular toxicity (e.g., central serous retinopathy)On-target effects on phosphate and calcium homeostasisPotential for resistance mutations (gatekeeper mutations, kinase domain changes)Class-effect toxicities shared with other multitargeted tyrosine kinase inhibitors
06

Interacting drugs

Erdafitinib

8 more in the full profile.

07

Biomarkers

FGFR1 gene amplification or overexpression in tumorsFGFR3 mutations (especially S249C, Y373C, G370C, R248C), fusions (e.g., FGFR3-TACC3), or overexpressionFGFR3-TACC3 fusion in bladder cancer and glioblastomaFGFR1- and FGFR3-status (mutation, copy number, fusion) for patient selection in targeted therapy trials

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