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Fibroblast growth factor receptor 2 and Fibroblast growth factor receptor 3 (FGFR2 and FGFR3)

Target
FGFR2 and FGFR3
Molecular classification
Receptor tyrosine kinase, Cell surface receptor, Enzyme (kinase activity), Receptor
01

Overview

Fibroblast growth factor receptor 2 (FGFR2) and fibroblast growth factor receptor 3 (FGFR3) are members of the FGFR family of cell surface receptor tyrosine kinases. Each receptor spans the cell membrane and consists of an extracellular domain with three immunoglobulin-like subunits (for ligand binding), a single transmembrane helix, and an intracellular tyrosine kinase domain that transduces signals upon ligand binding and dimerization[1][2][3][4][5]. Both FGFR2 and FGFR3 regulate key biological processes such as cell proliferation, differentiation, development, tissue repair, and angiogenesis[1][2][3][4]. Genetic aberrations affecting these receptors (mutations, amplifications, fusions) are implicated in a variety of cancers (notably bladder, multiple myeloma, and others) and developmental diseases (such as skeletal dysplasias and craniosynostosis syndromes)[2][3]. These receptors are considered important therapeutic targets, and several FGFR inhibitors are approved or under investigation for cancer treatment, though challenges such as drug resistance and toxicity remain significant[3].

Other names
FGFR-2CD332FGFR-3CD333CEK2JTK4HBGFRFGR3_HUMAN
02

Mechanism of action

Small molecule inhibition of receptor tyrosine kinase activity (FGFR inhibitors block ATP binding, preventing signaling); Receptor dimerization antagonism (by some agents): preventing ligand-induced dimerization required for activation; Downregulation of aberrant FGFR-driven cell proliferation in tumors

03

Biological functions

Signal transductionCell proliferation and differentiationEmbryonic developmentTissue repairAngiogenesis (formation of blood vessels)Gene expression regulation
04

Disease associations

Cancer (including bladder, multiple myeloma, cervical, and others)Skeletal abnormalities (craniosynostosis, achondroplasia, thanatophoric dwarfism, etc.)Developmental disordersOther (such as skin disorders, wound healing defects)
05

Safety considerations

Drug resistance (acquired resistance to kinase inhibitors)Off-target toxicity (e.g., hyperphosphatemia, ocular and skin toxicities)Lack of specificity/cross-reactivity with other kinasesSkeletal toxicity and abnormal wound healing (from FGFR inhibition)
06

Interacting drugs

Erdafitinib (pan-FGFR inhibitor)

4 more in the full profile.

07

Biomarkers

FGFR2 and FGFR3 mutations/fusions (commonly used as biomarkers for patient selection in cancer therapy, e.g., bladder cancer)FGFR gene amplification or overexpressionPresence of activating mutations (screened for therapy selection)

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