Target intelligence / Profile preview

Fibroblast growth factor receptor 2 isoform IIIb (FGFR2b)

Target
FGFR2b
Molecular classification
Receptor tyrosine kinase, Fibroblast growth factor receptor family, Enzyme, Receptor
01

Overview

Fibroblast growth factor receptor 2 isoform IIIb (FGFR2b) is a transmembrane receptor tyrosine kinase and a specific splice variant of the FGFR2 gene. It is predominantly expressed in epithelial tissues, where it mediates essential mesenchymal-epithelial signaling during embryonic development and adult tissue repair [2, 12, 16]. The receptor is selectively activated by ligands such as FGF7, FGF10, and FGF22, triggering intracellular cascades including the MAPK and PI3K/AKT pathways to regulate cell proliferation, survival, and migration [2, 4, 13]. In various malignancies, particularly gastric and gastroesophageal junction adenocarcinomas, FGFR2b is frequently overexpressed or the FGFR2 gene is amplified, driving tumor progression and correlating with poor clinical outcomes [3, 8, 9]. Therapeutic targeting of FGFR2b involves monoclonal antibodies like bemarituzumab, which inhibit ligand binding and promote immune-mediated tumor cell death, as well as small-molecule inhibitors that block its kinase activity [2, 4, 15]. Clinical management often utilizes immunohistochemistry and genomic sequencing as biomarkers to identify patients likely to benefit from these targeted therapies [7, 9].

Other names
FGFR2-IIIbKeratinocyte growth factor receptor (KGFR)CD332K-SAMBEKBacteria-expressed kinase
02

Mechanism of action

Inhibition of ligand binding; Antibody-dependent cell-mediated cytotoxicity (ADCC); Inhibition of tyrosine kinase activity

03

Biological functions

Cell proliferationCell differentiationCell migrationCell survivalAngiogenesisOrganogenesisWound healingMesenchymal-epithelial signaling
04

Disease associations

Gastric cancerGastroesophageal junction cancerBreast cancerLung cancerPancreatic cancerColorectal cancerEsophageal cancer
05

Safety considerations

HyperphosphatemiaOcular toxicity (e.g., central serous retinopathy, dry eye)StomatitisNail toxicityHand-foot syndromeTherapeutic resistance (e.g., bypass signaling via PKC)
06

Interacting drugs

Bemarituzumab (FPA144)

5 more in the full profile.

07

Biomarkers

FGFR2b protein overexpression (detected by IHC)FGFR2 gene amplification (detected by FISH or NGS/ctDNA)

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