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Fibroblast growth factor receptor substrate 2 (FRS2)

Target
FRS2
Molecular classification
Signal transducing adaptor protein, Scaffold/adaptor protein, Intracellular signaling protein, Other
01

Overview

Fibroblast growth factor receptor substrate 2 (FRS2) is a membrane-anchored signal transducing adaptor protein that mediates signal transduction from activated receptor tyrosine kinases (RTKs), most notably the fibroblast growth factor receptors (FGGRs), but also neurotrophin receptors, RET, ALK, and others. Upon activation of these receptors, FRS2 is phosphorylated on tyrosine residues, serving as a docking site for downstream effectors such as Grb2, Shp2, Gab1, and Cbl. It orchestrates activation of key signaling pathways, including the MAPK/ERK and PI3K/AKT cascades, thereby regulating cell proliferation, migration, survival, and differentiation. FRS2 is essential for embryonic development, and its gene amplification or overexpression is implicated in several cancers, where it can be a biomarker for FGFR signaling dependency. FRS2 is not currently a direct therapeutic target, but its phosphorylation status can be modulated by drugs acting on upstream RTKs, particularly FGFR inhibitors.

Other names
FRS2αFGFR substrate 2FGFR-signaling adaptor SNTSNT-1SNT1FRS2AFRS2alphaFGFR signalling adaptor SNTSuc1-associated neurotrophic factor target 1FRS1ASNTepididymis secretory sperm binding protein
02

Mechanism of action

Not directly targeted by drugs. FGFR inhibitors block activation of FGFR, thereby preventing tyrosine phosphorylation of FRS2 and downstream signal propagation.

03

Biological functions

Signal transductionCell proliferationCell migrationCell survivalEmbryonic developmentRegulation of MAPK/ERK pathwayRegulation of PI3K/AKT pathwayNegative and positive regulation of receptor tyrosine kinase signaling
04

Disease associations

CancerTumorigenesisEmbryonic developmental disordersOther
05

Safety considerations

Potential issues relate to pathway inhibition by upstream FGFR inhibitors, which may lead to side effects such as hyperphosphatemia, skin disorders, and developmental toxicities due to broad role of FGF/FGFR/FRS2 signaling in cell growth and differentiationNo specific toxicities are reported for FRS2 inhibition itself; targeting FRS2 directly could have profound developmental effects
06

Interacting drugs

None directly (as of current evidence). FRS2 is a downstream adaptor, not a direct enzyme or receptor, but FGFR inhibitors (e.g., erdafitinib, pemigatinib) indirectly affect FRS2 signaling.
07

Biomarkers

FRS2 gene amplification (biomarker for FGF/FGFR pathway activation in cancer, notably in certain soft tissue sarcoma and prostate cancer)Phosphorylated FRS2 (marker of FGFR pathway activation)

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