FGFR信号通路参与正常细胞的增殖、迁移和抗凋亡。FGFR基因变异包括激活突变、基因易位和基因扩增,从而导致FGFR信号通路异常激活,驱动肿瘤细胞增殖、存活及促进血管生成,促使肿瘤进展。目前已经在10余种恶性肿瘤中发现FGFR基因变异,不...FGFR信号通路参与正常细胞的增殖、迁移和抗凋亡。FGFR基因变异包括激活突变、基因易位和基因扩增,从而导致FGFR信号通路异常激活,驱动肿瘤细胞增殖、存活及促进血管生成,促使肿瘤进展。目前已经在10余种恶性肿瘤中发现FGFR基因变异,不同瘤种的FGFR1~4亚型及其基因变异类型均有所不同。近期,Pemigatinib获得国家药品监督管理局(National Medical Products Administration,NMPA)批准。需明确不同瘤种FGFR基因变异与肿瘤治疗和预后的关系,探索FGFR基因检测方法以识别具有临床价值的基因变异,进而有效提高患者的临床获益。全文总结了近几年相关领域进展,以期呈现目前FGFR抑制剂在晚期肿瘤治疗中的研究进展和FGFR基因变异病理检测现状。展开更多
目的通过对1例新生儿期特殊面容、神经系统结构畸形患儿进行全外显子组序列检测分析,旨在为该患儿寻找潜在的致病原因。方法纳入1例在复旦大学附属儿科医院(我院)新生儿病房住院期间未能明确诊断的多发畸形患儿,主要临床表型为前额突出...目的通过对1例新生儿期特殊面容、神经系统结构畸形患儿进行全外显子组序列检测分析,旨在为该患儿寻找潜在的致病原因。方法纳入1例在复旦大学附属儿科医院(我院)新生儿病房住院期间未能明确诊断的多发畸形患儿,主要临床表型为前额突出、腭弓高、耳位低、枕部较平,双侧脑室扩大、透明隔部分缺如、胼胝体发育异常,采用Sure Selct Human All Exon捕获试剂盒和Illumina Hi Seq2000测序平台,行全外显子组序列检测。数据分析采用复旦大学附属儿科医院转化中心所建立的高通量测序数据分析流程。采用Sanger测序进行验证。结果患儿全外显子组序列检测数据,共检测到79 064个变异,经过质量控制筛选、变异频率筛选、变异分类筛选,剩余645个变异。在进一步分析中,645个变异中有159个其所在基因在OMIM数据库及HGMD数据库与疾病相关。从3个已经报道的突变位点中锁定致病突变为FGFR2基因(NM_000141)c.C1040G,p.S347C。Sanger测序在家系内验证该位点为新发(de novo)突变。结论采用全外显子组序列检测,明确诊断FGFR2相关疾病1例。并且结合我院已经建立的高通量测序数据分析和临床诊断流程,为新生儿多发畸形寻找潜在的致病基因提供了快速、高效的方法。展开更多
Objective:Osimertinib(OSI)therapy,a cornerstone in treating non-small cell lung cancer(NSCLC),has been severely limited by rapidly developing acquired resistance.Inhibition of bypass activation using a combination str...Objective:Osimertinib(OSI)therapy,a cornerstone in treating non-small cell lung cancer(NSCLC),has been severely limited by rapidly developing acquired resistance.Inhibition of bypass activation using a combination strategy holds promise in overcoming this resistance.Biguanides,with excellent anti-tumor effects,have recently attracted much attention for this potential.The current study investigated whether novel biguanide compounds developed by our team could overcome OSI resistance and the underlying mechanisms were explored.Methods:A comprehensive screening assay using OSI-resistant cells identified the optimal combination of biguanide compounds with OSI.Proteomics,co-immunoprecipitation mass spectrometry,RNA sequencing,and homologous recombination assays were used to elucidate the molecular mechanisms underlying combination therapy.NSCLC tumor tissues,especially OSI-resistant tissues,obtained from our clinic were used to assess the correlations between key proteins and OSI resistance.Results:SMK-010,a highly potent biguanide compound,effectively overcame OSI resistance in vitro and in vivo.Mechanistical studies showed that BMI1/FGFR1 pathway activation is responsible for OSI resistance.Specifically,silencing BMI1 promoted NEDD4-mediated FGFR1 ubiquitination and proteasomal degradation,whereas SMK-010 treatment induced FGFR1 lysosomal degradation.This reduction in FGFR1 levels impaired homologous recombination,increased DNA damage,and surmounted OSI resistance.Analysis of clinical samples revealed overexpression of BMI1 and FGFR1 in NSCLC tissues and represented potential biomarkers for OSI resistance.Conclusions:These findings highlight the crucial role of the BMI1/FGFR1 axis in OSI resistance and provide a rational basis for the future clinical application of the biguanide,SMK-010,in combination with OSI.展开更多
BACKGROUND Gastrointestinal stromal tumors(GISTs)are generally characterized by driver mutations in KIT or PDGFRA.However,the molecular landscape of wild-type GISTs remains complex,posing significant therapeutic chall...BACKGROUND Gastrointestinal stromal tumors(GISTs)are generally characterized by driver mutations in KIT or PDGFRA.However,the molecular landscape of wild-type GISTs remains complex,posing significant therapeutic challenges.Recent evidence has indicated alterations in FGFR2 as potential oncogenic drivers in patients with various cancers.However,the role of these drivers in GIST pathogenesis remains underexplored.CASE SUMMARY We retrospectively evaluated two patients with GIST,diagnosed between August 2021 and July 2022,harboring FGFR2 mutations through hybrid capture-based next-generation sequencing(NGS).We analyzed their clinicopathological characteristics,treatment response,and long-term follow-up data.Both patients,a 47-year-old man(case 1)and a 43-year-old woman(case 2),underwent successful surgical resection and received adjuvant imatinib therapy.They achieved sustained remission with a median follow-up of 28 months.Notably,the NGS revealed novel FGFR2 rearrangements,an FGFR2-CIT/intergenic-FGFR2 fusion in case 1 and FGFR2-CAMK2G/FGFR2-VCL fusions in case 2 without canonical KIT or PDGFRA mutations.Both patients exhibited a favorable response to standard imatinib treatment.CONCLUSION Our findings provided preliminary evidence that novel FGFR2 fusions might act as primary oncogenic drivers in a rare subset of KIT/PDGFRA wild-type GISTs.These cases highlight the importance for comprehensive genomic profiling and suggest that fibroblast growth factor receptor-targeted inhibitors could be a potential therapeutic strategy for advanced or imatinib-resistant diseases,warranting further investigation in larger cohorts.展开更多
文摘FGFR信号通路参与正常细胞的增殖、迁移和抗凋亡。FGFR基因变异包括激活突变、基因易位和基因扩增,从而导致FGFR信号通路异常激活,驱动肿瘤细胞增殖、存活及促进血管生成,促使肿瘤进展。目前已经在10余种恶性肿瘤中发现FGFR基因变异,不同瘤种的FGFR1~4亚型及其基因变异类型均有所不同。近期,Pemigatinib获得国家药品监督管理局(National Medical Products Administration,NMPA)批准。需明确不同瘤种FGFR基因变异与肿瘤治疗和预后的关系,探索FGFR基因检测方法以识别具有临床价值的基因变异,进而有效提高患者的临床获益。全文总结了近几年相关领域进展,以期呈现目前FGFR抑制剂在晚期肿瘤治疗中的研究进展和FGFR基因变异病理检测现状。
文摘目的通过对1例新生儿期特殊面容、神经系统结构畸形患儿进行全外显子组序列检测分析,旨在为该患儿寻找潜在的致病原因。方法纳入1例在复旦大学附属儿科医院(我院)新生儿病房住院期间未能明确诊断的多发畸形患儿,主要临床表型为前额突出、腭弓高、耳位低、枕部较平,双侧脑室扩大、透明隔部分缺如、胼胝体发育异常,采用Sure Selct Human All Exon捕获试剂盒和Illumina Hi Seq2000测序平台,行全外显子组序列检测。数据分析采用复旦大学附属儿科医院转化中心所建立的高通量测序数据分析流程。采用Sanger测序进行验证。结果患儿全外显子组序列检测数据,共检测到79 064个变异,经过质量控制筛选、变异频率筛选、变异分类筛选,剩余645个变异。在进一步分析中,645个变异中有159个其所在基因在OMIM数据库及HGMD数据库与疾病相关。从3个已经报道的突变位点中锁定致病突变为FGFR2基因(NM_000141)c.C1040G,p.S347C。Sanger测序在家系内验证该位点为新发(de novo)突变。结论采用全外显子组序列检测,明确诊断FGFR2相关疾病1例。并且结合我院已经建立的高通量测序数据分析和临床诊断流程,为新生儿多发畸形寻找潜在的致病基因提供了快速、高效的方法。
基金supported by grants from the National Natural Science Foundation of China(Grant Nos.82172653 and 82472728)the Key Project of Developmental Biology and Breeding from Hunan Province(Grant No.2022XKQ0205)+1 种基金the Research Team for Reproduction Health and Translational Medicine of Hunan Normal University(Grant No.2023JC101)the Natural Science Foundation of Hunan Province(Grant No.2025JJ80150).
文摘Objective:Osimertinib(OSI)therapy,a cornerstone in treating non-small cell lung cancer(NSCLC),has been severely limited by rapidly developing acquired resistance.Inhibition of bypass activation using a combination strategy holds promise in overcoming this resistance.Biguanides,with excellent anti-tumor effects,have recently attracted much attention for this potential.The current study investigated whether novel biguanide compounds developed by our team could overcome OSI resistance and the underlying mechanisms were explored.Methods:A comprehensive screening assay using OSI-resistant cells identified the optimal combination of biguanide compounds with OSI.Proteomics,co-immunoprecipitation mass spectrometry,RNA sequencing,and homologous recombination assays were used to elucidate the molecular mechanisms underlying combination therapy.NSCLC tumor tissues,especially OSI-resistant tissues,obtained from our clinic were used to assess the correlations between key proteins and OSI resistance.Results:SMK-010,a highly potent biguanide compound,effectively overcame OSI resistance in vitro and in vivo.Mechanistical studies showed that BMI1/FGFR1 pathway activation is responsible for OSI resistance.Specifically,silencing BMI1 promoted NEDD4-mediated FGFR1 ubiquitination and proteasomal degradation,whereas SMK-010 treatment induced FGFR1 lysosomal degradation.This reduction in FGFR1 levels impaired homologous recombination,increased DNA damage,and surmounted OSI resistance.Analysis of clinical samples revealed overexpression of BMI1 and FGFR1 in NSCLC tissues and represented potential biomarkers for OSI resistance.Conclusions:These findings highlight the crucial role of the BMI1/FGFR1 axis in OSI resistance and provide a rational basis for the future clinical application of the biguanide,SMK-010,in combination with OSI.
文摘BACKGROUND Gastrointestinal stromal tumors(GISTs)are generally characterized by driver mutations in KIT or PDGFRA.However,the molecular landscape of wild-type GISTs remains complex,posing significant therapeutic challenges.Recent evidence has indicated alterations in FGFR2 as potential oncogenic drivers in patients with various cancers.However,the role of these drivers in GIST pathogenesis remains underexplored.CASE SUMMARY We retrospectively evaluated two patients with GIST,diagnosed between August 2021 and July 2022,harboring FGFR2 mutations through hybrid capture-based next-generation sequencing(NGS).We analyzed their clinicopathological characteristics,treatment response,and long-term follow-up data.Both patients,a 47-year-old man(case 1)and a 43-year-old woman(case 2),underwent successful surgical resection and received adjuvant imatinib therapy.They achieved sustained remission with a median follow-up of 28 months.Notably,the NGS revealed novel FGFR2 rearrangements,an FGFR2-CIT/intergenic-FGFR2 fusion in case 1 and FGFR2-CAMK2G/FGFR2-VCL fusions in case 2 without canonical KIT or PDGFRA mutations.Both patients exhibited a favorable response to standard imatinib treatment.CONCLUSION Our findings provided preliminary evidence that novel FGFR2 fusions might act as primary oncogenic drivers in a rare subset of KIT/PDGFRA wild-type GISTs.These cases highlight the importance for comprehensive genomic profiling and suggest that fibroblast growth factor receptor-targeted inhibitors could be a potential therapeutic strategy for advanced or imatinib-resistant diseases,warranting further investigation in larger cohorts.
