Kinase domain activation of FGFR2 yields high-grade lung adenocarcinoma sensitive to a Pan-FGFR inhibitor in a mouse model of NSCLC

在 NSCLC 小鼠模型中,FGFR2 激酶结构域激活可产生对 Pan-FGFR 抑制剂敏感的高级别肺腺癌

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作者:Jeremy H Tchaicha, Esra A Akbay, Abigail Altabef, Oliver R Mikse, Eiki Kikuchi, Kevin Rhee, Rachel G Liao, Roderick T Bronson, Lynette M Sholl, Matthew Meyerson, Peter S Hammerman, Kwok-Kin Wong

Abstract

Somatic mutations in FGFR2 are present in 4% to 5% of patients diagnosed with non-small cell lung cancer (NSCLC). Amplification and mutations in FGFR genes have been identified in patients with NSCLCs, and clinical trials are testing the efficacy of anti-FGFR therapies. FGFR2 and other FGFR kinase family gene alterations have been found in both lung squamous cell carcinoma and lung adenocarcinoma, although mouse models of FGFR-driven lung cancers have not been reported. Here, we generated a genetically engineered mouse model (GEMM) of NSCLC driven by a kinase domain mutation in FGFR2. Combined with p53 ablation, primary grade 3/4 adenocarcinoma was induced in the lung epithelial compartment exhibiting locally invasive and pleiotropic tendencies largely made up of multinucleated cells. Tumors were acutely sensitive to pan-FGFR inhibition. This is the first FGFR2-driven lung cancer GEMM, which can be applied across different cancer indications in a preclinical setting.

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