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FGFR-driven lung cancer: Dissecting resistance and exploring therapeutic avenues.

Critical reviews in oncology/hematology 2026 Vol.221() p. 105205 Fibroblast Growth Factor Research
TL;DR Some differences in treatments used for secondary TNBC may be associated with worse OS, but patients still experienced worse BCSS despite similar treatments, suggesting that more aggressive treatment or consideration for chemotherapy at earlier stage disease is warranted.
OpenAlex 토픽 · Fibroblast Growth Factor Research Proteoglycans and glycosaminoglycans research Sympathectomy and Hyperhidrosis Treatments

Zhang P, Mei W, Yao Y, Zeng C, Li W

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Some differences in treatments used for secondary TNBC may be associated with worse OS, but patients still experienced worse BCSS despite similar treatments, suggesting that more aggressive treatment

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APA Pengfei Zhang, Wuxuan Mei, et al. (2026). FGFR-driven lung cancer: Dissecting resistance and exploring therapeutic avenues.. Critical reviews in oncology/hematology, 221, 105205. https://doi.org/10.1016/j.critrevonc.2026.105205
MLA Pengfei Zhang, et al.. "FGFR-driven lung cancer: Dissecting resistance and exploring therapeutic avenues.." Critical reviews in oncology/hematology, vol. 221, 2026, pp. 105205.
PMID 41679523

Abstract

Fibroblast growth factor receptors (FGFRs) are significant oncogenic contributors in lung cancer. The clinical development of FGFR-directed agents represents a promising advancement in precision oncology. However, their efficacy is substantially limited by the emergence of diverse resistance mechanisms. This review summarizes FGFR biology, genomic alterations, and signaling pathways in tumorigenesis. Nonselective tyrosine kinase inhibitors and selective FGFR inhibitors (including pan-FGFR and isoform-specific agents) have shown clinical activity in patients with FGFR-altered lung cancer. Moreover, resistance mechanisms, such as secondary FGFR mutations, bypass signaling, tumor microenvironment (TME) remodeling, and phenotypic switching, are discussed. Innovative approaches, including the second-generation FGFR TKIs, monoclonal antibodies (mAbs), FGF traps, antibody-drug conjugates, and synergistic combinations with immunotherapy or other receptor tyrosine kinase (RTK) inhibitors, are discussed to overcome resistance. Overall, this review offers theoretical insights and proposes strategies to tackle resistance to FGFR-directed treatments in lung cancer.

MeSH Terms

Humans; Lung Neoplasms; Drug Resistance, Neoplasm; Receptors, Fibroblast Growth Factor; Protein Kinase Inhibitors; Signal Transduction; Tumor Microenvironment; Molecular Targeted Therapy; Mutation; Animals; Antineoplastic Agents

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