Inhibition of FGF-FGFR and VEGF-VEGFR signalling in cancer treatment

Cell Prolif. 2021 Apr;54(4):e13009. doi: 10.1111/cpr.13009. Epub 2021 Mar 2.

Abstract

The sites of targeted therapy are limited and need to be expanded. The FGF-FGFR signalling plays pivotal roles in the oncogenic process, and FGF/FGFR inhibitors are a promising method to treat FGFR-altered tumours. The VEGF-VEGFR signalling is the most crucial pathway to induce angiogenesis, and inhibiting this cascade has already got success in treating tumours. While both their efficacy and antitumour spectrum are limited, combining FGF/FGFR inhibitors with VEGF/VEGFR inhibitors are an excellent way to optimize the curative effect and expand the antitumour range because their combination can target both tumour cells and the tumour microenvironment. In addition, biomarkers need to be developed to predict the efficacy, and combination with immune checkpoint inhibitors is a promising direction in the future. The article will discuss the FGF-FGFR signalling pathway, the VEGF-VEGFR signalling pathway, the rationale of combining these two signalling pathways and recent small-molecule FGFR/VEGFR inhibitors based on clinical trials.

Keywords: FGFR/VEGFR inhibitor; fibroblast growth factor; fibroblast growth factor receptor; vascular endothelial growth factor; vascular endothelial growth factor receptor.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / pharmacology
  • Angiogenesis Inhibitors / therapeutic use*
  • Antibodies, Monoclonal / therapeutic use
  • Fibroblast Growth Factors / metabolism
  • Humans
  • Neoplasms / drug therapy*
  • Neoplasms / pathology
  • Polymorphism, Single Nucleotide
  • Receptors, Fibroblast Growth Factor / genetics
  • Receptors, Fibroblast Growth Factor / metabolism
  • Receptors, Vascular Endothelial Growth Factor / metabolism
  • Signal Transduction* / drug effects
  • Vascular Endothelial Growth Factor A / metabolism

Substances

  • Angiogenesis Inhibitors
  • Antibodies, Monoclonal
  • Receptors, Fibroblast Growth Factor
  • Vascular Endothelial Growth Factor A
  • Fibroblast Growth Factors
  • Receptors, Vascular Endothelial Growth Factor