36 Matching Annotations
  1. Mar 2026
    1. Comprehensive functional evaluation of variants of fibroblast growth factor receptor genes in cancer

      [Paper-level Aggregated] PMCID: PMC8285406

      Evidence Type(s): Oncogenic

      Summary: Mutation: K656E | Summary: The K656E mutation in the FGFR1 tyrosine kinase domain is reported as an oncogenic mutation frequently discovered in glioma.

      Evidence Type: Oncogenic Mutation: N546K | Summary: The N546K mutation in the FGFR1 tyrosine kinase domain is identified as an oncogenic mutation commonly found in glioma.

      Evidence Type: Oncogenic Mutation: S252W | Summary: The S252W mutation in FGFR2, located in the ligand-binding region, is recognized as an oncogenic hotspot mutation in endometrial cancers.

      Evidence Type: Oncogenic Mutation: S249C | Summary: The S249C mutation in FGFR3 is associated with transforming activities in cancer cells, indicating its role in tumor development. It is noted as an oncogenic hotspot mutation in bladder cancer and is identified as the most frequent mutation of FGFR3.

      Evidence Type: Oncogenic Mutation: V550L | Summary: The V550L mutation in FGFR4, located in the tyrosine kinase domain, is reported as an oncogenic mutation in rhabdomyosarcoma.

      Evidence Type: Oncogenic Mutation: N549H | Summary: The N549H variant in FGFR2 exhibits significant transforming activity, indicating its role in tumor development.

      Evidence Type: Oncogenic Mutation: K659E | Summary: The K659E variant in FGFR2 shows significant transforming activity, contributing to tumor progression.

      Evidence Type: Oncogenic Mutation: W290C | Summary: The W290C variant in FGFR2 demonstrates significant oncogenic potential compared to wild-type FGFR2.

      Evidence Type: Oncogenic Mutation: S342F | Summary: The S342F variant in FGFR4 exhibits significant oncogenicity, indicating its contribution to tumor development.

      Evidence Type: Oncogenic Mutation: R248C | Summary: The R248C variant in FGFR3 is located in the ligand binding site and is associated with oncogenic mutations.

      Evidence Type: Oncogenic Mutation: G370C | Summary: The G370C variant in FGFR3 is located in the transmembrane domain and is associated with oncogenic mutations.

      Evidence Type: Oncogenic Mutation: S371C | Summary: The S371C variant in FGFR3 is located in the transmembrane domain and contributes to oncogenic behavior.

      Evidence Type: Oncogenic Mutation: Y373C | Summary: The Y373C variant in FGFR3 is located in the transmembrane domain and is associated with oncogenic mutations.

      Evidence Type: Oncogenic Mutation: G380E/R | Summary: The G380E/R variant in FGFR3 is located in the transmembrane domain and contributes to oncogenic behavior.

      Evidence Type: Oncogenic Mutation: K650E/M | Summary: The K650E/M variant in FGFR3 is located in the kinase domain and is associated with oncogenic mutations.

      Evidence Type: Oncogenic Mutation: K650E | Summary: The K650E mutation, when combined with S249C, shows stronger transforming activities than each single mutation, suggesting its contribution to tumor progression.

      Evidence Type: Oncogenic Mutation: K650M | Summary: The K650M mutation, in combination with S249C, exhibits enhanced transforming activities, supporting its role in oncogenesis.

      Evidence Type: Oncogenic Mutation: E542K | Summary: The mutation E542K is described as an oncogenic mutation that contributes to tumor development or progression when co-mutated with PIK3CA.

      Evidence Type: Oncogenic Mutation: E545K | Summary: The mutation E545K is identified as an oncogenic mutation that plays a role in tumor development or progression in conjunction with PIK3CA.

      Evidence Type: Oncogenic Mutation: H1047R | Summary: The mutation H1047R is classified as an oncogenic mutation, indicating its contribution to tumor development or progression when occurring alongside PIK3CA.

      Gene→Variant (gene-first): FGFR1(2260):K656E FGFR1(2260):N546K FGFR2(2263):S252W FGFR3(2261):S249C FGFR2(2263):V550L FGFR2(2263):N549H FGFR2(2263):K659E FGFR2(2263):W290C TACC1(6867):S342F FGFR3(2261):R248C FGFR3(2261):G370C FGFR3(2261):S371C FGFR3(2261):Y373C FGFR3(2261):G380E/R FGFR3(2261):K650E/M FGFR3(2261):K650E FGFR3(2261):K650M PIK3CA(5290):E542K PIK3CA(5290):E545K PIK3CA(5290):H1047R

      Genes: FGFR1(2260) FGFR2(2263) FGFR3(2261) TACC1(6867) PIK3CA(5290)

      Variants: K656E N546K S252W S249C V550L N549H K659E W290C S342F R248C G370C S371C Y373C G380E/R K650E/M K650E K650M E542K E545K H1047R

    2. Comprehensive functional evaluation of variants of fibroblast growth factor receptor genes in cancer

      [Paper-level Aggregated] PMCID: PMC8285406

      Evidence Type(s): Predictive

      Summary: Mutation: N546K | Summary: The N546K variant is associated with resistance to FGFR TKIs and is included in a cluster that is relatively resistant to all FGFR inhibitors, suggesting its predictive significance in treatment response.

      Evidence Type: Predictive Mutation: N549D/K | Summary: The N549D/K variants show relative resistance to FGFR TKIs and are part of a cluster that demonstrates resistance to all FGFR inhibitors, highlighting their predictive value in therapy response.

      Evidence Type: Predictive Mutation: N535K | Summary: The N535K variant is sensitive to the FGFR4 inhibitor H3B-6527, indicating its predictive role in therapy response.

      Evidence Type: Predictive Mutation: N549D | Summary: The N549D variant in FGFR2 is associated with different drug sensitivities to FGFR inhibitors, indicating a correlation with treatment response.

      Evidence Type: Predictive Mutation: N549H | Summary: The N549H variant in FGFR2 shows varying drug sensitivities to FGFR inhibitors, suggesting its role in influencing treatment response.

      Evidence Type: Predictive Mutation: K656E | Summary: The K656E variant in FGFR3 is linked to different sensitivities to FGFR inhibitors, indicating its potential impact on treatment response.

      Evidence Type: Predictive Mutation: K656M | Summary: The K656M variant in FGFR3 demonstrates varying drug sensitivities to FGFR inhibitors, suggesting its relevance in treatment response.

      Evidence Type: Predictive Mutation: K656N | Summary: The K656N variant in FGFR3 is associated with different drug sensitivities to FGFR inhibitors, indicating its role in influencing treatment response.

      Evidence Type: Predictive Mutation: G12V | Summary: The KRAS G12V variant is associated with resistance to all FGFR inhibitors, indicating its predictive role in therapy response.

      Evidence Type: Predictive Mutation: K650M | Summary: The K650M mutation in FGFR3 shows a correlation with response to the FGFR TKI E7090, and the drug responses of tumors with this variant were similar to those recorded in vitro, suggesting a correlation with therapy effectiveness.

      Evidence Type: Predictive Mutation: K650N | Summary: The K650N mutation in FGFR3 demonstrates decreased phosphorylation at lower concentrations of the FGFR TKI E7090 and was associated with significantly decreased tumor volumes in response to both E7090 and erdafitinib, indicating a favorable response to these therapies.

      Evidence Type: Predictive Mutation: N549K | Summary: Tumors with the FGFR2 N549K variant exhibited a better response to treatment with E7090 compared to erdafitinib, suggesting a correlation with therapy effectiveness.

      Evidence Type: Predictive Mutation: R248C | Summary: The FGFR3 R248C variant showed significant antitumor activity against tumors treated with E7090, indicating a potential sensitivity to this therapy.

      Evidence Type: Predictive Mutation: Y373C | Summary: The Y373C mutation, when combined with S249C, does not significantly affect sensitivity to E7090 and erdafitinib, indicating its potential role in treatment response dynamics.

      Evidence Type: Predictive Mutation: S249C | Summary: The S249C mutation in FGFR3 is associated with a partial or complete response to treatment with FGFR TKIs, indicating its correlation with drug efficacy.

      Gene→Variant (gene-first): FGFR1(2260):N546K FGFR2(2263):N549D/K FGFR4(2264):N535K NA:N549D FGFR2(2263):N549H FGFR1(2260):K656E NA:K656M NA:K656N KRAS(3845):G12V FGFR3(2261):K650M FGFR3(2261):K650N FGFR2(2263):N549K FGFR3(2261):R248C FGFR3(2261):Y373C FGFR3(2261):S249C

      Genes: FGFR1(2260) FGFR2(2263) FGFR4(2264) NA KRAS(3845) FGFR3(2261)

      Variants: N546K N549D/K N535K N549D N549H K656E K656M K656N G12V K650M K650N N549K R248C Y373C S249C

    3. We also investigated whether drug efficacy is dependent on the FGFR variants in patients. For this purpose, we retrospectively collected variant information and drug efficacy data related to FGFR inhibitors in 399 cases

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 22

      Evidence Type(s): Predictive, Oncogenic

      Summary: Evidence Type: Predictive | Mutation: S249C | Summary: The S249C mutation in FGFR3 is associated with a partial or complete response to treatment with FGFR TKIs, indicating its correlation with drug efficacy. Evidence Type: Oncogenic | Mutation: S249C | Summary: The S249C mutation is identified as the most frequent mutation of FGFR3, suggesting its role in tumor development or progression.

      Gene→Variant (gene-first): 2261:S249C

      Genes: 2261

      Variants: S249C

    4. Furthermore, the existence of concurrent mutations between FGFRs and the genes involved in different pathways, such as PIK3CA, PTEN, AKT1/2/3, and MAP2K1 was investigated. Indeed, concurrent mutations with PIK3CA were fr

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 21

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: E542K | Summary: The mutation E542K is described as an oncogenic mutation that contributes to tumor development or progression when co-mutated with PIK3CA. Evidence Type: Oncogenic | Mutation: E545K | Summary: The mutation E545K is identified as an oncogenic mutation that plays a role in tumor development or progression in conjunction with PIK3CA. Evidence Type: Oncogenic | Mutation: H1047R | Summary: The mutation H1047R is classified as an oncogenic mutation, indicating its contribution to tumor development or progression when occurring alongside PIK3CA.

      Gene→Variant (gene-first): 5290:E542K 5290:E545K 5290:H1047R

      Genes: 5290

      Variants: E542K E545K H1047R

    5. More than 400 types of FGFR compound mutations were observed in the COSMIC database, and 34 types of those were reported in more than two samples (Fig. 7a). The most frequent compound mutation is the combination of S249C

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 20

      Evidence Type(s): Oncogenic, Predictive

      Summary: Evidence Type: Oncogenic | Mutation: S249C | Summary: The S249C mutation in FGFR3 is associated with transforming activities in cancer cells, indicating its role in tumor development. Evidence Type: Oncogenic | Mutation: K650E | Summary: The K650E mutation, when combined with S249C, shows stronger transforming activities than each single mutation, suggesting its contribution to tumor progression. Evidence Type: Oncogenic | Mutation: K650M | Summary: The K650M mutation, in combination with S249C, exhibits enhanced transforming activities, supporting its role in oncogenesis. Evidence Type: Predictive | Mutation: Y373C | Summary: The Y373C mutation, when combined with S249C, does not significantly affect sensitivity to E7090 and erdafitinib, indicating its potential role in treatment response dynamics.

      Gene→Variant (gene-first): 2261:K650E 2261:K650M 2261:S249C 2261:Y373C

      Genes: 2261

      Variants: K650E K650M S249C Y373C

    6. Next, we measured the effectiveness of E7090 and erdafitinib in vivo. Mouse 3T3 fibroblasts expressing FGFR1 N546K, FGFR2 N549K, FGFR3 R248C, FGFR3 K650M, or FGFR3 K650N were injected into nude mice that were subsequentl

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: N546K | Summary: The variant FGFR1 N546K was associated with a lack of effectiveness of E7090 and erdafitinib in suppressing tumor growth, indicating a potential resistance to these therapies. Evidence Type: Predictive | Mutation: N549K | Summary: Tumors with the FGFR2 N549K variant exhibited a better response to treatment with E7090 compared to erdafitinib, suggesting a correlation with therapy effectiveness. Evidence Type: Predictive | Mutation: R248C | Summary: The FGFR3 R248C variant showed significant antitumor activity against tumors treated with E7090, indicating a potential sensitivity to this therapy. Evidence Type: Predictive | Mutation: K650N | Summary: The FGFR3 K650N variant was associated with significantly decreased tumor volumes in response to both E7090 and erdafitinib, indicating a favorable response to these therapies. Evidence Type: Predictive | Mutation: K650M | Summary: The drug responses of tumors with the FGFR3 K650M variant were similar to those recorded in vitro, suggesting a correlation with therapy effectiveness.

      Gene→Variant (gene-first): 2261:K650M 2261:K650N 2260:N546K 2263:N549K 2261:R248C

      Genes: 2261 2260 2263

      Variants: K650M K650N N546K N549K R248C

    7. Inhibition of FGFRs and downstream signaling pathways by FGFR TKIs was evaluated through immunoblot analyses (Fig. 3c). While phosphorylation of FGFR3 K650M was suppressed by E7090 at 100 nM, that of FGFR3 K650N was decr

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: K650M | Summary: The K650M mutation in FGFR3 shows a correlation with response to the FGFR TKI E7090, indicating its predictive value for therapy response. Evidence Type: Predictive | Mutation: K650N | Summary: The K650N mutation in FGFR3 demonstrates decreased phosphorylation at lower concentrations of the FGFR TKI E7090, suggesting its predictive relevance for therapy response.

      Gene→Variant (gene-first): 2261:K650M 2261:K650N

      Genes: 2261

      Variants: K650M K650N

    8. Hierarchical clustering analysis was conducted to evaluate the similarity of FGFR inhibitors and FGFR variants using drug sensitivity data of Fig. 4 (Supplementary Fig. 11). FGFR variants were classified into four cluste

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: G12V | Summary: The KRAS G12V variant is associated with resistance to all FGFR inhibitors, indicating its predictive role in therapy response. Evidence Type: Predictive | Mutation: N546K | Summary: The FGFR1 N546K variant is included in a cluster that is relatively resistant to all FGFR inhibitors, suggesting its predictive significance in treatment response. Evidence Type: Predictive | Mutation: N549D/K | Summary: The FGFR N549D/K variants are part of a cluster that shows resistance to all FGFR inhibitors, highlighting their predictive value in therapy response.

      Gene→Variant (gene-first): 3845:G12V 2260:N546K 2263:N549D/K

      Genes: 3845 2260 2263

      Variants: G12V N546K N549D/K

    9. To validate the results of the pooled assay, the respective variants to which drug sensitivity was different among TKIs were further analyzed. Interestingly, in the evaluation with the MANO method, different missense var

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: N549D | Summary: The N549D variant in FGFR2 is associated with different drug sensitivities to FGFR inhibitors, indicating a correlation with treatment response. Evidence Type: Predictive | Mutation: N549H | Summary: The N549H variant in FGFR2 shows varying drug sensitivities to FGFR inhibitors, suggesting its role in influencing treatment response. Evidence Type: Predictive | Mutation: K656E | Summary: The K656E variant in FGFR3 is linked to different sensitivities to FGFR inhibitors, indicating its potential impact on treatment response. Evidence Type: Predictive | Mutation: K656M | Summary: The K656M variant in FGFR3 demonstrates varying drug sensitivities to FGFR inhibitors, suggesting its relevance in treatment response. Evidence Type: Predictive | Mutation: K656N | Summary: The K656N variant in FGFR3 is associated with different drug sensitivities to FGFR inhibitors, indicating its role in influencing treatment response.

      Gene→Variant (gene-first): 2263:K656 2263:K656E/M 2263:N549 2263:N549D/H

      Genes: 2263

      Variants: K656 K656E/M N549 N549D/H

    10. The drug sensitivity of transformed FGFR variants was also assessed through the MANO method. The mixture of 3T3 cells expressing different types of FGFR variants were treated with eight different targeted drugs, and drug

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Predictive

      Summary: Evidence Type: Predictive | Mutation: N546K | Summary: The N546K variant is associated with resistance to FGFR TKIs, indicating its role in predicting drug sensitivity. Evidence Type: Predictive | Mutation: N549D/K | Summary: The N549D/K variant shows relative resistance to FGFR TKIs, suggesting its predictive value for treatment response. Evidence Type: Predictive | Mutation: N535K | Summary: The N535K variant is sensitive to the FGFR4 inhibitor H3B-6527, indicating its predictive role in therapy response.

      Gene→Variant (gene-first): 2264:N535K 2260:N546K 2263:N549D/K 2263:V550L

      Genes: 2264 2260 2263

      Variants: N535K N546K N549D/K V550L

    11. The mRNA expression levels were similar among variants in previous studies using the MANO method. We evaluated the mRNA and protein expression of several FGFR3 variants using real-time PCR and western blotting. While a s

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: R248H | Summary: The R248H variant is described as a non-oncogenic variant, indicating that it does not contribute to tumor development or progression compared to oncogenic variants.

      Gene→Variant (gene-first): 1956:R248H

      Genes: 1956

      Variants: R248H

    12. Thus, we utilized the MANO method to compare the number of 3T3 cells expressing each FGFR variant between Day 3 and Day 18 in the assessment of the transforming potential (Fig. 2 and Supplementary Fig. 3). In parallel wi

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: N549H | Summary: The N549H variant in FGFR2 exhibits significant transforming activity, indicating its role in tumor development. Evidence Type: Oncogenic | Mutation: K659E | Summary: The K659E variant in FGFR2 shows significant transforming activity, contributing to tumor progression. Evidence Type: Oncogenic | Mutation: W290C | Summary: The W290C variant in FGFR2 demonstrates significant oncogenic potential compared to wild-type FGFR2. Evidence Type: Oncogenic | Mutation: S342F | Summary: The S342F variant in FGFR4 exhibits significant oncogenicity, indicating its contribution to tumor development. Evidence Type: Oncogenic | Mutation: R248C | Summary: The R248C variant in FGFR3 is located in the ligand binding site and is associated with oncogenic mutations. Evidence Type: Oncogenic | Mutation: S249C | Summary: The S249C variant in FGFR3 is located in the ligand binding site and contributes to oncogenic behavior. Evidence Type: Oncogenic | Mutation: G370C | Summary: The G370C variant in FGFR3 is located in the transmembrane domain and is associated with oncogenic mutations. Evidence Type: Oncogenic | Mutation: S371C | Summary: The S371C variant in FGFR3 is located in the transmembrane domain and contributes to oncogenic behavior. Evidence Type: Oncogenic | Mutation: Y373C | Summary: The Y373C variant in FGFR3 is located in the transmembrane domain and is associated with oncogenic mutations. Evidence Type: Oncogenic | Mutation: G380E/R | Summary: The G380E/R variant in FGFR3 is located in the transmembrane domain and contributes to oncogenic behavior. Evidence Type: Oncogenic | Mutation: K650E/M | Summary: The K650E/M variant in FGFR3 is located in the kinase domain and is associated with oncogenic mutations.

      Gene→Variant (gene-first): 2261:G370C 2261:G380E/R 2261:K650E/M 2263:K659E 2263:N549H 2261:R248C 2261:S249C 6867:S342F 2261:S371C 2263:W290C 2261:Y373C

      Genes: 2261 2263 6867

      Variants: G370C G380E/R K650E/M K659E N549H R248C S249C S342F S371C W290C Y373C

    13. FGFRs are highly conserved transmembrane receptor tyrosine kinases, comprised of an extracellular domain with three Ig-like domains, followed by a transmembrane domain and a tyrosine kinase domain (Fig. 1a). Firstly, the

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Summary: Evidence Type: Oncogenic | Mutation: K656E | Summary: The K656E mutation in the FGFR1 tyrosine kinase domain is reported as an oncogenic mutation frequently discovered in glioma. Evidence Type: Oncogenic | Mutation: N546K | Summary: The N546K mutation in the FGFR1 tyrosine kinase domain is identified as an oncogenic mutation commonly found in glioma. Evidence Type: Oncogenic | Mutation: S252W | Summary: The S252W mutation in FGFR2, located in the ligand-binding region, is recognized as an oncogenic hotspot mutation in endometrial cancers. Evidence Type: Oncogenic | Mutation: S249C | Summary: The S249C mutation in FGFR3 is noted as an oncogenic hotspot mutation in bladder cancer. Evidence Type: Oncogenic | Mutation: V550L | Summary: The V550L mutation in FGFR4, located in the tyrosine kinase domain, is reported as an oncogenic mutation in rhabdomyosarcoma.

      Gene→Variant (gene-first): 2260:K656E 2260:N546K 2261:S249C 2263:S252W 2263:V550L

      Genes: 2260 2261 2263

      Variants: K656E N546K S249C S252W V550L

  2. Feb 2026
    1. Comprehensive functional evaluation of variants of fibroblast growth factor receptor genes in cancer

      [Paper-level Aggregated] PMCID: PMC8285406

      Evidence Type(s): Oncogenic, Predictive, Prognostic

      Justification: Oncogenic: The text describes several FGFR mutations, including N546K, K656E, S249C, and others, as oncogenic mutations that exhibit significant transforming activities in various cancers, indicating their role in tumorigenesis. Predictive: The evidence indicates that specific FGFR mutations, such as N549D/K and K650M/N, show different sensitivities to FGFR inhibitors, suggesting that these variants can predict the response to targeted therapies. Prognostic: The text mentions that patients with FGFR mutations and fusions had a higher overall response rate to FGFR TKIs compared to those with amplifications, indicating that these mutations may serve as prognostic markers for treatment outcomes.

      Gene→Variant (gene-first): PIK3CA(5290):E542K PIK3CA(5290):E545K PIK3CA(5290):H1047R KRAS(3845):G12V FGFR1(2260):N546K FGFR2(2263):N549D/K FGFR3(2261):G370C FGFR3(2261):G380E/R FGFR3(2261):K650E/M FGFR2(2263):K659E FGFR2(2263):N549H FGFR3(2261):R248C FGFR3(2261):S249C TACC1(6867):S342F FGFR3(2261):S371C FGFR2(2263):W290C FGFR3(2261):Y373C FGFR3(2261):K650E FGFR3(2261):K650M FGFR3(2261):K650N FGFR2(2263):N549K FGFR2(2263):K656 FGFR2(2263):K656E/M FGFR2(2263):N549 FGFR2(2263):N549D/H FGFR1(2260):K656E FGFR2(2263):S252W FGFR2(2263):V550L FGFR4(2264):N535K EGFR(1956):R248H

      Genes: PIK3CA(5290) KRAS(3845) FGFR1(2260) FGFR2(2263) FGFR3(2261) TACC1(6867) FGFR4(2264) EGFR(1956)

      Variants: E542K E545K H1047R G12V N546K N549D/K G370C G380E/R K650E/M K659E N549H R248C S249C S342F S371C W290C Y373C K650E K650M K650N N549K K656 K656E/M N549 N549D/H K656E S252W V550L N535K R248H

    2. We also investigated whether drug efficacy is dependent on the FGFR variants in patients. For this purpose, we retrospectively collected variant information and drug efficacy data related to FGFR inhibitors in 399 cases

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 22

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the correlation between the FGFR3 S249C variant and the response to treatment with FGFR TKIs, indicating that patients with this mutation exhibited partial or complete responses, which aligns with predictive evidence. Oncogenic: The FGFR3 S249C variant is described as the most frequent mutation of FGFR3, suggesting its role in tumor development or progression, which supports its classification as oncogenic.

      Gene→Variant (gene-first): 2261:S249C

      Genes: 2261

      Variants: S249C

    3. Furthermore, the existence of concurrent mutations between FGFRs and the genes involved in different pathways, such as PIK3CA, PTEN, AKT1/2/3, and MAP2K1 was investigated. Indeed, concurrent mutations with PIK3CA were fr

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 21

      Evidence Type(s): Oncogenic

      Justification: Oncogenic: The passage indicates that the mutations E545K, E542K, and H1047R are described as "oncogenic mutations," suggesting they contribute to tumor development or progression.

      Gene→Variant (gene-first): 5290:E542K 5290:E545K 5290:H1047R

      Genes: 5290

      Variants: E542K E545K H1047R

    4. More than 400 types of FGFR compound mutations were observed in the COSMIC database, and 34 types of those were reported in more than two samples (Fig. 7a). The most frequent compound mutation is the combination of S249C

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 20

      Evidence Type(s): Oncogenic, Predictive

      Justification: Oncogenic: The passage discusses the transforming activities of FGFR3 S249C compound mutations, indicating that these mutations contribute to tumor development or progression as demonstrated by their evaluation in 3T3 and Ba/F3 cells. Predictive: The passage mentions the sensitivity to E7090 and erdafitinib in relation to the mutations, indicating a correlation with treatment response, which aligns with predictive evidence.

      Gene→Variant (gene-first): 2261:K650E 2261:K650M 2261:S249C 2261:Y373C

      Genes: 2261

      Variants: K650E K650M S249C Y373C

    5. Next, we measured the effectiveness of E7090 and erdafitinib in vivo. Mouse 3T3 fibroblasts expressing FGFR1 N546K, FGFR2 N549K, FGFR3 R248C, FGFR3 K650M, or FGFR3 K650N were injected into nude mice that were subsequentl

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the effectiveness of E7090 and erdafitinib in treating tumors with specific variants, indicating a correlation between the variants and the response to these therapies. Oncogenic: The variants are described in the context of tumor growth and response to treatment, suggesting that they contribute to tumor development or progression.

      Gene→Variant (gene-first): 2261:K650M 2261:K650N 2260:N546K 2263:N549K 2261:R248C

      Genes: 2261 2260 2263

      Variants: K650M K650N N546K N549K R248C

    6. Inhibition of FGFRs and downstream signaling pathways by FGFR TKIs was evaluated through immunoblot analyses (Fig. 3c). While phosphorylation of FGFR3 K650M was suppressed by E7090 at 100 nM, that of FGFR3 K650N was decr

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Predictive, Functional

      Justification: Predictive: The passage discusses the response of FGFR3 variants K650M and K650N to FGFR TKIs, indicating their sensitivity to specific therapies, which aligns with predictive evidence. Functional: The passage describes the alteration of phosphorylation status of the FGFR3 variants K650M and K650N in response to treatment, indicating a change in molecular function due to the variants.

      Gene→Variant (gene-first): 2261:K650M 2261:K650N

      Genes: 2261

      Variants: K650M K650N

    7. Hierarchical clustering analysis was conducted to evaluate the similarity of FGFR inhibitors and FGFR variants using drug sensitivity data of Fig. 4 (Supplementary Fig. 11). FGFR variants were classified into four cluste

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the sensitivity and resistance of FGFR variants, including N546K and N549D/K, to FGFR inhibitors, indicating a correlation with response to therapy. Oncogenic: The passage mentions that KRAS G12V is part of a cluster composed mainly of oncogenic variants, suggesting its role in tumor development or progression.

      Gene→Variant (gene-first): 3845:G12V 2260:N546K 2263:N549D/K

      Genes: 3845 2260 2263

      Variants: G12V N546K N549D/K

    8. To validate the results of the pooled assay, the respective variants to which drug sensitivity was different among TKIs were further analyzed. Interestingly, in the evaluation with the MANO method, different missense var

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive

      Justification: Predictive: The passage discusses how different missense variants at specific amino acid positions in FGFR2 and FGFR3 correlate with varying drug sensitivities to FGFR inhibitors, indicating a relationship between the variants and treatment response.

      Gene→Variant (gene-first): 2263:K656 2263:K656E/M 2263:N549 2263:N549D/H

      Genes: 2263

      Variants: K656 K656E/M N549 N549D/H

    9. The drug sensitivity of transformed FGFR variants was also assessed through the MANO method. The mixture of 3T3 cells expressing different types of FGFR variants were treated with eight different targeted drugs, and drug

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the drug sensitivity of FGFR variants in response to various targeted therapies, indicating that certain variants are sensitive or resistant to specific inhibitors, which aligns with predictive evidence. Oncogenic: The context of transformed FGFR variants suggests that these somatic mutations contribute to tumor development or progression, particularly as they are assessed for their response to targeted therapies.

      Gene→Variant (gene-first): 2264:N535K 2260:N546K 2263:N549D/K 2263:V550L

      Genes: 2264 2260 2263

      Variants: N535K N546K N549D/K V550L

    10. The mRNA expression levels were similar among variants in previous studies using the MANO method. We evaluated the mRNA and protein expression of several FGFR3 variants using real-time PCR and western blotting. While a s

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses the evaluation of mRNA and protein expression levels of the R248H variant, indicating that it alters protein expression compared to oncogenic variants, which relates to its molecular function. Oncogenic: The passage implies that the R248H variant is classified as a non-oncogenic variant, contrasting it with oncogenic variants, suggesting its role in tumor development or progression is not supported.

      Gene→Variant (gene-first): 1956:R248H

      Genes: 1956

      Variants: R248H

    11. Thus, we utilized the MANO method to compare the number of 3T3 cells expressing each FGFR variant between Day 3 and Day 18 in the assessment of the transforming potential (Fig. 2 and Supplementary Fig. 3). In parallel wi

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic

      Justification: Oncogenic: The passage discusses the transforming potential of various FGFR variants, indicating that certain mutations contribute to tumor development or progression, as evidenced by their significant transforming activities in assays.

      Gene→Variant (gene-first): 2261:G370C 2261:G380E/R 2261:K650E/M 2263:K659E 2263:N549H 2261:R248C 2261:S249C 6867:S342F 2261:S371C 2263:W290C 2261:Y373C

      Genes: 2261 2263 6867

      Variants: G370C G380E/R K650E/M K659E N549H R248C S249C S342F S371C W290C Y373C

    12. FGFRs are highly conserved transmembrane receptor tyrosine kinases, comprised of an extracellular domain with three Ig-like domains, followed by a transmembrane domain and a tyrosine kinase domain (Fig. 1a). Firstly, the

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Justification: Oncogenic: The V550L mutation in FGFR4 is mentioned in the context of rhabdomyosarcoma, suggesting its contribution to tumor development.

      Gene→Variant (gene-first): 2260:K656E 2260:N546K 2261:S249C 2263:S252W 2263:V550L

      Genes: 2260 2261 2263

      Variants: K656E N546K S249C S252W V550L

    13. We also investigated whether drug efficacy is dependent on the FGFR variants in patients. For this purpose, we retrospectively collected variant information and drug efficacy data related to FGFR inhibitors in 399 cases

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 22

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the correlation between the FGFR3 S249C variant and the response to treatment with FGFR TKIs, indicating that patients with this mutation exhibited partial or complete responses, which aligns with predictive evidence. Oncogenic: The FGFR3 S249C variant is described as the most frequent mutation of FGFR3, suggesting its role in tumor development or progression, which supports its classification as oncogenic.

      Gene→Variant (gene-first): 2261:S249C

      Genes: 2261

      Variants: S249C

    14. Furthermore, the existence of concurrent mutations between FGFRs and the genes involved in different pathways, such as PIK3CA, PTEN, AKT1/2/3, and MAP2K1 was investigated. Indeed, concurrent mutations with PIK3CA were fr

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 21

      Evidence Type(s): Oncogenic

      Justification: Oncogenic: The passage indicates that the mutations E545K, E542K, and H1047R are described as "oncogenic mutations," suggesting they contribute to tumor development or progression.

      Gene→Variant (gene-first): 5290:E542K 5290:E545K 5290:H1047R

      Genes: 5290

      Variants: E542K E545K H1047R

    15. More than 400 types of FGFR compound mutations were observed in the COSMIC database, and 34 types of those were reported in more than two samples (Fig. 7a). The most frequent compound mutation is the combination of S249C

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 20

      Evidence Type(s): Oncogenic, Predictive

      Justification: Oncogenic: The passage discusses the transforming activities of FGFR3 S249C compound mutations, indicating that these mutations contribute to tumor development or progression as demonstrated by their evaluation in 3T3 and Ba/F3 cells. Predictive: The passage mentions the sensitivity to E7090 and erdafitinib in relation to the mutations, indicating a correlation with treatment response, which aligns with predictive evidence.

      Gene→Variant (gene-first): 2261:K650E 2261:K650M 2261:S249C 2261:Y373C

      Genes: 2261

      Variants: K650E K650M S249C Y373C

    16. Next, we measured the effectiveness of E7090 and erdafitinib in vivo. Mouse 3T3 fibroblasts expressing FGFR1 N546K, FGFR2 N549K, FGFR3 R248C, FGFR3 K650M, or FGFR3 K650N were injected into nude mice that were subsequentl

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 16

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the effectiveness of E7090 and erdafitinib in treating tumors with specific variants, indicating a correlation between the variants and the response to these therapies. Oncogenic: The variants are described in the context of tumor growth and response to treatment, suggesting that they contribute to tumor development or progression.

      Gene→Variant (gene-first): 2261:K650M 2261:K650N 2260:N546K 2263:N549K 2261:R248C

      Genes: 2261 2260 2263

      Variants: K650M K650N N546K N549K R248C

    17. Inhibition of FGFRs and downstream signaling pathways by FGFR TKIs was evaluated through immunoblot analyses (Fig. 3c). While phosphorylation of FGFR3 K650M was suppressed by E7090 at 100 nM, that of FGFR3 K650N was decr

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 14

      Evidence Type(s): Predictive, Functional

      Justification: Predictive: The passage discusses the response of FGFR3 variants K650M and K650N to FGFR TKIs, indicating their sensitivity to specific therapies, which aligns with predictive evidence. Functional: The passage describes the alteration of phosphorylation status of the FGFR3 variants K650M and K650N in response to treatment, indicating a change in molecular function due to the variants.

      Gene→Variant (gene-first): 2261:K650M 2261:K650N

      Genes: 2261

      Variants: K650M K650N

    18. Hierarchical clustering analysis was conducted to evaluate the similarity of FGFR inhibitors and FGFR variants using drug sensitivity data of Fig. 4 (Supplementary Fig. 11). FGFR variants were classified into four cluste

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 13

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the sensitivity and resistance of FGFR variants, including N546K and N549D/K, to FGFR inhibitors, indicating a correlation with response to therapy. Oncogenic: The passage mentions that KRAS G12V is part of a cluster composed mainly of oncogenic variants, suggesting its role in tumor development or progression.

      Gene→Variant (gene-first): 3845:G12V 2260:N546K 2263:N549D/K

      Genes: 3845 2260 2263

      Variants: G12V N546K N549D/K

    19. To validate the results of the pooled assay, the respective variants to which drug sensitivity was different among TKIs were further analyzed. Interestingly, in the evaluation with the MANO method, different missense var

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 12

      Evidence Type(s): Predictive

      Justification: Predictive: The passage discusses how different missense variants at specific amino acid positions in FGFR2 and FGFR3 correlate with varying drug sensitivities to FGFR inhibitors, indicating a relationship between the variants and treatment response.

      Gene→Variant (gene-first): 2263:K656 2263:K656E/M 2263:N549 2263:N549D/H

      Genes: 2263

      Variants: K656 K656E/M N549 N549D/H

    20. The drug sensitivity of transformed FGFR variants was also assessed through the MANO method. The mixture of 3T3 cells expressing different types of FGFR variants were treated with eight different targeted drugs, and drug

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 11

      Evidence Type(s): Predictive, Oncogenic

      Justification: Predictive: The passage discusses the drug sensitivity of FGFR variants in response to various targeted therapies, indicating that certain variants are sensitive or resistant to specific inhibitors, which aligns with predictive evidence. Oncogenic: The context of transformed FGFR variants suggests that these somatic mutations contribute to tumor development or progression, particularly as they are assessed for their response to targeted therapies.

      Gene→Variant (gene-first): 2264:N535K 2260:N546K 2263:N549D/K 2263:V550L

      Genes: 2264 2260 2263

      Variants: N535K N546K N549D/K V550L

    21. The mRNA expression levels were similar among variants in previous studies using the MANO method. We evaluated the mRNA and protein expression of several FGFR3 variants using real-time PCR and western blotting. While a s

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 9

      Evidence Type(s): Functional, Oncogenic

      Justification: Functional: The passage discusses the evaluation of mRNA and protein expression levels of the R248H variant, indicating that it alters protein expression compared to oncogenic variants, which relates to its molecular function. Oncogenic: The passage implies that the R248H variant is classified as a non-oncogenic variant, contrasting it with oncogenic variants, suggesting its role in tumor development or progression is not supported.

      Gene→Variant (gene-first): 1956:R248H

      Genes: 1956

      Variants: R248H

    22. Thus, we utilized the MANO method to compare the number of 3T3 cells expressing each FGFR variant between Day 3 and Day 18 in the assessment of the transforming potential (Fig. 2 and Supplementary Fig. 3). In parallel wi

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 7

      Evidence Type(s): Oncogenic

      Justification: Oncogenic: The passage discusses the transforming potential of various FGFR variants, indicating that certain mutations contribute to tumor development or progression, as evidenced by their significant transforming activities in assays.

      Gene→Variant (gene-first): 2261:G370C 2261:G380E/R 2261:K650E/M 2263:K659E 2263:N549H 2261:R248C 2261:S249C 6867:S342F 2261:S371C 2263:W290C 2261:Y373C

      Genes: 2261 2263 6867

      Variants: G370C G380E/R K650E/M K659E N549H R248C S249C S342F S371C W290C Y373C

    23. FGFRs are highly conserved transmembrane receptor tyrosine kinases, comprised of an extracellular domain with three Ig-like domains, followed by a transmembrane domain and a tyrosine kinase domain (Fig. 1a). Firstly, the

      [Paragraph-level] PMCID: PMC8285406 Section: RESULTS PassageIndex: 3

      Evidence Type(s): Oncogenic

      Justification: Oncogenic: The V550L mutation in FGFR4 is mentioned in the context of rhabdomyosarcoma, suggesting its contribution to tumor development.

      Gene→Variant (gene-first): 2260:K656E 2260:N546K 2261:S249C 2263:S252W 2263:V550L

      Genes: 2260 2261 2263

      Variants: K656E N546K S249C S252W V550L