Endocrine oncology

FGFR Alterations in Thyroid Carcinoma: A Novel Class of Primary Drivers with Significant Therapeutic Implications and Secondary Molecular Events Potentially Mediating Resistance in Thyroid Malignancy

ThyroidPublished Multicenter retrospective observational study

Authors' conclusion

This study presents the first description of a collection of thyroid carcinomas grouped by primary driver alterations in FGFR, as well as a cohort of thyroid tumors with secondary alterations that potentially lead to tumor progression or resistance to targeted therapy.

Study context

Population
Sequenced thyroid malignancies with pathogenic alterations in the FGFR gene family, queried from molecular data of each center17 with FGFR alterations
Participants
5,030 participants
Exposure
FGFR primary driver vs FGFR secondary alteration
  • FGFR primary drivern = 11
  • FGFR secondary alterationn = 6
Outcome
FGFR alterations in sequenced thyroid malignancies

Main finding

As reported in the abstract

Tumors with FGFR alterations
17
FGFR as primary molecular driver
11
FGFR as secondary pathogenic alteration
6
Primary drivers: gene fusions (FGFR2:VCL 4, TG::FGFR1 3, FGFR2::CIT, FGFR2::SHTN1)
9
Primary drivers: FGFR1 amplification
2
Secondary alterations: canonical driver present / no clear primary driver
5 / 1

Observational data: associations, not effects.

Original publication

FGFR Alterations in Thyroid Carcinoma: A Novel Class of Primary Drivers with Significant Therapeutic Implications and Secondary Molecular Events Potentially Mediating Resistance in Thyroid Malignancy. Thyroid. Published 7 August 2024. doi:10.1089/thy.2024.0216

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