The C-terminal Kinase Domain-Binding and Suppression Motif Prevents Constitutive Activation of FGFR2
- Cancer Res. 2025 Jun 24. doi: 10.1158/0008-5472.CAN-24-3349.
- 1. Genentech, United States.
- 2. University of Leeds, Leeds, United Kingdom.
- 3. The Netherlands Cancer Institute, Amsterdam, Netherlands.
- 4. University of Pittsburgh, United States.
- 5. The Netherlands Cancer Institute, Amsterdam, Noord-Holland, Netherlands.
- 6. Sun Yat-sen University Cancer Center, Guangzhou, State..., China.
- 7. Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Seoul, Korea (South), Republic of.
- 8. Royal GD (Netherlands), Deventer, Netherlands.
- 9. The Netherlands Cancer Institute (NKI), Amsterdam, Netherlands.
- 10. The Netherlands Cancer Institute, Amsterdam, NH, Netherlands.
- 11. Utrecht University, Utrecht, Netherlands.
Genetic alterations in receptor tyrosine kinase (RTK) genes can generate potent oncogenic drivers. Truncation of the Fibroblast Growth Factor receptor 2 (FGFR2) gene by its last exon 18 (E18) is caused by structural alterations, such as focal amplifications and gene fusions/rearrangements, as well as by mutations. All the E18-truncating FGFR2 variants (FGFR2ΔE18) act as strong driver alterations in Cancer, and they commonly encode a receptor lacking the carboxy (C)-terminal tail. Here, we analyzed a compendium of Fgfr2-E18 variants to uncover the mechanism by which loss of the C-tail renders FGFR2 oncogenic. While permutation of previously annotated C-terminal FGFR motifs did not recapitulate the tumorigenicity of FGFR2ΔE18, the functional annotation efforts led to the discovery of a C-terminal phenylalanine-serine motif that mediates binding of the C-tail to the kinase domain and thereby suppresses FGFR2 kinase activity. Permutation of this kinase domain-binding and suppression (KDBS) motif in conjunction with Other FGFR2-regulatory C-terminal sites fully phenocopied the oncogenic competence of FGFR2ΔE18. Together, these findings delineate how the C-terminal tail prevents FGFR2 from aberrant oncogenic activation.
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