Evidence map›Paper›PMID 30887595›Full record

ArticleGenes, chromosomes & cancer2019

Gain of FGF4 is a frequent event in KIT/PDGFRA/SDH/RAS-P WT GIST.

Milena Urbini, Valentina Indio, Giuseppe Tarantino, Gloria Ravegnini, Sabrina Angelini, Margherita Nannini, Maristella Saponara, Donatella Santini, Claudio Ceccarelli, Michelangelo Fiorentino and 8 more

Abstract read
In one paragraph

Article in Genes, chromosomes & cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. FGF-based drug discovery: advances and challenges.Nature reviews. Drug discovery · 2025
    Review
  6. Gastrointestinal Stromal Tumors.Current oncology reports · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. The Emerging Role of the FGF/FGFR Pathway in Gastrointestinal Stromal Tumor.International journal of molecular sciences · 2020
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Milena Urbini"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Valentina Indio"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Giuseppe Tarantino"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.
Gloria RavegniniDepartment of Pharmacy and Biotechnology, FaBit; University of Bologna, Bologna, Italy.
Sabrina AngeliniDepartment of Pharmacy and Biotechnology, FaBit; University of Bologna, Bologna, Italy.
Margherita NanniniDepartment of Specialized, Experimental and Diagnostic Medicine, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Maristella SaponaraDepartment of Specialized, Experimental and Diagnostic Medicine, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Donatella SantiniPathology Unit, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Claudio CeccarelliPathology Unit, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Michelangelo FiorentinoLaboratory of Oncological and Transplant Molecular Pathology-Pathology Unit, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Bruno VincenziDepartment of Medical Oncology, University Campus Bio-Medico, Rome, Italy.
Elena FumagalliMedical Oncology Unit 2, Medical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Paolo Giovanni CasaliMedical Oncology Unit 2, Medical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Giovanni GrignaniSarcoma Unit, Candiolo Cancer Institute - FPO, IRCCS, Candiolo, Italy.
Andrea PessionDepartment of Medical and Surgical Sciences, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Andrea ArdizzoniDivision of Medical Oncology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Annalisa Astolfi"Giorgio Prodi" Cancer Research Center, University of Bologna, Bologna, Italy.ORCID 0000-0002-2732-0747
Maria Abbondanza PantaleoDepartment of Specialized, Experimental and Diagnostic Medicine, S.Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal stromal tumors (GIST) lacking mutations in KIT/PDGFRA or RAS pathways and retaining an intact SDH complex are usually referred to as KIT/PDGFRA/SDH/RAS-P WT GIST or more simply quadruple WT GIST (~5% of all GIST). Despite efforts made, no recurrent genetic event in quadruple WT GIST has been identified so far. To further investigate this disease, we performed high throughput copy number analysis on quadruple WT GIST specimens identifying a recurrent focal gain in band 11q13.3 (involving FGF3/FGF4) in 6/8 cases. This event was not found in the other molecular GIST subgroups. FGF3/FGF4 duplication was associated with high expression of FGF4, both at mRNA and protein level, a growth factor normally not expressed in adult tissues or in KIT/PDGFRA-mutated GIST. FGFR1 was found to be the predominant FGF receptor expressed and phosphorylation of AKT was detected, suggesting that a FGF4-FGFR1 autocrine loop could stimulate downstream signaling in quadruple WT GIST. Together with the recent reports of quadruple WT cases carrying FGFR1 activating alterations, these findings strengthen the hypothesis of a potential involvement of FGFR pathway deregulation in quadruple WT GIST, which may represent a rationale for novel therapeutic approaches.

Indexed as

Gene DuplicationAdultAgedChromosomes, Human, Pair 11DNA Copy Number VariationsFemaleFibroblast Growth Factor 3Fibroblast Growth Factor 4Gastrointestinal NeoplasmsGastrointestinal Stromal TumorsHumansMaleMiddle AgedProto-Oncogene Proteins c-kitras ProteinsReceptor, Fibroblast Growth Factor, Type 1FGF3 protein, humanFGF4 protein, humanFGFR1 protein, humanFibroblast Growth Factor 3Fibroblast Growth Factor 4KIT protein, humanProto-Oncogene Proteins c-kitras ProteinsReceptor, Fibroblast Growth Factor, Type 1Receptor, Platelet-Derived Growth Factor alphaRNA, MessengerSDHB protein, humanSuccinate DehydrogenaseFGF3/FGF4FGFR1FGFR inhibitorsgastrointestinal stromal tumoursKIT/PDGFRA/SDH/RAS-P WTquadruple WT

Identifiers

PMID30887595
PMCPMC6619263

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.