Amplification of FGFR2 Gene in Patients with Advanced Gastric Cancer Receiving Chemotherapy: Prevalence and Prognostic Significance

Anticancer Res. 2015 Sep;35(9):5055-61.

Abstract

Background: Fibroblast growth factors and their receptors regulate key cellular functions, such as proliferation, differentiation and survival. Herein, we studied the prevalence and prognostic role of fibroblast growth factor receptor 2 (FGFR2) amplification in patients with advanced gastric cancer (AGC) who received systemic chemotherapy.

Patients and methods: The gene copy number of FGFR2 was investigated in 80 patients with AGC who received systemic chemotherapy. FGFR2 gene status was assessed by dual-color fluorescence in-situ hybridization.

Results: Among 80 patients, FGFR2 amplification was observed in seven cases (11.5%). Patients with FGFR2 amplification had significantly shorter overall survival (OS) than did those without FGFR2 amplification (9.1 vs. 16.5 months; p=0.037). In multivariate analysis, disease status and number of metastatic sites were associated with worse OS (p=0.015 and p=0.009, respectively). FGFR2 amplification tended to be correlated with a poorer outcome (p=0.080).

Conclusion: FGFR2 amplification tended to result in a shorter survival period compared to cases without amplification.

Keywords: FGFR2 amplification; Gastric cancer; chemotherapy; prognosis.

MeSH terms

  • Adult
  • Aged
  • Female
  • Gene Amplification*
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Prevalence
  • Prognosis
  • Receptor, Fibroblast Growth Factor, Type 2 / genetics*
  • Stomach Neoplasms / drug therapy*
  • Stomach Neoplasms / epidemiology
  • Stomach Neoplasms / genetics*
  • Stomach Neoplasms / pathology

Substances

  • Receptor, Fibroblast Growth Factor, Type 2