Fibroblast growth factor (FGF) receptor 2 (FGFR2) has been identified in genome-wide association studies to be associated with increased breast cancer risk; however, its mechanism of action remains unclear. Here we show that the two major FGFR2 alternatively spliced isoforms, FGFR2-IIIb and FGFR2-IIIc, interact with IB kinase  and its downstream target, NF-B. FGFR2 inhibits nuclear RelA/p65 NF-B translocation and activity and reduces expression of dependent transcripts, including interleukin-6. These interactions result in diminished STAT3 phosphorylation and reduced breast cancer cell growth, motility, and invasiveness. FGFR2 also arrests the epithelial cell-to-mesenchymal cell transition (EMT), resulting in attenuated neoplastic growth in orthotopic xenografts of breast cancer cells. Our studies provide strong evidence for the protective effects of FGFR2 on tumor progression. We propose that FGFR2 serves as a scaffold for multiple components of the NF-B signaling complex. Through these interactions, FGFR2 isoforms can respond to tissue-specific FGF signals to modulate epithelial cell-stromal cell communications in cancer progression.
Fibroblast growth factor (FGF) receptors (FGFRs) are dysregulated in a number of developmental and neoplastic conditions. Recent genome-wide association studies have identified single nucleotide polymorphisms (SNPs) within intron 2 of FGFR2 as a locus associated with a small but highly significant increase in breast cancer risk (8, 13). Further, gene expression data show increased FGFR2 expression in breast cancers of the rare homozygotes at these loci. In particular, two cis-regulatory SNPs, rs2981578 and rs7895676, within intron 2 alter binding affinity for transcription factors Oct-1/Runx2 and C/EBP to enhance FGFR2 expression (24,34). These data and the discordant expression of FGFR2 in different systems raise questions about the role of this receptor in breast cancer.FGFR2 is one of four FGFR genes that encode a complex family of transmembrane receptor tyrosine kinases. Each receptor is composed of 3 immunoglobulin (Ig)-like extracellular domains, 2 of which are involved in ligand binding; a single transmembrane domain; a split tyrosine kinase; and a C-terminal tail with multiple autophosphorylation sites (11). Multiple cell-bound or secreted isoforms are generated by alternative transcription initiation, alternative splicing, exon switching, or variable polyadenylation (30). Alternative splicing results in variants of FGFRs 1 to 3 that have different 3rd Ig loop sequences, yielding variable ligand affinities. The FGFR2 gene is alternatively spliced to generate FGFR2-IIIb, which binds FGF1, FGF3, FGF7, and FGF10 with high affinity (23, 27), or FGFR2-IIIc, which binds FGF1 and FGF4 but not FGF7 or FGF10 (27, 28). FGFR2-IIIb expression is mainly in epithelial cells, whereas FGFR2-IIIc is typically mesenchymal cell in origin (1).NF-B is a transcription factor that regulates the expression of antiapoptotic genes and activates different proinflammatory cytokines and chemokines, ...