Breast cancer is the most common cancer of women, accounting yearly for approximately 30% of newly diagnosed cases and ranking second as a cause of death. Despite improvements in breast cancer detection and development of new therapeutic approaches, there are still tumors for which no targeted therapies are available. This review summarizes recent findings on the fibroblast growth factor receptors (FGFR) and the data supporting their role in breast cancer. We will describe the approaches being made to develop therapeutics targeting these receptors. Finally, to improve the chances for success with FGFR signal transduction inhibitors, strategies to choose appropriate breast cancer patients for treatment will be discussed. Cancer Res; 70(13); 5199-202. ©2010 AACR.Breast cancer is a heterogeneous disease, from the cellular morphology to the array of expressed genes in individual tumors. Despite this heterogeneity, there are specific genetic alterations that are found in a relatively high percentage of breast cancers, such as the ERBB2 amplicon on chromosome 17q21 present in approximately 25% of primary tumors. As a transmembrane receptor with kinase activity, ErbB2 has proved to be an excellent target for cancer therapy. Various types of signal transduction inhibitors, including monoclonal antibodies and tyrosine kinase inhibitors (TKI), are used to treat patients whose tumors possess the ERBB2 amplicon and overexpress the receptor (reviewed in ref. 1). Currently much effort is going into targeting additional genetic alterations driving breast cancer. Here, we will discuss the fibroblast growth factor/fibroblast growth factor receptor (FGF/ FGFR) network, whose members have multiple, essential developmental roles and have also been implicated in different types of human tumors, including breast cancer.In mammals, there are four FGFRs that encode transmembrane receptors with tyrosine kinase activity. Furthermore, alternative splicing of FGFR 1, 2, and 3 in the third Ig-like loop domain gives rise to the IIIb and IIIc isoforms, which are expressed in epithelial or mesenchymal compartments, respectively. There are 22 FGF ligands, 18 of which that bind specific FGFR isoforms, inducing receptor dimerization, kinase activation, and autophosphorylation of intracellular tyrosine residues (reviewed in ref.2). In addition to phosphorylation of tyrosine residues on the receptors and on PLCγ, the adaptor protein FRS2 that links FGFRs to the mitogen-activated protein kinase (MAPK) and phosphoinositide 3-kinase (PI3K) pathways, is heavily phosphorylated in response to receptor activation. Other effector proteins including STAT transcription factors and Src are also activated by FGFRs (Fig. 1, center Fgf4, Fgf6, Fgf8, Fgf10, and Fgfr2;. In this review we will concentrate on breast cancer, presenting the evidence for FGF/FGFR involvement in human disease and discussing current approaches that might be used for targeting oncogenic FGFRs in breast cancer.Large-scale analyses of human cancer genomes have revealed that FGFRs ...