Target intelligence / Profile preview

Fibroblast Growth Factor 19 (FGF19)

Target
FGF19
Molecular classification
Fibroblast Growth Factor (FGF) Family, Endocrine Hormone
01

Overview

Fibroblast Growth Factor 19 (FGF19) is an endocrine hormone primarily produced in the ileum in response to bile acid absorption. It regulates bile acid synthesis, glucose metabolism, lipid metabolism, and energy homeostasis. FGF19 acts mainly on hepatocytes in the liver via FGFR4 and β-Klotho, leading to downregulation of CYP7A1 and decreased bile acid synthesis. It also influences cell survival/proliferation and bone mineralization. Dysregulation of FGF19 is implicated in diseases such as chronic bile acid diarrhea, metabolic disorders, liver disease, and HCC. The mouse ortholog is FGF15.

Other names
FGF-19
02

Mechanism of action

Ileal secretion after FXR stimulation -> Circulation -> Hepatic action via FGFR4/β-Klotho complex -> Downregulation of CYP7A1 -> Decreased new bile acid synthesis.

03

Biological functions

Bile acid synthesis regulationGlucose metabolism regulationLipid metabolism regulationEnergy homeostasis regulationCell proliferationOrganogenesis
04

Disease associations

Chronic Bile Acid DiarrheaMetabolic DisordersLiver DiseaseHepatocellular Carcinoma (HCC)Bone Health
05

Safety considerations

Overexpression linked to hepatocellular carcinoma (HCC)Inhibition causes severe diarrhea and liver toxicity

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