Target intelligence / Profile preview

Fibroblast growth factor 21 receptor complex (FGF21 receptor complex)

Target
FGF21 receptor complex
Molecular classification
Receptor, Receptor tyrosine kinase complex, Co-receptor
01

Overview

The fibroblast growth factor 21 receptor complex is a cell-surface multimeric receptor assembly composed of a fibroblast growth factor receptor (typically FGFR1c but also can include FGFR2c, FGFR3c, FGFR4 depending on tissue context) and the co-receptor β-Klotho (KLB). This complex binds the hormone FGF21, which is secreted primarily by the liver in response to metabolic stress and nutrient signals, then circulates and acts as an endocrine factor. FGF21 requires both its binding to FGFR isoforms and to β-Klotho for receptor activation and robust signal transduction. The receptor complex transduces signals via tyrosine kinase–dependent cascades, particularly MAPK/ERK, influencing energy expenditure, glucose uptake, insulin sensitivity, and lipid metabolism. It is a major therapeutic target for diseases such as obesity, type 2 diabetes, and nonalcoholic steatohepatitis (NASH), with several FGF21 analogues in clinical development. No significant spelling errors or conceptual inaccuracies are present in the canonical target name.

Other names
FGF21-KLB-FGFR complexFGF21/FGFR1c/β-Klotho complexFGF21 signaling complex
02

Mechanism of action

Agonists: stimulate receptor complex to activate downstream MAPK/ERK signaling and metabolic effects (improve insulin sensitivity, promote weight loss, regulate lipid levels) Antagonists: block FGF21 binding and signaling

03

Biological functions

Signal transductionRegulation of energy homeostasisEnhancement of insulin sensitivityRegulation of glucose and lipid metabolismAppetite and macronutrient preference modulation
04

Disease associations

Metabolic disease (obesity, type 2 diabetes, NAFLD/NASH)Cardiovascular diseaseOther metabolic syndromes
05

Safety considerations

Potential off-target metabolic effectsRisk of hypoglycemia (very low, FGF21 engages insulin-independent pathways)Long-term effects not fully characterized (ongoing clinical investigation)
06

Interacting drugs

Pegbelfermin (FGF21 analogue)

2 more in the full profile.

07

Biomarkers

Circulating FGF21 levels (for efficacy monitoring and patient selection)Changes in hepatic triglyceride contentPlasma glucose and lipid profiles

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