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Fibroblast growth factor receptor (FGFR) (specifically the receptor(s) for fibroblast growth factor 23, i.e., FGFR1c, FGFR3c, FGFR4) (FGFR (subtype context-dependent; commonly FGFR1c, FGFR3c, FGFR4))

Target
FGFR (subtype context-dependent; commonly FGFR1c, FGFR3c, FGFR4)
Molecular classification
Receptor, Tyrosine kinase receptor (Receptor tyrosine kinase), Transmembrane protein
01

Overview

The fibroblast growth factor 23 receptor is not a single unique molecular entity, but refers to a group of fibroblast growth factor receptors (FGFRs)—most notably FGFR1c, FGFR3c, and FGFR4—which form a functional receptor complex only in the presence of the co-receptor α-Klotho[3][4][7]. These complexes bind the endocrine hormone fibroblast growth factor 23 (FGF23), which is secreted by osteocytes and osteoblasts. Upon FGF23 binding, the FGFR–α-Klotho complex transduces signals that suppress phosphate reabsorption and vitamin D activation in the kidney, thereby regulating mineral metabolism[1][3][4][10]. Dysfunction in this signaling pathway is implicated in disorders of phosphate homeostasis, such as X-linked hypophosphatemic rickets and tumor-induced osteomalacia, and is a biomarker and therapeutic target in chronic kidney disease and certain rare metabolic bone disorders[6][5][3]. Targeted therapies like burosumab block FGF23, indirectly modulating FGFR–Klotho signaling to treat hypophosphatemic disorders; direct selective modulators of the FGFR-Klotho complex are under investigation[5][4]. **Note:** - The term "Fibroblast growth factor 23 receptor" is not itself a canonical or accurate molecular name—it refers to any FGFR isoform (primarily FGFR1c, FGFR3c, FGFR4) with α-Klotho as an obligate co-receptor for FGF23 signaling[4][7][3]. The precise specification of "Fibroblast growth factor 23 receptor" is incomplete, and thus **is_incorrect** is marked as true. - The correct way to refer to the biological target is "Fibroblast growth factor receptor 1c–Klotho complex", "Fibroblast growth factor receptor 3c–Klotho complex", or "Fibroblast growth factor receptor 4–Klotho complex," depending on the tissue and context[3][4][7].

Other names
FGF23 receptorFGFR-Klotho complexFGF receptor 1cFGF receptor 3cFGF receptor 4FGFR1c-Klotho complexFGFR3c-Klotho complexFGFR4-Klotho complex
02

Mechanism of action

Inhibition of FGF23 binding (e.g., burosumab blocks FGF23 so it cannot activate FGFR-Klotho receptors, normalizing phosphate reabsorption and vitamin D synthesis)

03

Biological functions

Signal transductionRegulation of phosphate homeostasisRegulation of vitamin D metabolismRegulation of bone mineralizationCell proliferation
04

Disease associations

Chronic kidney diseaseHypophosphatemic ricketsTumor-induced osteomalaciaCardiovascular disease (left ventricular hypertrophy)Other mineral metabolism disorders
05

Safety considerations

Hyperphosphatemia and ectopic calcification (when inhibiting FGF23 or its receptor)Risk of cardiovascular complications in chronic FGFR blockadePotential off-target effects due to FGFR pathway involvement in many tissues
06

Interacting drugs

Burosumab (anti-FGF23 monoclonal antibody for X-linked hypophosphatemia)

1 more in the full profile.

07

Biomarkers

Circulating FGF23Serum phosphateSerum 1,25-dihydroxyvitamin D (calcitriol)Parathyroid hormone (PTH) levels

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