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Fibroblast growth factor receptor 1–beta-Klotho complex (FGFR1–β-Klotho complex)

Target
FGFR1–β-Klotho complex
Molecular classification
Receptor (Tyrosine kinase receptor complex), Co-receptor complex, Single-pass transmembrane protein (both FGFR1 and β-Klotho)
01

Overview

The **Fibroblast growth factor receptor 1–beta-Klotho complex** is a functional cell surface receptor assembly essential for mediating the action of endocrine fibroblast growth factors, notably FGF21 and FGF19[2][3][5][7]. FGFR1 (Fibroblast growth factor receptor 1) is a receptor tyrosine kinase, while β-Klotho is a single-pass transmembrane co-receptor. Endocrine FGFs do not activate FGFRs efficiently on their own; instead, β-Klotho confers ligand specificity and high-affinity binding for FGF21 and FGF19. Upon ligand binding, β-Klotho binds to FGFR1c, forming a ternary complex that triggers intracellular signaling cascades such as the RAS-MAPK-ERK, PI3K-AKT, and STAT pathways, ultimately influencing metabolism, energy homeostasis, and cellular growth[1][2][5][7]. Dysregulation or altered expression of this complex is implicated in multiple diseases, particularly metabolic and fibrotic disorders. Such complexes represent validated therapeutic targets, with several FGF21 and FGF19 analogs in clinical development for diabetes and NAFLD/NASH[2][7].

Other names
FGFR1/β-Klotho complexFGFR1c/β-Klotho complexFibroblast growth factor receptor 1 and beta-Klotho complexBeta-Klotho/FGFR1c complex
02

Mechanism of action

Ligand-induced activation of FGFR1 via β-Klotho-dependent binding of FGF21 or FGF19, leading to downstream signaling (RAS-MAPK, PI3K-AKT, PLCγ, STAT pathways)[2][7] Activation of the MAPK (ERK1/2) cascade and gene transcription[1][2][7] Modulation of glucose and lipid metabolism via endocrine FGF ligand action

03

Biological functions

Signal transductionRegulation of metabolic processesHormone responseGlucose metabolismCell proliferationEnergy expenditure
04

Disease associations

Metabolic disease (e.g., obesity, type 2 diabetes, NAFLD)Cardiovascular diseaseCancerFibrosis (e.g., liver fibrosis)Inflammation
05

Safety considerations

Risk for potential off-target metabolic effects (hypoglycemia, abnormal lipid metabolism)Unintended effects on cell proliferation or possible tumorigenicity (with long-term FGFR1 pathway stimulation)Liver enzyme elevations (in some FGF21 analog trials)Fibrosis risk modulation
06

Interacting drugs

FGF21 analogs (e.g., pegbelfermin, efruxifermin, BIO89-100, PF-05231023)

3 more in the full profile.

07

Biomarkers

Circulating FGF21 and FGF19 levelsExpression levels of FGFR1 and/or β-Klotho in adipose tissue and liverDownstream phosphorylation markers (ERK1/2, FRS2α)Metabolic biomarkers (glucose, lipid profiles)

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