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Fibroblast growth factor receptor 1c, 2c, or 3c:β-Klotho complex (FGFR1c/2c/3c:β-Klotho complex)

Target
FGFR1c/2c/3c:β-Klotho complex
Molecular classification
Receptor complex, Receptor tyrosine kinase complex, Co-receptor complex, Signal transduction complex
01

Overview

The Fibroblast growth factor receptor 1c, 2c, or 3c:β-Klotho complex is a plasma membrane receptor complex formed by heterodimerization of the β-Klotho co-receptor with one of several "IIIc" splice isoforms of FGFR (primarily FGFR1c, FGFR2c, or FGFR3c). β-Klotho acts as a high-affinity binding partner for endocrine fibroblast growth factors (notably FGF21 and FGF19), positioning them to activate FGFR kinases and initiate intracellular signaling cascades[1][3][5][6]. The specificity of ligand-receptor recognition, and by extension physiological and pharmacological effects, depends upon the pairing of particular FGFR isoforms and β-Klotho, as well as tissue expression patterns. This system is a major regulator of energy homeostasis, glucose and lipid metabolism, and is implicated in diseases such as type 2 diabetes, NAFLD/NASH, obesity, and potentially cardiovascular disease. The therapeutic targeting of this pathway is currently focused on FGF21 mimetics and β-Klotho antibodies for metabolic disorders, and novel analogs or modulators for other indications. Note: The submitted target name is non-standard: in practice, each FGFRc:β-Klotho complex is considered a separate functional target, since specificity, ligand response, and tissue distribution can differ[5][6]. If possible, specify which FGFRc isoform’s complex you are interested in for precise pharmacological annotation.

Other names
FGFR:β-Klotho complexFGFR1c:β-Klotho complexFGFR2c:β-Klotho complexFGFR3c:β-Klotho complex
02

Mechanism of action

Activation of FGFR signaling by ligand-induced ternary complex formation (Endocrine FGF binds β-Klotho, which scaffolds FGFR1c/2c/3c, leading to FGFR dimerization and activation) β-Klotho agonist antibodies that mimic FGF21 action by stabilizing/activating the complex Competitive antagonists (experimental) that block ligand engagement at β-Klotho or FGFR

03

Biological functions

Signal transductionMetabolic regulationHormone signalingCellular homeostasisPotentially involved in cell proliferation and survival signaling in specific contexts
04

Disease associations

Metabolic diseasesLiver diseasesCardiovascular diseaseOther
05

Safety considerations

On-target effects on phosphate, mineral metabolismPotential for off-target proliferation or neoplasia in non-metabolic tissuesMetabolic derangements with excessive or insufficient pathway activationPreclinical data also identify the risk of unanticipated paracrine FGF effects if the selectivity of the modulator is poor[1][3][5]
06

Interacting drugs

Pegbelfermin

4 more in the full profile.

07

Biomarkers

Circulating FGF21 or FGF19 levelsChanges in glucose, lipid, and liver enzyme profilesFGFR1c, FGFR2c, or FGFR3c, and β-Klotho expression levelsNo standardized, direct biomarker for complex activity in clinical practice

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