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Fibroblast growth factor receptor 1c and β-Klotho receptor complex (FGFR1c/β-Klotho receptor complex)

Target
FGFR1c/β-Klotho receptor complex
Molecular classification
Receptor, Receptor complex, Tyrosine kinase receptor (FGFR1c component), Co-receptor protein (β-Klotho component)
01

Overview

The **Fibroblast growth factor receptor 1c and β-Klotho receptor complex** is a heteromeric structure composed of the receptor tyrosine kinase FGFR1c and the single-pass transmembrane protein β-Klotho. This complex is essential for the cellular actions of the endocrine hormones FGF21 and FGF19, which bind to β-Klotho with high affinity and simultaneously interact with FGFR1c. β-Klotho serves as a tissue-specific co-receptor that confers selectivity to FGF21 and FGF19, while FGFR1c mediates intracellular signal transduction upon ligand-induced activation. Upon binding of FGF21, the receptor complex signals through classic MAP kinase cascades and other pathways, primarily modulating glucose and lipid metabolism in metabolic tissues such as liver and adipose tissue. The FGFR1c/β-Klotho complex has emerged as an important therapeutic target for metabolic disorders, and is the focus of drug development efforts aimed at treating type 2 diabetes, obesity, and related conditions[1][2][3][5][7][8][9].

Other names
FGFR1c/β-Klotho complexFGFR1c and β-KlothoFGFR1c:β-Klotho complex
02

Mechanism of action

Activation of the receptor complex by FGF21 or FGF19 leads to downstream intracellular signaling via the MAP kinase cascade and other pathways, regulating metabolism and cellular responses[1][2][3][8]. β-Klotho acts as an obligate co-receptor, conferring FGF21/FGF19 specificity to FGFR1c[2][3][7].

03

Biological functions

Signal transductionRegulation of glucose and lipid metabolismCell proliferation (context-dependent)Endocrine hormone signaling
04

Disease associations

Metabolic disease (e.g., diabetes, obesity)Cardiovascular diseaseLiver disease (e.g., nonalcoholic fatty liver)Cancer (context-dependent)Other (e.g., rare disorders of phosphate metabolism)
05

Safety considerations

Potential for off-target metabolic disruption (e.g., hypoglycemia)Concerns about excessive cell proliferation or mitogenic effects (especially with FGF19 analogs, less so with FGF21)Possible effects on phosphate and calcium homeostasis
06

Interacting drugs

FGF21 (fibroblast growth factor 21, endogenous ligand)

3 more in the full profile.

07

Biomarkers

Expression of β-Klotho (predicts tissue responsiveness to FGF21 analogs)[2]ERK1/2 phosphorylation (downstream signaling marker)[2][5]

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