The Structural Biology of the FGF19 Subfamily
Open accessAbstract
The ability of the Fibroblast Growth Factor (FGF) 19 subfamily to signal in an endocrine fashion sets this subfamily apart from the remaining five FGF subfamilies known for their paracrine functions during embryonic development. Compared to the members of paracrine FGF subfamiles, the three members of the FGF19 subfamily, namely FGF19, FGF21 and FGF23, have poor affinity for heparan sulfate (HS) and therefore can diffuse freely in the HS-rich extracellular matrix to enter into the bloodstream. In further contrast to paracrine FGFs, FGF19 subfamily members have unusually poor affinity for their cognate FGF receptors (FGFRs) and therefore cannot bind and activate them in a solely HS-dependent fashion. As a result, the FGF19 subfamily requires α/βklotho coreceptor proteins in order to bind, dimerize and activate their cognate FGFRs. This klotho-dependency also determines the tissue specificity of endocrine FGFs. Recent structural and biochemical studies have begun to shed light onto the molecular basis for the klotho-dependent endocrine mode of action of the FGF19 subfamily. Crystal structures of FGF19 and FGF23 show that the topology of the HS binding site (HBS) of FGF19 subfamily members deviates drastically from the common topology adopted by the paracrine FGFs. The distinct topologies of the HBS of FGF19 and FGF23 prevent HS from direct hydrogen bonding with the backbone atoms of the HBS of these ligands and accordingly decrease the HS binding affinity of this subfamily. Recent biochemical data reveal that the ?klotho ectodomain binds avidly to the ectodomain of FGFR1c, the main cognate FGFR of FGF23, creating a de novo high affinity binding site for the C-terminal tail of FGF23. The isolated FGF23 C-terminus can be used to effectively inhibit the formation of the FGF23-FGFR1c-αklotho complex and alleviate hypophosphatemia in renal phosphate disorders due to elevated levels of FGF23.
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FGF21 functions as an endocrine hormone that signals to distinct targets throughout the body.
“As a non-canonical fibroblast growth factor, fibroblast growth factor 21 (FGF21) functions as an endocrine hormone that signals to distinct targets throughout the body.”
From Metabolic messengers: FGF21 (2021) · cites this paper as [2]
The FGF19 subfamily of FGFs has reduced affinity for HSGAGs and diffuses into circulation to act on distal tissues, thus functioning as endocrine hormones.
“Unlike traditional FGFs, however, the FGF19 subfamily of FGFs, consisting of FGF19, FGF21, and FGF23, has reduced affinity for HSGAGs and diffuses into circulation to act on distal tissues (9, 106). Thus, these FGFs function as endocrine hormones.”
From Fibroblast Growth Factor 21: A Versatile Regulator of Metabolic Homeostasis (2018) · cites this paper as [9]
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Self-citationFGF23-αKlotho as a paradigm for a kidney-bone network
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β-Klotho gene variation is associated with liver damage in children with NAFLD
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Is Fibroblast Growth Factor Receptor 4 a Suitable Target of Cancer Therapy?
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Role of Fibroblast Growth Factor-23 in Innate Immune Responses
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Self-citationThe roles of FGF21 in atherosclerosis pathogenesis
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Programmed ageing: decline of stem cell renewal, immunosenescence, and Alzheimer's disease
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A solid-phase PEGylation strategy for protein therapeutics using a potent FGF21 analog
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Self-citationAlteration in the serum concentrations of FGF19, FGFR4 and βKlotho in patients with thyroid cancer
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- Authors
- Beenken, A., & Mohammadi, M.
- Affiliations
- New York University (US)
- Corresponding author
- Mohammadi, Moosa
- Venue
- Advances in Experimental Medicine and Biology
- Publisher
- Springer US
- Published
- 2012
- Volume
- 728
- Pages
- 1-24
- ISSN
- 0065-2598 (ISSN-L)
- PMC
- PMC3682411
- OpenAlex
- W1519326211
- Cited by
- 93
- References
- 143
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 7 · 2023: 8 · 2022: 6 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 11 · 2017: 8 · 2016: 2 · 2015: 6 · 2014: 9 · 2013: 4 · 2012: 2
- FWCI
- 11.47
- Type
- book chapter
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Advances in experimental medicine and biology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (R01DE013686)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fibroblast Growth Factor Research
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Structure and Dynamics
- Keywords
- FGF19, FGF21, fibroblast growth factor 23, hormone signaling, FGFR1c, crystal structure, hypophosphatemia, paracrine signaling
- MeSH terms
- Fibroblast Growth Factor-23, Klotho Proteins, Amino Acid Sequence, Animals, Endocrine System, Fibroblast Growth Factors, Glucuronidase, Humans, Molecular Sequence Data, Structure-Activity Relationship, Signal Transduction
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