Treating diabetes and obesity with an FGF21-mimetic antibody activating the βKlotho/FGFR1c receptor complex
Related Experiment Video
Updated: May 16, 2026

White and Brown Adipose Grafts: An Approach to Correct Reproductive, Metabolic, and Renal Deficits in Black and Tan Brachyury (BTBR) Obese Mice
Published on: September 9, 2025
Ian N Foltz1, Sylvia Hu, Chadwick King
1Amgen British Columbia, 7990 Enterprise Street, Burnaby, British Columbia V5A1V7, Canada.
Abstract:
Fibroblast growth factor 21 (FGF21) is a distinctive member of the FGF family with potent beneficial effects on lipid, body weight, and glucose metabolism and has attracted considerable interest as a potential therapeutic for treating diabetes and obesity. As an alternative to native FGF21, we have developed a monoclonal antibody, mimAb1, that binds to βKlotho with high affinity and specifically activates signaling from the βKlotho/FGFR1c (FGF receptor 1c) receptor complex. In obese cynomolgus monkeys, injection of mimAb1 led to FGF21-like metabolic effects, including decreases in body weight, plasma insulin, triglycerides, and glucose during tolerance testing. Mice with adipose-selective FGFR1 knockout were refractory to FGF21-induced improvements in glucose metabolism and body weight. These results in obese monkeys (with mimAb1) and in FGFR1 knockout mice (with FGF21) demonstrated the essential role of FGFR1c in FGF21 function and suggest fat as a critical target tissue for the cytokine and antibody. Because mimAb1 depends on βKlotho to activate FGFR1c, it is not expected to induce side effects caused by activating FGFR1c alone. The unexpected finding of an antibody that can activate FGF21-like signaling through cell surface receptors provided preclinical validation for an innovative therapeutic approach to diabetes and obesity.
Insights
A novel antibody, mimAb1, mimics Fibroblast Growth Factor 21 (FGF21) effects, reducing weight and improving metabolism in obese monkeys. This antibody offers a potential new therapy for diabetes and obesity by targeting the FGFR1c receptor complex.
Area of Science:
- Metabolic research
- Endocrinology
- Pharmacology
Background:
- Fibroblast Growth Factor 21 (FGF21) is a key metabolic regulator with therapeutic potential for diabetes and obesity.
- FGF21 exerts its effects via interaction with the βKlotho co-receptor and FGF receptors (FGFRs).
Purpose of the Study:
- To develop and evaluate a monoclonal antibody (mimAb1) that activates FGF21 signaling pathways.
- To investigate the role of FGFR1c and adipose tissue in FGF21-mediated metabolic improvements.
Main Methods:
- Development of mimAb1, a high-affinity antibody targeting the βKlotho/FGFR1c complex.
- Administration of mimAb1 to obese cynomolgus monkeys to assess metabolic effects.
- Evaluation of FGF21 efficacy in mice with adipose-selective FGFR1 knockout.
Main Results:
- MimAb1 induced FGF21-like metabolic benefits in obese monkeys, including weight loss and improved glucose and lipid profiles.
- Mice lacking adipose FGFR1 were unresponsive to FGF21, highlighting FGFR1c's essential role.
- Fat tissue was identified as a critical target for FGF21 and mimAb1 action.
Conclusions:
- MimAb1 effectively mimics FGF21's metabolic actions and represents a promising therapeutic strategy for obesity and diabetes.
- Targeting the βKlotho/FGFR1c complex with mimAb1 may offer a safer alternative to activating FGFR1c alone, avoiding potential side effects.
More Related Videos
Related Concept Videos
Glucagon-like Receptor Agonists
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by the...
Insulin: The Receptor and Signaling Pathways
Oral Hypoglycemic Agents: Biguanides and Glitazones
Hormones Regulating Blood Glucose
In addition to accelerating glucose uptake and utilization, insulin has...

