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FGF23 contains two distinct high-affinity binding sites enabling bivalent interactions with α-Klotho.

Yoshihisa Suzuki1, Ekaterina Kuzina1, Seong J An1

  • 1Department of Pharmacology, Yale University School of Medicine, New Haven, CT 06510.

Proceedings of the National Academy of Sciences of the United States of America
|December 1, 2020
PubMed
Summary

Fibroblast growth factor 23 (FGF23) uses two distinct repeats (R1 and R2) to bind α-Klotho (KLA), acting as a bivalent ligand. An engineered KLA-Fc fusion protein shows potential as an FGF23 antagonist.

Keywords:
biological inhibitorcell signalingendocrine FGFphosphorylationsurface receptors

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Area of Science:

  • Endocrinology
  • Molecular Biology
  • Metabolic Regulation

Background:

  • Fibroblast growth factor (FGF) 23 is a key hormone regulating phosphate and vitamin D metabolism.
  • FGF23 signals through a complex involving α-Klotho (KLA) and FGF receptors (FGFRs).

Purpose of the Study:

  • To investigate the structural and functional basis of FGF23 binding to KLA.
  • To explore the potential of targeting the FGF23-KLA interaction for therapeutic purposes.

Main Methods:

  • Analysis of FGF23 C-terminal repeats (R1 and R2) for KLA binding.
  • Biochemical assays to measure binding affinity and receptor activation (FGFR1, MAPK).
  • Total internal reflection fluorescence microscopy to visualize KLA-FGFR dimerization on cell surfaces.

Main Results:

  • FGF23's C-terminal tail contains two functional KLA binding repeats (R1 and R2).
  • Both single-repeat (FGF23-R1, FGF23-R2) and wild-type FGF23 (FGF23-WT) bind KLA with similar affinity and activate signaling.
  • FGF23-WT functions as a bivalent ligand, promoting KLA-FGFR dimerization and activation.
  • Disulfide bond formation in FGF23-WT is not essential for KLA binding or signaling.

Conclusions:

  • FGF23 utilizes a bivalent binding mechanism with KLA through its R1 and R2 repeats.
  • Understanding this interaction provides insights into FGF23's metabolic regulatory functions.
  • An engineered KLA-Fc fusion protein acts as an FGF23 antagonist, suggesting a novel therapeutic strategy for FGF23-related disorders.