α-Klotho is a non-enzymatic molecular scaffold for FGF23 hormone signalling

G Chen, Y Liu, R Goetz, L Fu, S Jayaraman, MC Hu… - Nature, 2018 - nature.com
G Chen, Y Liu, R Goetz, L Fu, S Jayaraman, MC Hu, OW Moe, G Liang, X Li, M Mohammadi
Nature, 2018nature.com
The ageing suppressor α-klotho binds to the fibroblast growth factor receptor (FGFR). This
commits FGFR to respond to FGF23, a key hormone in the regulation of mineral ion and
vitamin D homeostasis. The role and mechanism of this co-receptor are unknown. Here we
present the atomic structure of a 1: 1: 1 ternary complex that consists of the shed
extracellular domain of α-klotho, the FGFR1c ligand-binding domain, and FGF23. In this
complex, α-klotho simultaneously tethers FGFR1c by its D3 domain and FGF23 by its C …
Abstract
The ageing suppressor α-klotho binds to the fibroblast growth factor receptor (FGFR). This commits FGFR to respond to FGF23, a key hormone in the regulation of mineral ion and vitamin D homeostasis. The role and mechanism of this co-receptor are unknown. Here we present the atomic structure of a 1:1:1 ternary complex that consists of the shed extracellular domain of α-klotho, the FGFR1c ligand-binding domain, and FGF23. In this complex, α-klotho simultaneously tethers FGFR1c by its D3 domain and FGF23 by its C-terminal tail, thus implementing FGF23–FGFR1c proximity and conferring stability. Dimerization of the stabilized ternary complexes and receptor activation remain dependent on the binding of heparan sulfate, a mandatory cofactor of paracrine FGF signalling. The structure of α-klotho is incompatible with its purported glycosidase activity. Thus, shed α-klotho functions as an on-demand non-enzymatic scaffold protein that promotes FGF23 signalling.
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