α-Klotho is a non-enzymatic molecular scaffold for FGF23 hormone signalling.
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| Abstract | 
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              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.  | 
        
| Year of Publication | 
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              2018 
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| Journal | 
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              Nature 
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| Date Published | 
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              2018 
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| ISSN Number | 
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              0028-0836 
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| URL | 
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              http://dx.doi.org/10.1038/nature25451 
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| DOI | 
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              10.1038/nature25451 
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| Short Title | 
   :  
              Nature 
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