A Computationally Identified Compound Antagonizes Excess FGF-23 Signaling in Renal Tubules and a Mouse Model of Hypophosphatemia
Overview
Physiology
Science
Authors
Affiliations
Fibroblast growth factor-23 (FGF-23) interacts with a binary receptor complex composed of α-Klotho (α-KL) and FGF receptors (FGFRs) to regulate phosphate and vitamin D metabolism in the kidney. Excess FGF-23 production, which causes hypophosphatemia, is genetically inherited or occurs with chronic kidney disease. Among other symptoms, hypophosphatemia causes vitamin D deficiency and the bone-softening disorder rickets. Current therapeutics that target the receptor complex have limited utility clinically. Using a computationally driven, structure-based, ensemble docking and virtual high-throughput screening approach, we identified four novel compounds predicted to selectively inhibit FGF-23-induced activation of the FGFR/α-KL complex. Additional modeling and functional analysis found that Zinc13407541 bound to FGF-23 and disrupted its interaction with the FGFR1/α-KL complex; experiments in a heterologous cell expression system showed that Zinc13407541 selectivity inhibited α-KL-dependent FGF-23 signaling. Zinc13407541 also inhibited FGF-23 signaling in isolated renal tubules ex vivo and partially reversed the hypophosphatemic effects of excess FGF-23 in a mouse model. These chemical probes provide a platform to develop lead compounds to treat disorders caused by excess FGF-23.
FGF-based drug discovery: advances and challenges.
Chen G, Chen L, Li X, Mohammadi M Nat Rev Drug Discov. 2025; .
PMID: 39875570 DOI: 10.1038/s41573-024-01125-w.
Structural asymmetry in FGF23 signaling.
Liu S, Xiao Z, Smith J, Quarles L Trends Pharmacol Sci. 2023; 44(12):862-864.
PMID: 37778940 PMC: 11675616. DOI: 10.1016/j.tips.2023.09.005.
Toro L, Michea L, Parra-Lucares A, Mendez-Valdes G, Villa E, Bravo I Toxins (Basel). 2023; 15(2).
PMID: 36828412 PMC: 9963549. DOI: 10.3390/toxins15020097.
Moshawih S, Lim A, Ardianto C, Goh K, Kifli N, Goh H Biomolecules. 2022; 12(7).
PMID: 35883434 PMC: 9312989. DOI: 10.3390/biom12070878.
Liu S, Xiao Z, Mishra S, Mitchell J, Smith J, Quarles L J Chem Inf Model. 2022; 62(15):3627-3637.
PMID: 35868851 PMC: 10018682. DOI: 10.1021/acs.jcim.2c00633.