FGFR4 does not contribute to progression of chronic kidney disease

Sci Rep. 2019 Oct 1;9(1):14023. doi: 10.1038/s41598-019-50669-0.

Abstract

In chronic kidney disease (CKD), elevated serum levels of the phosphate regulating hormone fibroblast growth factor (FGF) 23 have emerged as powerful risk factors for cardiovascular disease and death. Mechanistically, FGF23 can bind and activate fibroblast growth factor receptor (FGFR) 4 independently of α-klotho, the canonical co-receptor for FGF23 in the kidney, which stimulates left ventricular hypertrophy and hepatic production of inflammatory cytokines. FGF23 has also been shown to independently predict progression of renal disease, however, whether FGF23 and FGFR4 also contribute to CKD remains unknown. Here, we generated a mouse model with dual deletions of FGFR4 and α-klotho, and we induced CKD in mice with either global deletion or constitutive activation of FGFR4. We demonstrate that FGF23 is not capable of inducing phosphaturia via FGFR4 and that FGFR4 does not promote or mitigate renal injury in animal models of CKD. Taken together our results suggest FGFR4 inhibition as a safe alternative strategy to target cardiovascular disease and chronic inflammation in patients with CKD without interrupting the necessary phosphaturic effects of FGF23.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Disease Models, Animal
  • Disease Progression
  • Fibroblast Growth Factor-23
  • Gene Knock-In Techniques
  • Glucuronidase / metabolism
  • Humans
  • Klotho Proteins
  • Mice
  • Mice, Knockout
  • Mice, Transgenic
  • Receptor, Fibroblast Growth Factor, Type 4 / metabolism*
  • Receptor, Fibroblast Growth Factor, Type 4 / physiology
  • Renal Insufficiency, Chronic / pathology*
  • Risk Factors

Substances

  • FGF23 protein, human
  • Fgf23 protein, mouse
  • Fibroblast Growth Factor-23
  • Fgfr4 protein, mouse
  • Receptor, Fibroblast Growth Factor, Type 4
  • Glucuronidase
  • Klotho Proteins