FGF19: Fibroblast Growth Factor 19 – Bile Acid Regulation and Cancer Signaling

A key endocrine fibroblast growth factor involved in bile acid homeostasis, hepatocyte proliferation, and oncogenic signaling in hepatocellular carcinoma and colorectal cancer.

Gene Information Card

Symbol FGF19
Full Name Fibroblast Growth Factor 19
Gene Type Protein coding
Chromosomal Location 11q13.3
NCBI Gene ID 9965 ncbi.nlm.nih.gov/gene/9965
Ensembl ID ENSG00000162344
UniProt ID O95750
OMIM ID 603891
HGNC ID 3675
Aliases FGF15 (rodent ortholog)

Description

FGF19 (Fibroblast Growth Factor 19) is a member of the fibroblast growth factor family. Unlike canonical FGFs, FGF19 functions as an endocrine hormone. It is primarily expressed in the ileum and secreted in response to bile acid absorption. FGF19 binds to the FGFR4/β-Klotho receptor complex to regulate bile acid synthesis, glucose metabolism, and hepatocyte proliferation. Dysregulation of FGF19 is implicated in hepatocellular carcinoma, colorectal cancer, and cholestatic liver diseases.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Hepatocellular carcinoma FGF19 amplification and overexpression activate FGFR4 signaling, promoting hepatocyte proliferation and tumorigenesis. COSMIC; NCBI Gene; PMID: 22919067
Colorectal cancer FGF19 overexpression via β-catenin/TCF signaling contributes to tumor growth and invasion. NCBI Gene; PMID: 18413744
Cholestatic liver disease Elevated FGF19 levels suppress CYP7A1, reducing bile acid synthesis and contributing to cholestasis. OMIM #603891; PMID: 15905404
Bile acid diarrhea Reduced FGF19 expression leads to impaired feedback inhibition of bile acid synthesis, causing diarrhea. ClinVar; PMID: 23337448

Expression Profile

Tissue Expression
Tissue nTPM level
Ileum 58.2 High
Gallbladder 42.1 High
Liver 1.3 Low
Colon 0.8 Low
Kidney 0.2 Not detected
Cell Line Expression
Cell Line nTPM Notes
HepG2 (hepatocellular carcinoma) 12.5 Moderate expression; used in FGF19 signaling studies
Caco-2 (colorectal adenocarcinoma) 8.3 Low expression; induced by bile acids
HEK293 (embryonic kidney) 0.1 Not detected; used for recombinant expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1A>G (p.Met1?) Missense Rare Loss of start codon; likely loss of function
c.217C>T (p.Arg73Trp) Missense Rare Unknown significance; reported in ClinVar
Amplification (11q13.3) Copy number gain ~15% in HCC (COSMIC) Gain of function; drives FGFR4 signaling
Mutation functional classification

Loss of Function (LOF)

Rare missense variants (e.g., p.Met1?) that disrupt protein translation or secretion are classified as loss of function.

Gain of Function (GOF)

Gene amplification and overexpression in hepatocellular carcinoma and colorectal cancer lead to constitutive activation of FGFR4 signaling.

Dominant Negative (DN)

No dominant negative mutations have been reported for FGF19.

Pathways

FGF19-FGFR4 signaling pathway (Reactome: R-HSA-190374)
Bile acid and bile salt metabolism (Reactome: R-HSA-194068)
FGFR4 mutant receptor activation (Reactome: R-HSA-1839122)
Signaling by FGFR4 in hepatocellular carcinoma (KEGG: hsa05225)

Protein Summary

FGF19 is a 216-amino acid secreted glycoprotein (UniProt O95750) that functions as an endocrine fibroblast growth factor. It contains a core FGF homology domain and a C-terminal tail essential for binding to β-Klotho. The protein is synthesized as a preproprotein and cleaved to release the mature hormone. FGF19 signals through the FGFR4/β-Klotho receptor complex to regulate bile acid synthesis via repression of CYP7A1. It also promotes hepatocyte proliferation and glucose metabolism. Aberrant FGF19 signaling due to amplification or overexpression is oncogenic in liver and colorectal cancers.

Related Products

Product name Cat.No. Species Gene ID
FGF19 Knockout HEK293 Cell Line EDJ-KQ660 Human 9965 Details Get a Quote
FGF19 Knockout HCT 116 Cell Line EDJ-KQ19168 Human 9965 Details Get a Quote
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