Tissue-specific alternative splicing in the second half of Iglike domain 3 (D3) of fibroblast growth factor receptors 1-3 (FGFR1 to -3) generates epithelial FGFR1b-FGFR3b and mesenchymal FGFR1c-FGFR3c splice isoforms. This splicing event establishes a selectivity filter to restrict the ligand binding specificity of FGFRb and FGFRc isoforms to mesenchymally and epithelially derived fibroblast growth factors (FGFs), respectively. FGF1 is termed the "universal FGFR ligand" because it overrides this specificity barrier. To elucidate the molecular basis for FGF1 cross-reactivity with the "b" and "c" splice isoforms of FGFRs, we determined the first crystal structure of FGF1 in complex with an FGFRb isoform, FGFR2b, at 2.1 Å resolution. Comparison of the FGF1-FGFR2b structure with the three previously published FGF1-FGFRc structures reveals that plasticity in the interactions of the N-terminal region of FGF1 with FGFR D3 is the main determinant of FGF1 cross-reactivity with both isoforms of FGFRs. In support of our structural data, we demonstrate that substitution of three N-terminal residues (Gly-19, His-25, and Phe-26) of FGF2 (a ligand that does not bind FGFR2b) for the corresponding residues of FGF1 (Phe-16, Asn-22, and Tyr-23) enables the FGF2 triple mutant to bind and activate FGFR2b. These findings taken together with our previous structural data on receptor binding specificity of FGF2, FGF8, and FGF10 conclusively show that sequence divergence at the N termini of FGFs is the primary regulator of the receptor binding specificity and promiscuity of FGFs.Fibroblast growth factor (FGF) signaling plays pleiotropic roles in mammalian development and metabolism (1-3). The mammalian FGF family comprises 18 members (FGF1-FGF10 and FGF16 -FGF23), which are divided into six subfamilies based on sequence homology and phylogeny. The FGF1 subfamily comprises FGF1 and FGF2; the FGF7 subfamily comprises FGF3, FGF7, FGF10, and FGF22; the FGF4 subfamily comprises FGF4, FGF5, and FGF6; the FGF8 subfamily comprises FGF8, FGF17, and FGF18; the FGF9 subfamily comprises FGF9, FGF16, and FGF20; and the FGF19 subfamily consists of FGF19, FGF21, and FGF23 (4, 5). In some nomenclatures, FGF homologous factors (FHF1-FHF4) 6 are considered to form an additional FGF subfamily, namely the FGF11 subfamily, because these proteins share strong sequence homology to other FGFs. Biochemical and structural analyses of FHFs, however, have shown that these proteins are functionally distinct from FGFs (6 -8). The FGF1, FGF4, FGF7, FGF8, and FGF9 subfamilies act in a paracrine fashion to direct tissue patterning and organogenesis during embryogenesis. In contrast, the FGF19 subfamily members have very low affinity for heparan sulfate (HS) and hence act in an endocrine fashion (9) to regulate important metabolic activities, including bile acid and lipid metabolism (10 -13), glucose homeostasis (14 -17), and phosphate and vitamin D homeostasis (18 -20).The paracrine FGFs carry out their diverse functions by binding and activating the FGF receptor (FGFR)...