Main

Hsp90 is required for the functional maturation of 10% of the eukaryotic proteome1. Hsp90 ‘clients’ are enriched in signaling proteins, such as steroid hormone receptors (SHRs), making Hsp90 an important clinical target2,3,4. SHRs, including the glucocorticoid receptor (GR), are hormone-regulated transcription factors that depend on Hsp90 for function throughout their lifetimes5,6,7,8,9,10. We previously established in vitro reconstitution of the ‘GR chaperone cycle’, revealing that GR ligand binding is inactivated by Hsp70 and reactivated by Hsp90 (ref. 11). In the GR chaperone cycle, understood in atomic detail through cryogenic electron microscopy (cryo-EM), GR ligand binding is regulated by a cycle of three distinct chaperone complexes12,13. In this chaperone cycle, GR is first inhibited by Hsp70 and Hsp40, then loaded onto Hsp90:Hop (Hsp70/Hsp90 organizing protein co-chaperone) forming an inactive ‘GR–loading complex’ (GR:Hsp70:Hsp90:Hop)12. Upon ATP hydrolysis by Hsp90, Hsp70 and Hop release, and p23 binds to form an active ‘GR–maturation complex’ (GR:Hsp90:p23), restoring GR ligand binding with enhanced affinity13. Cryo-EM structures of the GR–loading complex and GR–maturation complex revealed that Hsp70 and Hsp90 locally unfold and refold the GR ligand binding domain (GRLBD) to directly regulate ligand binding.

In vivo, additional Hsp90 co-chaperones are found associated with the GR chaperone cycle6,14, including the large immunophilins, FKBP51 and FKBP52 (ref. 6). FKBP51 and FKBP52 are peptidyl proline isomerases (PPIases) that contain an N-terminal FK1 domain with PPIase activity, an enzymatically dead FK2 domain, and a C-terminal tetratricopeptide repeat (TPR) domain, which binds the EEVD motifs at the C-termini of Hsp90 and Hsp70 (refs. 15,16,17,18). Additionally, the TPR domain contains a helical extension at the C-terminus (H7e), which binds the C-terminal domain (CTD) closed dimer interface of Hsp90 (refs. 19,20). Although FKBP51 and FKBP52 are 70% similar in sequence, these co-chaperones have antagonistic functional effects on GR in vivo21. FKBP51 inhibits GR ligand binding, nuclear translocation and transcriptional activity, while FKBP52 potentiates each of these fundamental GR activities22,23,24,25,26,27,28,29,30,31,32. FKBP51 and FKBP52 are also known to regulate the other SHRs21,33. Due to the critical importance of steroid hormone signaling in the cell, altered expression of FKBP51 or FKBP52 is associated with endocrine-related diseases, including cancers, infertility, anxiety disorders and immune-related diseases21,33,34. Despite their importance, the absence of structures of the FKBPs bound to Hsp90:client complexes precludes a mechanistic understanding of how these co-chaperones regulate client function, or how to design selective small molecules34,35,36,37,38,39. In this Article, we present a 3.01 Å cryo-EM structure of the human GR:Hsp90:FKBP52 complex, revealing that FKBP52 directly binds the folded, ligand-bound GR, which we demonstrate is critical for FKBP52-dependent potentiation of GR activity in vivo and in vitro. We also present a 3.23 Å cryo-EM structure of the human GR:Hsp90:FKBP51 complex, which, surprisingly, mimics the GR:Hsp90:FKBP52 structure. We demonstrate that FKBP51 and FKBP52 bind in a mutually exclusive manner, leading to functional antagonism, and both unexpectedly compete with the co-chaperone p23, revealing an additional regulatory step in the GR chaperone cycle.

Results

GR:Hsp90:FKBP52 structure determination

The human GR:Hsp90:FKBP52 complex was prepared by in vitro reconstitution of the complete GR chaperone cycle. GR DBD–LBD (residues 418–777 containing the F602S solubilizing mutation) (hereafter, GR) was incubated with Hsp70, Hsp40, Hop, Hsp90, p23 and FKBP52, allowing GR to progress through the chaperone cycle to reach the GR:Hsp90:FKBP52 complex (Extended Data Fig. 1a–c). The complex was stabilized with sodium molybdate, further purified and lightly crosslinked (Extended Data Fig. 1d,e). A 3.01 Å cryo-EM reconstruction of the GR:Hsp90:FKBP52 complex was obtained (Fig. 1a,b, Table 1 and Extended Data Figs. 1f and 2a,b), revealing a fully closed Hsp90 dimer (Hsp90A and Hsp90B) with a single GR and a single FKBP52, both occupying the same side of Hsp90 (Fig. 1a,b; for a discussion of Hsp90 nucleotide state, see Extended Data Fig. 3a and Methods). Despite using a multi-domain GR construct, only GRLBD was visible on the map.

Fig. 1: Architecture of the GR:Hsp90:FKBP52 complex.
figure 1

a, Composite cryo-EM map of the GR:Hsp90:FKBP52 complex. Hsp90A, dark blue; Hsp90B, light blue; GR, yellow; FKBP52, teal. Color scheme is maintained throughout. b, Atomic model in cartoon representation with boxes corresponding to the interfaces shown in detail in cg. c, Interface 1 of the Hsp90:GR interaction, depicting the Hsp90A Src loop (Hsp90A345–360) interacting with the GR hydrophobic patch. GR is in surface representation. d, Interface 2 of the Hsp90:GR interaction, depicting GR Helix 1 (GR532–539) packing against the entrance to the Hsp90 lumen. Hsp90A/Hsp90B are in surface representation. e, Interface 3 of the Hsp90:GR interaction, depicting GR pre-Helix 1 (GR519–531) threading through the Hsp90 lumen. Hsp90A/Hsp90B are in surface representation. f, Interface 1 of the Hsp90:FKBP52 interaction, depicting FKBP52 TPR H7e (FKBP52387–424) interacting with the Hsp90A/Hsp90B CTD dimer interface. Hsp90A/Hsp90B are in surface representation. g, Interface 2 of the Hsp90:FKBP52 interaction, depicting the Hsp90B MEEVD motif (Hsp90B700–706) binding in the helical bundle of the FKBP52 TPR domain. FKBP52 is in surface representation.

Hsp90 stabilizes GRLBD in a folded, ligand-bound state

In the GR:Hsp90:FKBP52 complex, GRLBD is in a fully folded, ligand-bound conformation consistent with the conformation of the LBD in the GR–maturation complex (Extended Data Fig. 3b), but adopting a rotated position (discussed below). The folded GR is stabilized by Hsp90 at three major interfaces (Fig. 1c–e and Extended Data Fig. 3c–f): (1) Hsp90Src-loop:GRhydrophobic-patch, (2) Hsp90CTD:GRHelix1 and (3) Hsp90lumen:GRpre-Helix1 (for labeled structural motifs, see Extended Data Fig. 1c). In the first interface, Hsp90ASrc-loop (Hsp90345–360) flips out from the Hsp90lumen to interact with the previously described GRhydrophobic-patch13 (approximately 767 Å2 of buried surface area (BSA)) (Fig. 1c and Extended Data Fig. 3c). Along Hsp90ASrc-loop, Hsp90AF349,L351,F352,E353 contact GRHelix9/10 and the conserved, solvent-exposed Hsp90AW320 interacts with GRF774. Notably, Hsp90AW320,F349 also make contact with GR in the GR–loading complex and GR–maturation complex, although at quite different locations12,13. Additionally, there are multiple hydrogen bonds formed between Hsp90 N-terminal domain/middle domain (Hsp90NTD/MD) to GRHelix10 and GRK777.

Interface 2 is composed of Hsp90Y604 packing against GRHelix1 (GR532–539) and Hsp90Y627 sticking into a hydrophobic pocket formed by GRHelix3,4,9 (approximately 345 Å2 BSA) (Fig. 1d and Extended Data Fig. 3d,e), which was previously identified in the androgen receptor (AR) as a druggable hydrophobic pocket (BF3)40. In interface 3, the unstructured GRpre-Helix1 (GR519–531) is threaded through the Hsp90lumen (approximately 758 Å2 BSA)(Fig. 1e and Extended Data Fig. 3f). Two hydrophobic residues on GR (GRP522,P526) occupy two hydrophobic pockets within the Hsp90lumen. The interaction is further stabilized by multiple polar and hydrophobic interactions between GRpre-Helix1 and the Hsp90A/Hsp90B amphipathic helical hairpin (Hsp90606–628, Hsp90amphi-α) and Hsp90AMD/Hsp90BMD.

FKBP52 interacts with the closed Hsp90

FKBP52 engages the closed Hsp90 at three major interfaces (Fig. 1f,g and Extended Data Fig. 4a–c): (1) FKBP52TPR/H7e:Hsp90ACTD/Hsp90BCTD, (2) FKBP52TPR:Hsp90BMEEVD and (3) FKBP52TPR:Hsp90BCTD. In interface 1, FKBP52H7e (FKBP52387–424) binds in a hydrophobic cleft formed by Hsp90ACTD/Hsp90BCTD at the closed dimer interface (approximately 1,109 Å2 BSA) (Fig. 1f, Extended Data Fig. 4a). Compared to the crystal structure, H7e breaks at positions FKBP52411–414 to allow hydrophobic residues (FKBP52L410,Y411,M414,F415,L418) to flip into the hydrophobic cleft formed by Hsp90CTD, consistent with the FKBP51H7e:Hsp90 interaction observed by cryo-EM19. Mutating the corresponding conserved residues on FKBP51H7e (FKBP51M412,F413 corresponding to FKBP52M414,F415) abolishes FKBP51:Hsp90 binding, indicating the importance of this binding site19. The interface is further stabilized by multiple hydrogen bonds and salt bridges from Hsp90ACTD/Hsp90BCTD to H7e flanking the helix break (Extended Data Fig. 4a). Furthermore, a portion of the Hsp90BMEEVD linker (Hsp90B700–706) binds along FKBP52H7e (Extended Data Fig. 4a). Helix 7e is found in many TPR-containing co-chaperones19; however, our structures, along with others, reveal the Helix 7e can bind Hsp90 in distinct positions due to sequence divergence41,42.

In interface 2, Hsp90BMEEVD binds in the FKBP52TPR helical bundle (approximately 779 Å2 BSA) (Fig. 1g and Extended Data Fig. 4b), with multiple hydrogen bonds, salt bridges and hydrophobic interactions, analogous to FKBP51:Hsp90MEEVD structures18,19. However, the MEEVD peptide binds in an opposite orientation relative to the FKBP52:Hsp90MEEVD crystal structure17, which may have been incorrectly modeled, as suggested18,43. Interface 3 is composed of FKBP52Helix5/6 in the TPR domain binding to Hsp90BCTD, stabilized by multiple hydrogen bonds (approximately 193 Å2 BSA) (Extended Data Fig. 4c), also observed in the FKBP51:Hsp90 cryo-EM structure19. While the interactions between FKBP52TPR/H7e:Hsp90 are conserved in the FKBP51:Hsp90 structure, the positions of the FKBP52 FK1 and FK2 domains are notably altered (Extended Data Fig. 4d), owing to the presence of GR, as discussed below.

FKBP52 directly binds GR, which is critical for GR function

Unexpectedly, FKBP52 directly and extensively interacts with GR, with all three FKBP52 domains wrapping around GR, cradling the folded, ligand-bound receptor near the GR ligand-binding pocket (Fig. 2a). The tertiary structure within each FKBP52 domain closely matches isolated domains from FKBP52 crystal structures; however, the interdomain angles are significantly different (Extended Data Fig. 4d), probably owing to the extensive interaction with GR. There are three major interfaces between FKBP52 and GR (Fig. 2b–d): (1) FKBP52FK1:GR, (2) FKBP52FK2:GR and (3) FKBP52FK2/TPR-linker:GRHelix12.

Fig. 2: The GR:FKBP52 interaction and functional significance.
figure 2

a, Atomic model depicting the three interfaces between GR (yellow) and FKBP52 (teal) in the GR:Hsp90:FKBP52 complex. The FKBP52 proline-rich loop and PPIase catalytic site are highlighted in gray. Dexamethasone is colored in pink. b, Interface 1 between GR (yellow) and the FKBP52 FK1 domain (teal), showing interacting side chains and hydrogen bonds (dashed pink lines). c, Interface 2 between GR (yellow) and the FKBP52 FK2 domain (teal), showing interacting side chains and hydrogen bonds (dashed pink lines). d, Interface 3 between GR (yellow) and the FKBP52 FK2–TPR linker (teal), showing interacting side chains and hydrogen bonds (dashed pink lines). e, GR activation assay in wild-type yeast strain JJ762 expressing FKBP52 (‘52’) or FKBP52 mutants. The fold increase in GR activities compared to the empty vector (e.v.) control are shown (mean ± s.d.). n = 3 biologically independent samples per condition. Significance was evaluated using a one-way analysis of variance (F(5,12) = 26.10; P < 0.0001) with post-hoc Dunnett’s multiple comparisons test (n.s. P > 0.05; *P ≤ 0.05; **P ≤ 0.01; ***P ≤ 0.001). P values: P(e.v. versus 52) <0.0001, P(52 versus 52ΔFK1) <0.0001, P(52 versus 52 S118A) <0.0001, P(52 versus 52 Y161D) 0.0003, P(52 versus 52 W259D) 0.0005. f, Sequence alignment of eukaryotic FKBP52 showing conserved residues involved in the GR:FKBP52 interaction (denoted by a black asterisk). The bottom aligned sequence is human FKBP51. The alignment is colored according to the ClustalW convention. g, GR protein sequence conservation mapped onto the GR atomic model from the GR:Hsp90:FKBP52 complex. Residue conservation is depicted from most variable (cyan) to most conserved residues (maroon). GR residues that interact with FKBP52 are shown as spheres.

Source data

In interface 1, FKBP52FK1 interacts with a large surface on GR, canonically used for GR dimer formation, consisting of the post-Helix 1 strand (Helix 1–3 loop), Helix 5 and β1,2 (approximately 280 Å2 BSA) (Fig. 2b). Three-dimensional variability analysis in CryoSparc revealed that the interaction between FKBP52FK1 and GR is highly dynamic, even as the other FKBP52 domains (FK2 and TPR) remain stably associated with GR (Supplementary Movies 1 and 2). At the FK1:GR interface, GRY545 on the post-Helix 1 strand interacts with a hydrophobic surface formed by the FKBP5281–88 loop and forms a hydrogen bond with FKBP52Y113. Supporting this interaction, residues of GRpost-Helix1 (GR544–546) have previously been implicated in FKBP51/52-dependent regulation of GR activity44,45. In addition, the FKBP52 proline-rich loop (β4–β5 loop or 80s loop) contacts GRHelix5/β1,2. Three-dimensional variability analysis in CryoSparc revealed that the proline-rich loop positioning is flexible, deviating from the position in the crystal structure (Protein Data Bank (PDB) ID: 4LAV) (ref. 46) and adopting different interfaces with GR (Supplementary Movies 3 and 4). In the consensus 3D refinement map, the proline-rich loop adopts a position similar to the crystal structure, and FKBP52A116,S118,P119 interact with GRHelix5/β1,2. The FKBP52P119L mutation has been shown to reduce GR and AR activation in vivo, while FKBP52A116V has been shown to increase AR activation in vivo29. We also demonstrate that the FKBP52S118A mutation significantly reduces FKBP52-dependent GR potentiation in vivo (Fig. 2e), further demonstrating the functional significance of this interaction site. In addition, S118 has been identified as a phosphorylation site on FKBP52, but not FKBP51 (qPTM database47) (possibly due to the unique adjacent proline, FKBP52P119, which could recruit proline-directed kinases). Phosphorylation at FKBP52S118 may help promote the interaction between the proline-rich loop and GR, which could also explain the large effect of the FKBP52S118A mutation in vivo.

While FKBP52FK1 is known to have PPIase enzymatic activity, GR is not bound in the PPIase active site and, accordingly, no GR prolines were found to have been isomerized compared to other GR structures (PDB IDs: 1M2Z (ref. 48) and 7KRJ (ref. 13)). Consistent with this, mutation of GR prolines does not disrupt FKBP52-dependent regulation of GR45. Additionally, mutations that disrupt PPIase activity do not affect FKBP52-dependent GR potentiation in vivo29. Conversely, PPIase inhibitors have been shown to block the FKBP52-dependent potentiation of GR in vivo23. This can now be understood, as docking of PPIase inhibitors (FK506 and rapamycin) into the PPIase active site demonstrates that the inhibitors would sterically block the FKBP52FK1:GR interface (Extended Data Fig. 4e), as previously hypothesized23,29.

Interface 2 is composed of the FKBP52 FK2Y161 sticking into a shallow hydrophobic pocket formed by GRHelix3, GRHelix11–12 loop (GRT561, M565,E748), and a hydrogen bond between the FKBP52 backbone and GRE748 (approximately 125 Å2 BSA) (Fig. 2c). Supporting this interaction, we show that the FKBP52Y161D mutation significantly reduces FKBP52-dependent GR potentiation in vivo, demonstrating the importance of this interaction (Fig. 2e). In interface 3, the solvent exposed, conserved FKBP52W259 on the FK2–TPR linker makes electrostatic and hydrophobic interactions with GRHelix12 (approximately 235 Å2 BSA) (Fig. 2d), which adopts the canonical agonist-bound position even in the absence of a stabilizing co-activator peptide interaction48 (Extended Data Fig. 3b). We show that the corresponding FKBP52W259D mutation significantly reduces FKBP52-dependent GR potentiation in vivo, demonstrating the functional importance of this single residue (Fig. 2e). Interestingly, FKBP52W259 is also conserved in the FKBP-like co-chaperone XAP2 and a recent structure reveals XAP2 engages with an Hsp90–client using the analogous XAP2W168, suggesting this residue is critical more broadly for FKBP co-chaperone:client engagement42. At interface 3, FKBP52K254,E257,Y302,Y303 make further polar interactions between the FK2–TPR linker and GRHelix12 (Fig. 2d). While a significant portion of the GRHelix12 co-activator binding site is available in the FKBP52-bound GR, the N-terminus of a co-activator peptide would sterically clash with FKBP52TPR based on the GR:co-activator peptide structure48 (Extended Data Fig. 5b). Thus, co-activator binding in the nucleus could help release GR from its complex with Hsp90:FKBP52. We also find that the residues at the FKBP52:GR interfaces are conserved across metazoans (Fig. 2f,g) and have been identified as sites that crosslink to GR in vivo (FKBP52Y159, W257) (ref. 49), in agreement with our results that single point mutations at each of the three FKBP52:GR interfaces has a significant effect on GR function in vivo. Based on the observation that FKBP52TPR is sufficient to bind Hsp90 and Hsp90:SHR complexes19,20, the FKBP52 single point mutants probably do not disrupt FKBP52 binding to the GR:Hsp90 complex, but specifically disrupt the GR:FKBP52 interaction and prevent stabilization of GRLBD by FKBP52.

FKBP52 advances GR to the next stage of maturation

We previously described another GR:chaperone complex, the GR–maturation complex (GR:Hsp90:p23) (ref. 13), which also contains a closed Hsp90 dimer and a folded, ligand-bound GR (Fig. 3a). However, in the GR:Hsp90:FKBP52 complex, GR is rotated by approximately 45° relative to the GR–maturation complex (Fig. 3a). Hsp90ASrc-loop interacts with GRpre-Helix1 in the maturation complex, but flips out to stabilize the rotated GR position in the GR:Hsp90:FKBP52 complex by interacting with the GRhydrophobic-patch (Fig. 3b,c). In both complexes, GRpre-Helix1 is threaded through the Hsp90lumen; however, in the GR:Hsp90:FKBP52 complex, GR has translocated through the Hsp90lumen by two residues, positioning prolines (GRP522,P526) in the hydrophobic pockets of the lumen rather than leucines (GRL525,L528) (Fig. 3d). This translocation positions GRLBD further from Hsp90, probably allowing enough space for the observed GR rotation. Despite the translocation and rotation of GR, Hsp90 uses the same surfaces to bind GR (Hsp90Bamphi-α, Hsp90ASrc-loop and Hsp90AW320); however, the contact surfaces on GR are different. The rotation of GR may facilitate LBD dimerization, which is on pathway to activation. In the GR–maturation complex, dimerization of the LBD clashes with Hsp90CTD; however, due to the rotation of the LBD in the GR:Hsp90:FKBP52 complex, LBD dimerization would now be sterically permitted after FKBP52 release (Extended Data Fig. 5c).

Fig. 3: FKBP52 competes with p23 to bind GR:Hsp90.
figure 3

a, Atomic model of the GR–maturation complex (top) and the GR:Hsp90:FKBP52 complex (bottom) with boxes corresponding to the interfaces shown in detail in bd. Hsp90A, dark blue; Hsp90B, light blue; GR, yellow; p23, green; FKBP52, teal. b, Position of the Hsp90A Src loop in the GR–maturation complex (Hsp90A, cyan) versus the GR:Hsp90:FKBP52 complex (Hsp90A, dark blue). GR (yellow, surface representation). Hsp90A Src loop residues interacting with the GR hydrophobic patch are shown. c, Interface between the p23 tail-helix (green) and the GR hydrophobic patch (yellow, surface representation) in the GR–maturation complex (top). The p23 tail-helix is replaced by the Hsp90A Src loop (dark blue) in the GR:Hsp90:FKBP52 complex (bottom), which flips up to interact with the GR hydrophobic patch (yellow, surface representation). Interacting side chains are shown. d, Interaction between GR pre-Helix 1 (GR523–531) in the Hsp90 lumen in the GR–maturation complex (top) versus the GR:Hsp90:FKBP52 complex (bottom). Hsp90A/Hsp90B are in surface representation colored by hydrophobicity. GR pre-Helix 1 translocates through the Hsp90 lumen by two residues in the transition from the GR–maturation complex to the GR:Hsp90:FKBP52 complex. e, Equilibrium binding of 10 nM F-dex to 100 nM GR DBD–LBD with chaperones and 15 μM FKBP52 (‘52’) (mean ± s.d.). n = 3 biologically independent samples per condition. ‘Chaperones’: 15 μM Hsp70, Hsp90, Hop, and p23 or p23Δhelix; 2 μM Ydj1 and Bag-1. Significance was evaluated using a one-way analysis of variance (ANOVA) (F(3,8) = 541.2; P < 0.0001) with post-hoc Šídák’s test (n.s. P > 0.05; *P ≤ 0.05; **P ≤ 0.01; ***P ≤ 0.001; ****P ≤ 0.0001). P values: P(chaperones versus chaperones + 52) 0.0002, P(chaperones + 52 versus chaperones with p23Δhelix + 52) <0.0001, P(chaperones with p23Δhelix versus chaperones with p23Δhelix + 52) <0.0001. f, Equilibrium binding of 10 nM F-dex to 100 nM GR DBD–LBD with chaperones, 15 μM FKBP52 (‘52’) and 20 mM sodium molybdate (‘Mo.’) (mean ± s.d.). n = 3 biologically independent samples per condition. ‘Chaperones’: 15 μM Hsp70, Hsp90, Hop and p23; 2 μM Ydj1 and Bag-1. ‘-p23’ indicates p23 was left out of the chaperone mixture. Significance was evaluated using a one-way ANOVA (F(5,12) = 761.5; P < 0.0001) with post-hoc Šídák’s test (n.s. P > 0.05; *P ≤ 0.05; **P ≤ 0.01; ***P ≤ 0.001; ****P ≤ 0.0001). P value <0.0001 for each comparison.

Source data

FKBP52 competes with p23 through allostery

Surprisingly, FKBP52 competes with p23 to bind the GR:Hsp90 complex, although there is no direct steric conflict between FKBP52 and p23 binding (Fig. 3a). During 3D classification on the cryo-EM dataset, GR:Hsp90:p23 complexes were observed at low abundance (~74,000 particles); however, the GR:Hsp90:FKBP52 complexes showed no apparent p23 density (Extended Data Fig. 2a,b), despite p23 being present at high concentration in the reconstitution. Furthermore, FKBP52 was only found associated with the rotated GR position, while the GR position in the p23-containing classes was only consistent with the GR–maturation complex. Thus, FKBP52 appears to specifically bind the rotated GR position, which is not compatible with p23 binding. This is consistent with mass spectrometry studies, demonstrating FKBP52 competes with p23 to form a stable GR:Hsp90:FKBP52 complex50. In the rotated GR position, Hsp90ASrc-loop flips out of the Hsp90lumen to bind the GRhydrophobic-patch, which was previously engaged by the p23tail-helix (Fig. 3a–c). Thus, rotation of GR dictates the accessibility of the GRhydrophobic-patch to either Hsp90 or p23. FKBP52 stabilizes the rotated position of GR and therefore favors GR binding to Hsp90ASrc-loop over p23.

FKBP52 potentiates GR ligand binding in vitro

To quantitatively assess the functional significance of FKBP52 on GR activation, we added FKBP52 to the in vitro reconstituted GR chaperone cycle, using the GR DBD–LBD construct (residues 418–777 containing the F602S solubilizing mutation) and monitored GR ligand binding, as previously described11,13. Addition of FKBP52 to the GR chaperone cycle resulted in the enhancement of GR ligand binding above the already enhanced GR + chaperones control reaction at equilibrium (Fig. 3e), strongly suggesting FKBP52 potentiates the GR ligand binding affinity beyond the minimal chaperone mixture, consistent with reports in vivo23. We hypothesized that FKBP52 functions in a similar manner to the p23tail-helix in stabilizing the ligand-bound GR. As previously described, removal of the p23tail-helix (p23Δhelix) resulted in a decrease in GR ligand binding activity in the GR chaperone system13; however, addition of FKBP52 to the reaction fully rescued GR ligand binding in the p23Δhelix background (Fig. 3e). Thus, FKBP52 can functionally replace the p23tail-helix, probably by also directly stabilizing the ligand-bound GR. Given that FKBP52 and the p23tail-helix bind different locations on GR, the mechanisms of stabilization may be unique. Additionally, in the p23Δhelix background, FKBP52 potentiated ligand binding to a greater extent than in the wild-type p23 background. We hypothesize that removing p23tail-helix alleviates the competition between p23 and FKBP52, allowing p23 to remain bound to the GR:Hsp90:FKBP52 complex. Given that p23 is known to stabilize the closed Hsp90 conformation13,51, the enhanced ligand binding in the p23Δhelix background may be due to stabilization of closed Hsp90 by p23Δhelix. Interestingly, FKBP52 also affected GR ligand binding independent of Hsp90, with addition of FKBP52 to GR resulting in enhanced ligand binding, probably due to an Hsp90-independent chaperoning effect15,52 (Extended Data Fig. 5d).

Upon Hsp90 closure, FKBP52 can functionally replace p23

Given that FKBP52 can functionally replace p23tail-helix, we wondered whether FKBP52 could also functionally replace p23 altogether. p23 is known to stabilize Hsp90NTD closure through the globular p23 domain13,51 in addition to stabilizing the ligand-bound GR through the p23tail-helix13. Omitting p23 from the GR chaperone cycle drastically reduces GR ligand binding, as previously described11,13. The addition of FKBP52 in place of p23 results in a small increase in ligand binding but does not fully rescue ligand binding activity (Fig. 3f). We reasoned this could be due to the inability of FKBP52 to sufficiently stabilize Hsp90 closure, as previously suggested53. Therefore, we added molybdate to these reactions, which stabilizes Hsp90NTD closure by acting as a γ-phosphate analog in the Hsp90NTD ATP-binding site13,54. Addition of molybdate to the reaction lacking p23 resulted in a small increase in GR ligand binding but did not fully rescue ligand binding activity. However, addition of molybdate to the reactions containing FKBP52 without p23 resulted in a full reactivation of ligand binding and even potentiated ligand binding over the control GR + chaperones reaction (Fig. 3f), much like with p23Δhelix. Thus, FKBP52 is able to functionally replace p23 if Hsp90NTD closure is stabilized. Taken together, these results suggest FKBP52 can stabilize the ligand-bound GR, like p23, but cannot stabilize the closed Hsp90NTD conformation, which requires p23.

GR:Hsp90:FKBP51 structure determination

In vivo, the interplay between FKBP52 and the highly similar FKBP51 have profound implications for GR activity. FKBP51 is functionally antagonistic to FKBP52-dependent potentiation of GR in vivo; thus, the relative ratios of FKBP51 and FKBP52 dictate GR activity levels23,28,55. To understand how FKBP51 antagonizes FKBP52, we prepared the human GR:Hsp90:FKBP51 complex by in vitro reconstitution of the GR chaperone cycle with FKBP51 (Extended Data Fig. 1d–f). We obtained a 3.23 Å cryo-EM reconstruction of GR:Hsp90:FKBP51 (Fig. 4a,b, Table 1 and Extended Data Fig. 6a,b). Contrary to our expectations, the FKBP51-containing structure appears nearly identical to the FKBP52-containing structure. The GR:Hsp90:FKBP51 structure reveals a fully closed Hsp90 dimer complexed with a single GR and a single FKBP51, which occupy the same side of Hsp90 (Fig. 4a,b; for a discussion of Hsp90 nucleotide, see Extended Data Fig. 7a and Methods). As with the FKBP52 dataset, GR:Hsp90:p23 complexes were also observed during 3D classification and the GR:Hsp90:FKBP51 complexes showed no apparent p23 density (Extended Data Fig. 6a,b). The FKBP51:Hsp90 interactions are analogous to the FKBP52:Hsp90 interactions, including Hsp90BMEEVD:FKBPTPR and Hsp90CTD:FKBPH7e, also seen in the Hsp90:FKBP51:p23 structure19, but distinct from a previous nuclear magnetic resonance model56 (Fig. 4b and Extended Data Fig. 7b–d). The GR:Hsp90 interfaces are nearly identical when comparing the FKBP51 and FKBP52-containing complexes, including Hsp90Src-loop:GRhydrophobic-patch and Hsp90lumen:GRpre-Helix1 (Fig. 4b and Extended Data Fig. 7e–g).

Fig. 4: Architecture of the GR:Hsp90:FKBP51 complex.
figure 4

a, Composite cryo-EM map of the GR:Hsp90:FKBP51 complex. Hsp90A, dark blue; Hsp90B, light blue; GR, yellow; FKBP51, purple. Color scheme is maintained throughout. b, Atomic model in cartoon representation with boxes corresponding to the interfaces shown in detail in ce. c, Interface 1 between GR (yellow) and the FKBP51 FK1 domain (purple), showing interacting side chains and hydrogen bonds (dashed pink lines). d, Interface 2 between GR (yellow) and the FKBP51 FK2 domain (purple), showing interacting side chains and hydrogen bonds (dashed pink lines). e, Interface 3 between GR (yellow) and the FKBP51 FK2–TPR linker (yellow), showing interacting side chains and hydrogen bonds (dashed pink lines). f, Equilibrium binding of 10 nM F-dex to 100 nM GR DBD–LBD with chaperones, 15 μM FKBP51 (‘51’), 15 μM FKBP52 (‘52’) or mutants (mean ± s.d.). n = 3 biologically independent samples per condition. ‘Chaperones’: 15 μM Hsp70, Hsp90, Hop, and p23 or p23Δhelix; 2 μM Ydj1 and Bag-1. Significance was evaluated using a one-way analysis of variance (F(5,12) = 404.1; P < 0.0001) with post-hoc Šídák’s test (n.s. P > 0.05; *P ≤ 0.05; **P ≤ 0.01; ***P ≤ 0.001; ****P ≤ 0.0001). P values: P(chaperones versus chaperones with p23Δhelix) <0.0001, P(chaperones versus chaperones with p23Δhelix + 51) 0.0343, P(chaperones with p23Δhelix + 51 versus chaperones with p23Δhelix + 51 L119P) <0.0001, P(chaperones with p23Δhelix + 51 versus chaperones with p23Δhelix + 52) <0.0001, P(chaperones with p23Δhelix + 52 versus chaperones with p23Δhelix + 52 P119L) <0.0001, P(chaperones with p23Δhelix + 51 P119L versus chaperones with p23Δhelix + 52 P119L) <0.0001.

Source data

FKBP51 also directly binds GR in an analogous manner to FKBP52 (Fig. 4c–e). FKBP51 binds the folded, ligand-bound, rotated GR using the same three major interfaces (1) FKBP51FK1:GR, (2) FKBP51FK2:GRHelix3 and (3) FKBP51FK2/TPR-linker:GRHelix12. The GR:FKBP52 interaction residues are largely conserved for GR:FKBP51 (Fig. 2f). As with the FKBP52-containing structure, no GR prolines appear to be isomerized and the PPIase inhibitors rapamycin and FK506 sterically clash with the GR backbone. Interestingly, the small FKBP51-specific inhibitor, SAFit2 (PDB ID: 6TXX)35,57, does not clash with the GR backbone and may be accommodated with only side chain rotations, consistent with in vivo data49 (Extended Data Fig. 7h). Furthermore, the FKBP51 FK1 domain and FK1 proline-rich loop are highly dynamic, as revealed by CryoSparc 3D variability analysis, analogous to the FKBP52-containing structure (Supplementary Movies 5 and 6). However, in the GR:Hsp90:FKBP51 complex, the FK1 domain contacts GR at a different angle relative to the GR:Hsp90:FKBP52 complex. Thus, the FK1:GR interface is distinct between the two complexes, specifically at the functionally important, but divergent, residue 119 in the proline-rich loop (FKBP51L119 and FKBP52P119) (Figs. 2b and 4c)29, which we investigated further below.

FKBP51/52 functional difference is dependent on residue 119

To quantitatively assess the functional effect of FKBP51 on GR in vitro, we added FKBP51 to the GR chaperone cycle and measured ligand binding activity. FKBP51 had no effect on the GR equilibrium value (Extended Data Fig. 8a), unlike FKBP52 which potentiated GR ligand binding. However, we found FKBP51 can functionally replace p23tail-helix (or p23, if molybdate is added), just as we observed with FKBP52 (Fig. 4f and Extended Data Fig. 8b). However, FKBP51 does not potentiate GR ligand binding in any of these conditions, unlike FKBP52, recapitulating in vivo findings23,29.

The residues responsible for the functional difference between FKBP51 and FKBP52 in vivo are in the FK1 domain proline-rich loop, specifically the divergent residue 119 (FKBP51L119 and FKBP52P119)29. To assess whether this residue is responsible for the functional difference between FKBP51 and FKBP52 in vitro, we swapped residue 119 (FKBP51L119P and FKBP52P119L) and added these mutants to the in vitro reconstituted GR chaperone cycle. We then measured ligand binding activity in the p23Δhelix background, where the largest potentiation due to FKBP52 was observed. Surprisingly, the residue 119 swapped mutants almost fully reversed the effects of FKBP51 and FKBP52 on GR: FKBP51L119P potentiated GR ligand binding over the GR + chaperones control reaction, while FKBP52P119L showed significantly less potentiation of ligand binding compared to wild-type FKBP52 (Fig. 4f). These results are consistent with the effects of the FKBP51/52 residue 119 swapped mutants in vivo29. Thus, residue 119 on the proline-rich loop provides a critical functional difference between FKBP51 and FKBP52 on GR activity in vitro and in vivo, probably driven via the differential positioning of the loop seen in our structures.

Discussion

We present two cryo-EM structures, demonstrating how the co-chaperones FKBP51 and FKBP52 bind to an Hsp90–client complex. The 3.01 Å human GR:Hsp90:FKBP52 structure reveals that FKBP52 directly and extensively binds the client using three distinct interfaces that stabilize the folded, ligand-bound conformation of GR. We show that FKBP52 enhances GR ligand binding in vitro and that each of the three observed GR:FKBP52 interfaces is critical for FKBP52-dependent potentiation in vivo. We also provide a 3.23 Å human GR:Hsp90:FKBP51 structure, unexpectedly demonstrating FKBP51 binds to the GR:Hsp90 complex similarly to FKBP52, providing a molecular explanation for the functional antagonism between FKBP51 and FKBP52. Our structures contribute to an emerging theme in which Hsp90 co-chaperones bind to distinct Hsp90 conformations, while simultaneously stabilizing specific client conformations to regulate client activity12,13,41,42,54.

A recent study49 using in vivo chemical crosslinking validates our structures remarkably well, recapitulating all three major GR:FKBP51/52 contacts as well as the FKBP-mediated rotated GR position. Given that the in vivo crosslinking between GR and FKBP51/52 was performed in the absence of ligand, together our findings demonstrate that FKBP51 and FKBP52 bind apo GRLBD in a similar, if not identical manner to the ligand-bound GRLBD observed here in our structures. In vivo, ligand addition dissociates GR:Hsp90:FKBP51/52 complexes49 probably due to the rapid ligand-dependent nuclear translocation of GR22,58. While our high-resolution reconstructions unambiguously contain ligand, apo GR:Hsp90:FKBP51/52 complexes probably also exist in our dataset, but are less well ordered (consistent with the GR–maturation complex13). In addition, that study provided further in vivo validation of our structural models by demonstrating FK506, but not SAFit2, inhibits FKBP51-dependent regulation of GR in vivo (Extended Data Figs. 4e and 7h) and that the FKBP51/52 FK1 domain is dynamically associated with GR (Supplementary Movies 16). Altogether, these studies complement each other extraordinarily well, demonstrating direct association of FKBP51 and FKBP52 with GRLBD in vivo and in vitro at single-residue resolution.

Unexpectedly, our structures also demonstrate that FKBP51 and FKBP52 compete with p23 to bind the GR:Hsp90 complex through an allosteric mechanism. Previous reports showed FKBP51 and p23 could simultaneously bind the closed Hsp90 in the absence of client19. We demonstrate that the position of the client can dictate which co-chaperone is bound, with the FKBPs and p23 binding to distinct GR surfaces accessible in distinct GR orientations. FKBP51 and FKBP52 stabilize a rotated position of GR relative to the GR–maturation complex, which may facilitate post-translational modifications, interactor binding or GR dimerization, as suggested previously59, raising the possibility that the FKBPs promote the next step in maturation. Although the FKBPs directly contact GR, they do not appear to isomerize GR prolines or engage GRNLS1 (nuclear localization signal 1) (GR467–505) (ref. 60) to regulate GR activity, as previously hypothesized8,61,62,63.

While FKBP51 binds GR:Hsp90 similarly to FKBP52, we find that, unlike FKBP52, FKBP51 does not enhance GR ligand binding in vitro, consistent with in vivo studies23,27,29. Importantly, we find proline 119 on FKBP52 is critical for enhancement of ligand binding in vitro, also consistent with in vivo studies29. Proline 119 on FKBP52 was found to decrease dynamics of the proline-rich loop (80s loop, β4–β5 loop) by nuclear magnetic resonance, relative to leucine 119 on FKBP51 (ref. 64). Three-dimensional variability analysis of our structures demonstrates the FKBP51/52 proline-rich loop dynamically interacts with GR and differences in dynamics may dictate the specificity and/or stability of the interaction, leading to distinct regulation of GR activity by the FKBPs.

Based on our structures of the GR:Hsp90:FKBP51 and GR:Hsp90:FKBP52 complexes, we propose additional steps in the GR chaperone cycle accounting for FKBP51/52 incorporation and subsequent regulation of GR activity (Fig. 5). In the cytosol, GR cycles between Hsp70 and Hsp90, which locally unfold and refold GR to directly control ligand binding11,12,13. Once the folded GR reaches the GR–maturation complex (GR:Hsp90:p23), either FKBP51 or FKBP52 binds the complex and competes with p23 to advance GR to the next stage of maturation. Given that the folded GR is strongly stabilized and tightly associated with Hsp90 and the FKBPs, we suggest that it is unlikely that ligand binding/unbinding happens in the context of FKBP-bound complexes. Instead, we propose that ligand binds before the formation of either the GR–maturation complex or the GR:Hsp90:FKBP complexes, and that unbinding mostly occurs by recycling GR back to Hsp70, as previously described11,12,13.

Fig. 5: Mechanism of GR regulation by FKBP51 and FKBP52 during the GR chaperone cycle.
figure 5

Schematic depicting how the FKBP co-chaperones integrate with the GR chaperone cycle and how this cycle may take place within a cellular context. Starting on the top left, GR (yellow, cartoon representation) is in dynamic equilibrium between cortisol-bound and unbound (apo) states. Hsp70 (orange) binds GR and locally unfolds GR to inhibit cortisol binding, stabilizing GR in a partially unfolded, apo state. Hsp70 transfers the partially unfolded GR to Hsp90 (light and dark blue):Hop (pink) to form the GR–loading complex12, in which GR is stabilized in a partially unfolded, apo state. Cortisol (pink), which enters the cell through diffusion, binds to GR during the transition from the GR–loading complex to the GR–maturation complex when Hsp90 refolds the GR to a native conformation13. In the GR–maturation complex, the cortisol-bound, folded GR is stabilized by Hsp90 and p23 (green) and is protected from Hsp70 re-binding. Depending on the relative concentrations of the FKBPs, either FKBP51 (purple) or FKBP52 (teal) can bind the GR:Hsp90:p23 complex, competing with p23, and stabilizing the rotated position of GR. FKBP51 sequesters GR:Hsp90 in the cytosol until ATP hydrolysis on Hsp90 allows release of GR back to the chaperone cycle. In contrast, FKBP52 promotes rapid nuclear translocation of GR:Hsp90 (refs. 22,24,25,65). Once in the nucleus, the cortisol-bound GR can dimerize, nucleate the assembly of transcriptional regulatory complexes, and regulate transcription, including activating expression of FKBP51, leading to a negative feedback loop that regulates GR activity in the cell27,66,67,68,69,70.

The functional outcome for GR is dictated by which FKBP binds. FKBP52 stabilizes ligand-bound GR, resulting in enhanced ligand affinity, and facilitates rapid GR nuclear translocation on dynein22,24,25,65, allowing GR to proceed with dimerization and transcription activation. In contrast, FKBP51 keeps GR sequestered in the cytosol, enabling GR to recycle back into the chaperone cycle, inhibiting GR translocation and transcription activation. Interestingly, the expression of FKBP51, but not FKBP52, is upregulated by GR (also PR and AR), leading to a short negative feedback loop, which may help dampen chronic GR activation and signaling27,66,67,68,69,70. Thus, the relative concentrations of FKBP51 and FKBP52 in the cell dictate the level of GR activity in vivo23,28,55.

Beyond GR, FKBP51/52 are known to regulate the entire SHR class. Given the sequence and structural conservation of SHRLBD at the FKBP binding sites, we propose FKBP51/52 engage with all SHRs in a similar manner (Extended Data Fig. 9a,b). Thus, FKBP51/52 can fine-tune the activity of these critical and clinically important signaling molecules and allow for crosstalk between the hormone signaling pathways. Altogether, we demonstrate how Hsp90 provides a platform for the FKBP co-chaperones to engage Hsp90 clients after folding and promote the next step of client maturation, providing a critical layer of functional regulation.

Methods

Data analysis and figure preparation

Figures were created using UCSF Chimera v.1.14 (ref. 71), UCSF ChimeraX v1.0.0 (ref. 72) and BioRender.com. Data from GR activation assays and GR ligand binding assays were analyzed using Prism v.9.4.0 for Mac (GraphPad Software, www.graphpad.com).

Protein expression and purification

Human Hsp90α, Hsp70 (gene Hsp70A1A), Hop, p23, p23Δhelix (1–112), Bag-1 isoform 4 (116–345) and yeast Ydj1 (Hsp40) were expressed as previously described13. FKBP51 and FKBP52 were expressed in the pET151 bacterial expression plasmid with a cleavable N-terminal, 6x-His tag and purified in an analogous manner.

GR DBD–LBD expression and purification

The human GR DBD–LBD construct contains the GR DNA binding domain (DBD), hinge, and ligand binding domain (LBD) (418–777) with solubilizing mutation F602S. The construct was codon optimized and expressed in the pMAL-c3X derivative with an N-terminal cleavable 6x-His–MBP tag. For datasets I, II and III, GR DBD–LBD was expressed and purified with ligand as follows. GR DBD–LBD were expressed in Escherichia coli BL21 star (DE3) strain. Cells were grown in either Luria broth or Terrific broth at 37 °C until OD600 reached 0.6, and then 100 μM dexamethasone and 50 μM ZnCl2 were added. Cells were induced with 1 mM isopropyl β-d-1-thiogalactopyranoside at OD600 0.8. Cells were grown overnight (~16–18 h) at 16 °C. Cells were collected and lysed in 50 mM Tris pH 8, 300 mM KCl, 50 μM dexamethasone, 5 mM imidazole pH 8, 10% glycerol, 2 mM dithiothreitol (DTT) and 0.2 mM phenylmethylsulfonyl fluoride. Lysate was centrifuged and the soluble fraction was affinity purified by gravity column with Ni-NTA affinity resin (QIAGEN). During Ni-NTA affinity purification, the resin was washed with a buffer containing 30 mM Tris pH 8, 500 mM KCl, 50 μM dexamethasone, 10% glycerol, 2 mM DTT, 2 mM ATP, 5 mM MgCl2 and 0.1% Tween20. Then the resin was washed with a buffer containing 30 mM Tris pH 8, 500 mM KCl, 50 μM dexamethasone, 10% glycerol, 2 mM DTT and 5 mM ethylenediaminetetraacetic acid. The protein was eluted with 30 mM Tris pH 8, 150 mM KCl, 50 μM dexamethasone, 300 mM imidazole pH 8, 10% glycerol and 3 mM DTT. Protein was then purified by size exclusion in 30 mM HEPES pH 7.5, 150 mM KCl, 50 μM dexamethasone, 10% glycerol and 4 mM DTT using a HiLoad 16/60 Superdex 200 (GE Healthcare). Protein was purified a second time by size exclusion using a HiLoad 16/60 Superdex 200 (GE Healthcare) to further remove degradation products. Protein was concentrated, flash frozen and stored at −80 °C.

For dataset IV and GR ligand binding assays, apo GR DBD–LBD was expressed and purified as in a similar manner as described above; however, after Ni-NTA purification, the protein was dialyzed overnight in a buffer containing 30 mM Tris pH 7.5, 150 mM KCl, 10% glycerol and 2 mM DTT. Protein was then purified by hydrophobic interaction chromatography on a HiScreen Butyl-S FF (4.7 mL) column (Cytiva Life Sciences) to remove degradation products. First, solid KCl was slowly added to the protein solution at 4 °C to a final concentration of 2 M KCl. Then the protein was injected onto the hydrophobic interaction chromatography column and eluted over a gradient of 2 M–0 M KCl over 10 column volumes in a buffer containing 30 mM Tris pH 7.5, 10% glycerol and 2 mM DTT. Then the protein was further purified by size exclusion in 30 mM HEPES pH 8, 150 mM KCl, 10% glycerol and 0.5 mM tris(2-carboxyethyl)phosphine using a HiLoad 16/60 Superdex 200 (GE Healthcare). Protein was then dialyzed for 3 days, with fresh buffer each day, in a buffer containing 30 mM HEPES pH 8, 150 mM KCl, 10% glycerol and 2 mM DTT. Protein was concentrated, flash frozen and stored at −80 °C.

GR:Hsp90:FKBP complex sample preparation

The GR chaperone cycle was reconstituted in vitro with purified components as previously described11 with addition of 15 μM FKBP51 or FKBP52. After 60 min at room temperature, another 15 μM FKBP51 or FKBP52 was added, along with 15 μM Bag-1 and 20 mM sodium molybdate. The reaction was incubated at room temperature for another 30 min and then a pulldown on MBP–GR DBD–LBD was performed as previously described. The elution was analyzed by sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS–PAGE) (4–12% acrylamide gel) (Extended Data Fig. 1d). The elution was concentrated and purified by size exclusion using a Superdex 200 Increase 3.2/300 (Cytiva Life Sciences), and fractions were analyzed by SDS–PAGE (4–12% acrylamide gel) (Extended Data Fig. 1e). Fractions containing the full complex were concentrated to ~2 μM and crosslinked with 0.02% glutaraldehyde for 20 min at room temperature (Extended Data Fig. 1d). Then 2.5 μl of sample was applied to glow-discharged QUANTIFOIL R1.2/1.3, 400-mesh, copper holey carbon grid (Quantifoil Micro Tools GmbH) and plunge-frozen in liquid ethane using a Vitrobot Mark IV (FEI) with a blotting time of 12–16 s, blotting force 3, at 10 °C, and with 100% humidity.

Cryo-EM data acquisition

All data were acquired using SerialEM software v.4.0 (ref. 73) and collected on an FEI Titan Krios electron microscope (Thermo Fisher Scientific) using a K3 direct electron camera (Gatan) and equipped with a Bioquantum energy filter (Gatan) set to a slit width of 20 eV (example micrographs in Extended Data Fig. 1f). For additional parameters, see Table 1. All datasets were acquired using fringe-free imaging (FFI) and multi-hole targeting using image shift in which three micrographs were collected per hole. Two small datasets on the GR:Hsp90:FKBP52 and GR:Hsp90:FKBP51 complex were collected before the larger datasets and used for initial model generation (described below).

Table 1 Cryo-EM data collection, refinement and validation statistics

Cryo-EM data processing

The smaller GR:Hsp90:FKBP51 and GR:Hsp90:FKBP52 datasets consisted of 1,181 and 2,022 dose-fractionated image stacks, respectively, which were motion corrected using UCSF MotionCor2 (ref. 74) and analyzed with RELION v.3.0.8 (ref. 75). Motion-corrected images were used for contrast transfer function (CTF) estimation using CTFFIND v.4.1 (ref. 76), and Laplacian-of-Gaussian particle picking was done in RELION. Multiple rounds of 3D classification with symmetry C1 were performed with the GR–maturation complex (PDB ID: 7KRJ) (ref. 13) as a low-pass-filtered (20 Å) initial model until medium-resolution (~8 Å) GR:Hsp90:FKBP51 and GR:Hsp90:FKBP52 reconstructions were obtained. These reconstructions were used as an initial references for the larger GR:Hsp90:FKBP51 and GR:Hsp90:FKBP52 datasets, respectively.

Datasets I–IV were motion corrected using UCSF MotionCor2 and analyzed with RELION v.3.1.0. Motion-corrected images with dose weighting were used for CTF estimation using CTFFIND v.4.1 and reference-based picking was done in RELION using the corresponding references from the smaller datasets described above. The processing scheme for datasets I–IV are depicted in Extended Data Figs. 2a and 6a. After initial rounds of 3D classification with symmetry C1, the GR:Hsp90:FKBP52 datasets (I and II) were combined and GR:Hsp90:FKBP51 datasets (III and IV) were combined.

For the GR:Hsp90:FKBP52 combined dataset, a particle stack of ~496,000 particles was obtained representing a GR:Hsp90:FKBP52 reconstruction at nominal resolution 3.82 Å. This stack was then subjected to 3D classification without alignment and subsequent 3D refinement on the best classes (~307,000 particles), which yielded the best overall consensus reconstruction at a nominal resolution of 3.56 Å. Additionally, to improve the resolution of the GR:FKBP52 region, the ~496,000 particle stack was subjected to signal subtraction of the Hsp90 region. Focused refinement on the Hsp90-subtracted particle stack was then performed (initial angular sampling 1.8°, initial offset range 3 pixels, initial offset step 0.75 pixels, local searches from auto-sampling 1.8°) using a mask including GR and FKBP52 only. Focused classification without alignment was then performed using a mask including GR and FKBP52 only. Focused refinement on the best class (~107,000 particles) was then performed (initial angular sampling 0.9°, initial offset range 3 pixels, initial offset step 0.75 pixels, local searches from auto-sampling 0.9°) using focused refinement using a mask including GR and FKBP52 only, which yielded a GR:FKBP52 reconstruction with a nominal resolution of 4.31 Å.

For the GR:Hsp90:FKBP51 combined dataset, a particle stack of ~500,000 particles was obtained, representing a GR:Hsp90:FKBP51 reconstruction at a nominal resolution of 4.05 Å. This stack was then subjected to 3D classification without alignment and subsequent 3D refinement on the best classes (~172,000 particles) to obtain the best overall consensus reconstruction at a nominal resolution of 4.18 Å. Additionally, to improve the resolution of the GR:FKBP51 region, the ~500,000 particle stack was subjected to signal subtraction of the Hsp90 region. Focused refinement on the Hsp90-subtracted particle stack was then performed (initial angular sampling 0.9°, initial offset range 3 pixels, initial offset step 1 pixels, local searches from auto-sampling 0.9°) using a mask including GR and FKBP51 only. Focused classification without alignment was then performed using a mask including GR and FKBP51 only. Focused refinement on the best class (~120,000 particles) was then performed (initial angular sampling 0.9°, initial offset range 3 pixels, initial offset step 1 pixels, local searches from auto-sampling 0.9°) using focused refinement using a mask including GR and FKBP51 only, which yielded a GR:FKBP51 reconstruction with a nominal resolution of 4.31 Å.

Per-particle CTF, beam-tilt refinement, trefoil and fourth order aberration refinement, and astigmatism were estimated for both the consensus reconstructions and GR:FKBP focused reconstructions in RELION. The corrected particle stacks were then imported to CryoSparc (v3.3.2), and 2D classification was performed to clean up the particle stacks. The consensus reconstructions were subjected to non-uniform refinement with an envelope mask and a mask including Hsp90 only. The GR:FKBP focused reconstructions were subjected to local refinement with a mask including GR and FKBP only.

All final reconstructions were post-processed in CryoSparc in which the nominal resolution was determined by the gold standard Fourier shell correlation (FSC) using the 0.143 criterion (Extended Data Figs. 2a and 6a). Maps were sharpened in CryoSparc and filtered to their estimated resolution. A composite map for both GR:Hsp90:FKBP51 and GR:Hsp90:FKBP52 was generated by combining the overall consensus refinement map with the GR:FKBP focused refinement map using vop maximum in Chimera. Note that the composite maps were only used for presentation in Figs. 1a and 4a, but not used in atomic model building or refinement.

CryoSparc 3D Variability Analysis was performed for the focused GR:FKBP51 and GR:FKBP52 reconstructions with the following parameters: number of modes to solve, 3; symmetry, C1; filter resolution, 6 Å; filter order, 1.5; high pass order, 8; per-particle scale, optimal; number of iterations, 20; lambda, 0.01.

For both the GR:Hsp90:FKBP51 and GR:Hsp90:FKBP52 complexes, no ligand-free GR complexes were identified during image analysis, despite many rounds of focused classification on GR at various stages of data processing. Only classes with clear ligand density in the GR ligand binding pocket were obtained, suggesting ligand-free GR is either too dynamic or quickly released from the complex, consistent with findings during processing of the GR–maturation complex13.

Model building and refinement

For the GR:Hsp90:FKBP52 atomic model, dexamethasone-bound GR LBD and the closed Hsp90 dimer from the GR–maturation complex (PDB ID: 7KRJ) (ref. 13) along with the AlphaFold77,78 model of human FKBP52 (accession number AF-Q02790) were used as starting models. Additionally, the Hsp90 MEEVD peptide from the FKBP51:Hsp90 MEEVD crystal structure (PDB ID: 5NJX) (ref. 18) was used. For the GR:Hsp90:FKBP51 atomic model, human FKBP51 from the Hsp90:FKBP51:p23 cryo-EM structure (PDB ID: 7L7I) (ref. 19) was used as a starting model.

Note that the nucleotide density in the Hsp90 NTD pockets were modeled as ATP in both the GR:Hsp90:FKBP51 and GR:Hsp90:FKBP52 atomic models; however, we cannot unambiguously determine whether the density corresponds to ATP or ADP:molybdate due to the difficulty in assigning the γ-phosphate density as molybdate. Our previous work demonstrated that Hsp90 needs to hydrolyze at least one ATP to reach the GR–maturation complex11, strongly suggesting the nucleotide is in a hydrolyzed ADP:molybdate state. Furthermore, the γ-phosphate density is relatively strong compared to the rest of the map (Extended Data Figs. 3a and 7a), suggesting the presence of molybdate in at least some population of particles. However, Hsp90 may be in a hemi-hydrolyzed state with one protomer bound to ATP and one protomer bound to ADP:molybdate, which we cannot unambiguously determine from the reconstruction. Therefore, we have modeled ATP into the density, which is consistent with our treatment of the GR–maturation complex13.

Models were refined using Rosetta v.3.11 throughout. Following the split map approach79 to prevent and monitor overfitting, the Rosetta iterative backbone rebuilding procedure was used to refine models against one of the half maps obtained from RELION, with the other half map only used for validations. Structurally uncharacterized regions, including the FKBP52 TPR:Hsp90 CTD interaction, the FKBP51:HSP90 CTD interaction, and the Hsp90 lumen:GR pre-Helix 1 interaction, were built de novo into consensus maps or focused maps using RosettaCM80. The final refinement statistics are provided in Table 1.

Fluorescence polarization assays

Fluorescence polarization of fluorescent dexamethasone (F-dex) (Thermo Fisher) was measured on a CLARIOstar Plus microplate reader (BMG LabTech) with excitation/emission wavelengths of 485/538 nm, and temperature control set at 25 °C. Buffer conditions were 50 mM HEPES pH 8, 100 mM KCl, 2 mM DTT. For equilibrium ligand binding in Figs. 3e,f and 4f, and Extended Data Fig. 8a,b, proteins were pre-equilibrated together at room temperature for 60 min before F-dex addition. Proteins and reagents were added at the following concentration: 10 nM F-dex, 100 nM GR DBD–LBD, 2 μM Hsp40, 2 μM Bag-1, 15 μM Hsp70, 15 μM Hsp90, 15 μM Hop, 15 μM p23 or p23Δhelix, 15 μM FKBP or FKBP mutants, 5 mM ATP/MgCl2 and 20 mM sodium molybdate where indicated. Note that the dissociation constant (KD) between GR and F-dex is ~150 nM (ref. 11). Ligand binding was initiated with 10 nM F-dex, and association was measured until reaching equilibrium. The plotted equilibrium values in Figs. 3e,f and 4f and Extended Data Fig. 8a,b represent the mean of three biologically independent samples, with error bars representing the standard deviation (s.d.). Polarization values are plotted as the change in polarization from the control sample (10 nM F-dex, 100 nM GR DBD–LBD, 2 μM Hsp40, 2 μM Bag-1, 15 μM Hsp70, 15 μM Hsp90, 15 μM Hop, 15 μM p23 and 5 mM ATP/MgCl2). For equilibrium ligand binding in Extended Data Fig. 5d, proteins were pre-equilibrated together at room temperature for 30 min before F-dex addition. Proteins and reagents were added at the following concentration: 10 nM F-dex, 100 nM GR and 15 μM FKBP51 or FKBP52. Ligand binding was initiated with 10 nM F-dex, and association was measured until reaching equilibrium. The plotted data points for each reaction represent three biologically independent samples. GR ligand binding behavior was affected by buffer conditions; therefore, reactions were always normalized such that each reaction had equivalent amounts of buffer reagents.

Sequence alignments

For FKBP52 (gene FKBP4) sequence alignments in Fig. 2f, sequences were obtained from Uniprot81, aligned in Clustal Omega82,83 and visualized in JalView 2.11.1.0 (ref. 84). Sequences in the alignment are: H. sapiens FKBP52, M. musculus FKBP52, R. norvegicus FKBP52, D. melanogaster FKBP52, T. guttata FKBP52, G. gallus FKBP52, X. tropicalis FKBP52 and H. sapiens FKBP51 (Uniprot accession codes: Q02790, P30416, Q9QVC8, Q6IQ94, H0ZSE5, A0A3Q3B0L8, A0A310SUH5 and Q13451, respectively). For Fig. 2g, sequences were obtained from Uniprot81, aligned in Clustal Omega82,83, and conservation scores were calculated and mapped onto GR from the GR:Hsp90:FKBP52 atomic model using UCSF Chimera v.1.14 (ref. 71). Sequences in the alignment are: H. sapiens GR, M. musculus GR, R. norvegicus GR, T. guttata GR, G. gallus GR, X. tropicalis GR and D. rerio GR (Uniprot accession codes: P04150, P06537, P06536, A0A674H6U9, A0A1D5PRD7, Q28E31 and A0A2R8QN75, respectively).

For Extended Data Fig. 9b, the sequences were obtained from Uniprot81, aligned in Clustal Omega82,83, and mapped onto GR from the maturation complex using Chimera v.1.14 (ref. 71). Sequences in the alignment are the human SHRs: GR, mineralocorticoid receptor, AR, progesterone receptor, estrogen receptor α and β (Uniprot accession codes: P04150, P08235, P10275, P06401, E3WH19 and Q92731, respectively). Conservation was calculated using percent conservation in Chimera v.1.14 (ref. 71) (with AL2CO85 parameters (unweighted frequency estimation and entropy-based conservation measurement)).

Analysis of FKBP52 mutant expression by western blot

Wild-type (JJ762) cells expressing empty vector (e.v., pRS423GPD) or plasmid-borne wild-type or mutant FKBP52 (pRS423GPD-FKBP52) were lysed and subjected to SDS–PAGE (10% acrylamide gel) followed by immunoblot analysis with a monoclonal antibody (1:1,000 dilution) specific for FKBP52 (Hi52b, a gift from Dr. Marc Cox, The University of Texas at El Paso)23 (Extended Data Fig. 5a). A monoclonal antibody against PGK1 (Invitrogen #459250) was used (1:10,000 dilution) as a loading control.

In vivo GR activity assays

Relating to Fig. 2e, the effect of overexpression of wild-type FKBP52 on GR activity was determined as previously described23. GR activity was measured in the wild-type Saccharomyces cerevisiae strain (JJ762) expressing wild-type, human GR on a single-copy plasmid (p414GPD-GR) and the GRE-lacZ reporter plasmid pUCDSS-26X. Wild-type or mutant FKBP52 was expressed in the pRS423GPD plasmid. Cells were grown at 30 °C with shaking overnight in selective media, diluted tenfold and grown to OD600 0.4–0.5. Cultures were split in two, and one set was induced with ligand (50 nM deoxycorticosterone) (Sigma) for 1 h. The β-galactosidase (β-gal) activity of paired samples in the presence and absence of hormone was measured as described using the yeast β-gal assay kit from Thermo Fisher Scientific (catalog number #75768). Assays contained triplicate samples and were conducted at least twice with each mutant. A representative assay is shown.

Fold GR activity was determined by the increase in normalized β-gal activity in the hormone treated sample relative to the untreated paired sample. Relative GR activation was calculated by normalizing the fold GR activity of each sample to the average fold GR activity of strain JJ762 expressing p423GPD (e.v.). The fold increase in GR activities compared to the e.v. control is shown (mean ± s.d.).

Statistics and reproducibility

All data were tested for statistical significance with Prism v.9.4.0 (GraphPad) (n.s. P > 0.05; *P ≤ 0.05; **P ≤ 0.01; ***P ≤ 0.001; ****P ≤ 0.0001). Statistical details (including sample sizes (n), F-statistics, P values and degrees of freedom) are included in the figure legends for each experiment.

Reporting summary

Further information on research design is available in the Nature Portfolio Reporting Summary linked to this article.