FGF21 regulates metabolism and circadian behavior by acting on the nervous system

Angie L Bookout1, Marleen H M de Groot, Bryn M Owen

  • 11] Department of Pharmacology, University of Texas Southwestern Medical Center, Dallas, Texas, USA. [2] Division of Hypothalamic Research, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Nature Medicine
|August 13, 2013
PubMed

Insights

Fibroblast growth factor 21 (FGF21) acts as a starvation signal. Its effects on metabolism and behavior are mediated by the nervous system through β-Klotho in the brain.

Area of Science:

  • Metabolic signaling
  • Neuroendocrinology
  • Hormone action

Background:

  • Fibroblast growth factor 21 (FGF21) is a hepatokine regulating metabolism and growth, acting as a starvation signal.
  • FGF21 signaling requires FGF receptors (FGFRs) and β-Klotho, a co-receptor enriched in metabolic tissues.
  • The precise sites of action for FGF21's diverse systemic effects remain largely unknown.

Purpose of the Study:

  • To investigate the role of the nervous system in mediating FGF21's physiological and pharmacological actions.
  • To identify the specific brain regions critical for FGF21's adaptive starvation responses.
  • To elucidate the mechanism by which FGF21 influences metabolism, behavior, and hormone levels.

Main Methods:

  • Utilized genetically modified mice lacking β-Klotho (Klb) specifically in the suprachiasmatic nucleus and dorsal vagal complex.
  • Assessed FGF21-induced changes in systemic glucocorticoid levels, physical activity, and circadian behavior.
  • Evaluated the impact of regional β-Klotho deficiency on FGF21's metabolic, insulin, and growth effects.

Main Results:

  • FGF21 was found to increase systemic glucocorticoid levels, suppress physical activity, and alter circadian behavior, mimicking starvation responses.
  • These FGF21-mediated effects were dependent on β-Klotho expression within the suprachiasmatic nucleus and dorsal vagal complex.
  • Mice with targeted β-Klotho gene deletion in these brain regions were refractory to FGF21's systemic, metabolic, insulin, and growth-related actions.

Conclusions:

  • The nervous system, particularly the hypothalamus and hindbrain, plays a critical role in mediating FGF21's diverse physiological effects.
  • β-Klotho expression in specific brain regions is essential for FGF21 to regulate metabolism, behavior, and adaptive starvation responses.
  • These findings highlight a novel neuro-centric mechanism for FGF21 action, expanding our understanding of metabolic control.

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