Related Experiment Videos

Fibroblast growth factor 21 is not required for the antidiabetic actions of the thiazoladinediones

Andrew C Adams1, Tamer Coskun, Christine C Cheng

  • 1Lilly Research Laboratories, Lilly Corporate Center, Indianapolis, IN 46285, USA.

Molecular Metabolism
|September 20, 2013
PubMed

Insights

Fibroblast growth factor 21 (FGF21) is not essential for rosiglitazone

Area of Science:

  • Metabolic regulation
  • Endocrinology
  • Pharmacology

Background:

  • Fibroblast growth factor 21 (FGF21) is an emerging metabolic regulator.
  • FGF21 was previously proposed as a fed-state inducible factor in adipose tissue, potentially mediating PPARγ-driven effects.
  • Mice lacking FGF21 were suggested to be refractory to rosiglitazone treatment.

Purpose of the Study:

  • To investigate the role of FGF21 in PPARγ-driven pharmacology.
  • To determine if FGF21 is necessary for rosiglitazone's metabolic effects and side effects.

Main Methods:

  • Experiments were conducted in control and FGF21 knockout (FGF21KO) mice.
  • Rosiglitazone efficacy was assessed across various metabolic endpoints.
  • Transcriptional signatures and cytokine secretion profiles were analyzed.

Main Results:

  • Rosiglitazone was equally efficacious in control and FGF21KO mice.
  • Enhanced glycemic control, improved lipid homeostasis, and adipose accumulation occurred in both genotypes.
  • The transcriptional and cytokine profiles of rosiglitazone action were preserved in FGF21KO animals.
  • FGF21 expression in adipose tissue was comparable in fasted and fed states.

Conclusions:

  • FGF21 is not necessary for the metabolic events downstream of PPARγ activation by rosiglitazone.
  • This study presents a new perspective on the FGF21/PPARγ interplay.
  • FGF21's role in mediating PPARγ pharmacology may be less critical than previously thought.

Related Concept Videos

Oral Hypoglycemic Agents: Biguanides and Glitazones01:26

Oral Hypoglycemic Agents: Biguanides and Glitazones

Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood glucose levels...
Dipeptidyl Peptidase 4 Inhibitors01:23

Dipeptidyl Peptidase 4 Inhibitors

Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a significant...
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by the...
Oral Hypoglycemic Agents: Glinides01:06

Oral Hypoglycemic Agents: Glinides

Repaglinide (Prandin) and Nateglinide (Starlix), known as glinides, are oral insulin secretagogues that stimulate insulin release from pancreatic β cells by closing the ATP-sensitive potassium channels (KATP channel). Repaglinide controls insulin release from pancreatic β cells by managing potassium efflux. It shares two binding sites with sulfonylureas and also has a unique site, indicating overlapping mechanisms of action. With a rapid onset and a 4-7 hour duration, it effectively manages...
Oral Hypoglycemic Agents: Sulfonylureas01:17

Oral Hypoglycemic Agents: Sulfonylureas

Sulfonylureas are oral hypoglycemic agents utilized in treating type 2 diabetes. They are characterized by their unique sulfonylurea chemical structure. The family of sulfonylureas is divided into generations. First-generation sulfonylureas, including tolbutamide (Orinase), chlorpropamide (Diabinese), and tolazamide (Tolinase), trigger insulin release from pancreatic β cells and enhance peripheral tissues' insulin sensitivity. The second-generation members, such as glipizide (Glucotrol),...
Oral Hypoglycemic Agents: α-Glucosidase Inhibitors01:19

Oral Hypoglycemic Agents: α-Glucosidase Inhibitors

α-glucosidase inhibitors, including acarbose (Precose), miglitol (Glyset), and voglibose (Voglib) (primarily available in Asia), are drugs that control blood sugar levels by delaying the digestion of starch and disaccharides. They achieve this by inhibiting α-glucosidase enzymes in the intestine, which slow the absorption of carbohydrates in the intestine, which in turn leads to a prolonged release of the glucoregulatory hormone GLP-1 from intestinal L-cells.
Acarbose and miglitol are typically...