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Fibroblast growth factor 21, the endocrine FGF pathway and novel treatments for metabolic syndrome
Abstract:
Diabetes and associated metabolic conditions have reached pandemic proportions worldwide, and there is a clear unmet medical need for effective and safe therapies. Fibroblast growth factor (FGF)21 is an atypical member of the FGF family. The ability of FGF21 to normalize glucose, lipid and energy homeostasis has attracted considerable interest as a potential therapeutic for treating diabetes and obesity. Many different engineering approaches have successfully improved the plasma half life, protein stability and solubility, as well as 'manufacturability' of FGF21. Novel approaches such as agonist antibodies to FGF21 receptor complexes have opened new opportunities previously unavailable. This review summarizes recent advances in understanding the functions, target tissues and receptors for FGF21. Furthermore, it provides an up-to-date appraisal of the approaches on therapeutic development targeting this pathway.
Insights
Fibroblast growth factor (FGF)21 shows promise for treating diabetes and obesity by regulating metabolism. Research is advancing therapeutic development targeting FGF21 pathways and engineering strategies to improve its effectiveness.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Drug Development
Background:
- Diabetes and metabolic conditions are global health crises with limited therapeutic options.
- Fibroblast growth factor (FGF)21 is a key regulator of glucose, lipid, and energy homeostasis.
- FGF21's therapeutic potential for metabolic disorders is significant.
Purpose of the Study:
- To review recent advancements in understanding FGF21 functions, targets, and receptors.
- To appraise current therapeutic development strategies targeting the FGF21 pathway.
- To highlight novel engineering approaches and receptor agonist antibodies for FGF21.
Main Methods:
- Literature review of recent scientific publications on FGF21.
- Analysis of studies on FGF21 engineering for improved pharmacokinetics and stability.
- Examination of research on FGF21 receptor complex agonist antibodies.
Main Results:
- FGF21 effectively normalizes glucose, lipid, and energy balance.
- Engineering strategies have enhanced FGF21's half-life, stability, and manufacturability.
- Novel therapeutic approaches, including agonist antibodies, offer new treatment avenues.
Conclusions:
- FGF21 is a promising therapeutic candidate for diabetes and obesity.
- Ongoing research and development are expanding the therapeutic applications of FGF21.
- Targeting the FGF21 pathway represents a significant area for metabolic disease treatment innovation.
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