Fibroblast growth factor 21 protects against high glucose induced cellular damage and dysfunction of endothelial

Xiao-Mei Wang1, Shuang-Shuang Song, Hang Xiao

  • 1Department of Geriatrics, Southwest Hospital, Third Military Medical University, Chongqing, China.

Abstract

Insights

Fibroblast growth factor 21 (FGF21) protects human endothelial cells from high glucose damage by preserving cell viability and function. This effect is mediated through the AMP-activated protein kinase (AMPK) pathway, suggesting FGF21 as a potential diabetes therapy.

Area of Science:

  • Endocrinology
  • Cell Biology
  • Vascular Biology

Background:

  • Fibroblast growth factor 21 (FGF21) is an endocrine hormone crucial for glucose and lipid metabolism.
  • FGF21 is a potential therapeutic agent for type 2 diabetes.
  • Endothelial cells are vulnerable to high glucose-induced damage in diabetes.

Purpose of the Study:

  • To investigate the protective effects of FGF21 on high glucose-induced damage in human umbilical vein endothelial cells (HUVECs).
  • To elucidate the molecular mechanisms underlying FGF21's protective action, particularly its impact on endothelial nitric oxide synthase (eNOS) phosphorylation and the involvement of AMP-activated protein kinase (AMPK).

Main Methods:

  • Human umbilical vein endothelial cells (HUVECs) were treated with normal glucose (NG), high glucose (HG), or HG + FGF21.
  • Assessed cell viability, migration, reactive oxygen species (ROS), nitric oxide (NO) production, and intracellular cyclic guanosine monophosphate (cGMP).
  • Examined β-klotho expression, eNOS phosphorylation (Ser-1177/Ser-633), and the role of AMPK, Akt, and protein kinase A (PKA) in FGF21's effects.

Main Results:

  • FGF21 treatment prevented high glucose-induced impairment in HUVEC viability, migration, and oxidative stress.
  • FGF21 restored high glucose-impaired nitric oxide (NO) production and intracellular cyclic guanosine monophosphate (cGMP) levels.
  • FGF21 rescued high glucose-induced decrease in eNOS phosphorylation at Ser-1177 and Ser-633 in an AMPK-dependent manner.

Conclusions:

  • FGF21 demonstrates significant protective effects against high glucose-induced endothelial cell damage and eNOS dysfunction.
  • The protective mechanisms involve the AMP-activated protein kinase (AMPK) pathway.
  • FGF21 holds promise as a therapeutic agent for managing vascular complications associated with diabetes.