Circulating FGF19 and FGF21 surge in early infancy from infra- to supra-adult concentrations

D Sánchez-Infantes1, J M Gallego-Escuredo2, M Díaz1

  • 11] Endocrinology Unit, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain [2] Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), ISCIII, Madrid, Spain.

Insights

Fibroblast growth factors FGF19 and FGF21 surge in infancy, with FGF19 induction reduced in infants born small for gestational age. These early surges may have long-term physiological relevance.

Area of Science:

  • Endocrinology
  • Metabolic Research
  • Pediatric Growth Studies

Background:

  • Fibroblast growth factor 19 (FGF19) and 21 (FGF21) are linked to adult obesity and type 2 diabetes.
  • Early life endocrine-metabolic changes are critical for long-term health.
  • Prenatal growth restraint impacts infant development and metabolic programming.

Purpose of the Study:

  • To assess circulating FGF19 and FGF21 concentrations in neonates and infants.
  • To investigate the association of these factors with endocrine-metabolic changes.
  • To explore the impact of prenatal growth restraint on early FGF19 and FGF21 levels.

Main Methods:

  • Longitudinal assessment of FGF19, FGF21, insulin, IGF-I, and HMW adiponectin in 44 infants (AGA and SGA).
  • Body composition analysis using absorptiometry.
  • Measurements taken at multiple time points from birth to 12 months.

Main Results:

  • FGF19 and FGF21 levels surged >10-fold in early infancy.
  • FGF19 induction was significantly reduced in small-for-gestational-age (SGA) infants compared to appropriate-for-gestational-age (AGA) infants.
  • Cord-blood FGF21 and 4-month serum FGF19 correlated positively with high-molecular-weight adiponectin.

Conclusions:

  • Early infancy surges of FGF19 and FGF21 appear to be physiologically significant.
  • These findings suggest a potential role for FGF19 and FGF21 in early development and metabolic regulation.
  • Further research is warranted to delineate the long-term implications of these early FGF surges.
Abstract

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