Loss of fibroblast growth factor 21 action induces insulin resistance, pancreatic islet hyperplasia and dysfunction

W Y So1, Q Cheng1, A Xu2

  • 1School of Biomedical Sciences, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

Cell Death & Disease
|March 27, 2015
PubMed

Insights

Fibroblast growth factor (FGF) 21 regulates pancreatic islet function by modulating growth hormone (GH) signaling. FGF21 deficiency impairs islet morphology and glucose-stimulated insulin secretion, contributing to insulin resistance.

Area of Science:

  • Endocrinology
  • Metabolism
  • Molecular Biology

Background:

  • Fibroblast growth factor (FGF) 21 is an endocrine factor known to regulate glucose homeostasis and insulin sensitivity.
  • The pancreas, particularly pancreatic islets, is a target organ for FGF21, but its precise role within islets is not fully understood.
  • Understanding FGF21's function in pancreatic islets is crucial for elucidating its role in metabolic diseases like diabetes.

Purpose of the Study:

  • To investigate the physiological role of FGF21 in pancreatic islets.
  • To elucidate the mechanisms by which FGF21 influences beta-cell function and insulin secretion.
  • To examine the impact of FGF21 deficiency on islet morphology and glucose metabolism.

Main Methods:

  • Utilized fibroblast growth factor 21-knockout (FGF21-KO) mice to study the effects of FGF21 deficiency.
  • Assessed glucose and insulin tolerance in FGF21-KO and control mice.
  • Analyzed gene and protein expression related to islet function, including growth hormone (GH) signaling, PPARγ, and CIS.
  • Evaluated islet morphology and insulin-secreting capacity (GSIS) in vitro and in vivo.

Main Results:

  • FGF21-KO mice exhibited insulin resistance with compensatory increases in beta-cell proliferation and insulin synthesis, linked to enhanced GH sensitivity.
  • Exogenous FGF21 treatment in normal islets reduced GH signaling, upregulated PPARγ and CIS, and normalized GH-induced insulin expression and GSIS.
  • FGF21-KO islets showed reduced PPARγ and CIS expression, distorted morphology, and impaired GSIS, which could be reversed by blocking GH signaling.

Conclusions:

  • FGF21 plays a critical role in regulating beta-cell proliferation and insulin synthesis within pancreatic islets, likely through modulation of GH signaling.
  • FGF21 acts as an obligatory metabolic regulator in pancreatic islets, influencing islet function and contributing to the pathogenesis of insulin resistance.
  • These findings highlight FGF21 as a potential therapeutic target for managing insulin resistance and islet dysfunction.

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