Fibroblast growth factor 21 Ameliorates diabetes-induced endothelial dysfunction in mouse aorta via activation of the

Lei Ying1, Na Li1,2, Zhengyue He1,3

  • 1Department of Pathophysiology, School of Basic Medical Sciences, Wenzhou Medical University, 325035, Wenzhou, Zhejiang, China.

Cell Death & Disease
|September 13, 2019
PubMed

Insights

Fibroblast Growth Factor 21 (FGF21) improves blood vessel function in both type 1 and type 2 diabetes by activating the CaMKK2-AMPKα pathway. This hormone combats oxidative stress and enhances vasodilation, offering potential for treating diabetic vascular diseases.

Area of Science:

  • Cardiovascular Research
  • Endocrinology
  • Metabolic Disorders

Background:

  • Endothelial dysfunction is a key factor in cardiovascular complications associated with diabetes mellitus.
  • Fibroblast Growth Factor 21 (FGF21) is known for its metabolic benefits, but its role in endothelial function is not well understood.

Purpose of the Study:

  • To investigate the effects of FGF21 on endothelial function in mouse models of type 1 and type 2 diabetes.
  • To elucidate the underlying molecular mechanisms of FGF21's action on the vasculature.

Main Methods:

  • Administration of FGF21 to type 1 and type 2 diabetic mice.
  • In vitro studies on isolated aortic endothelial cells.
  • Analysis of the CaMKK2-AMPKα signaling pathway and endothelial nitric oxide synthase (eNOS) activation.

Main Results:

  • FGF21 reduced hyperglycemia and insulin resistance in type 2 diabetes, but not type 1.
  • FGF21 activated AMPKα in both types of diabetes, suppressing oxidative stress and improving vasorelaxation.
  • FGF21 directly acted on endothelial cells, alleviating high glucose-induced dysfunction via the CaMKK2-AMPKα pathway and activating eNOS.

Conclusions:

  • FGF21 ameliorates endothelial dysfunction in diabetes through mechanisms independent of its glucose-lowering effects.
  • Activation of the CaMKK2-AMPKα pathway and subsequent eNOS activation are crucial for FGF21's vascular protective actions.
  • FGF21 shows promise as a therapeutic agent for diabetic vascular complications.

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