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Updated: Nov 25, 2025

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Published on: November 29, 2024
Growth differentiation factor-15 and its role in diabetes and cardiovascular disease
Adrian C Eddy1, Aaron J Trask2
1Center for Cardiovascular Research, The Heart Center, The Abigail Wexner Research Institute, Nationwide Children's Hospital, Columbus, OH, United States.
Insights
Growth Differentiation Factor-15 (GDF-15) is a cytokine with a dual role. While elevated GDF-15 indicates cardiovascular disease and diabetes, it also offers protective effects in inflammation and metabolic regulation.
Area of Science:
- Biochemistry
- Endocrinology
- Cardiology
Background:
- Growth Differentiation Factor-15 (GDF-15) is a cytokine implicated in various physiological processes.
- Elevated GDF-15 levels are frequently observed in cardiovascular disease (CVD) and diabetes mellitus, suggesting its potential as a biomarker.
- Contradictory findings indicate GDF-15 possesses protective functions in inflammation, endothelial health, insulin sensitivity, and myocardial infarction (MI).
Purpose of the Study:
- This review focuses on the multifaceted roles of GDF-15.
- It explores the signaling pathways through which GDF-15 influences metabolism, insulin sensitivity, and cardiovascular function.
- The review aims to reconcile the seemingly opposing roles of GDF-15 in disease pathogenesis and protection.
Main Methods:
- Literature review of existing studies on GDF-15.
- Analysis of signaling pathways involved in GDF-15 regulation and function.
- Synthesis of data regarding GDF-15's impact on metabolic and cardiovascular systems.
Main Results:
- GDF-15 exhibits complex regulatory functions, acting as both a marker of disease and a protective factor.
- Its signaling pathways are crucial for modulating inflammation, insulin resistance, and cardiac protection.
- Evidence suggests GDF-15 plays a significant role in maintaining metabolic homeostasis and cardiovascular health.
Conclusions:
- GDF-15's role in metabolic and cardiovascular regulation is intricate and context-dependent.
- Understanding GDF-15 signaling pathways is key to elucidating its therapeutic potential.
- Further research is warranted to fully characterize GDF-15's functions and its clinical applications in metabolic and cardiovascular diseases.
Abstract:
Growth differentiation factor-15 (GDF-15) is cytokine involved in the regulation of multiple systems. Because it has regularly been shown to be increased in cardiovascular disease (CVD) and diabetes, it has been suggested that GDF-15 could be used as a biomarker for these diseases and their severity. However, several studies have demonstrated that GDF-15 has a protective role in regulation of inflammation, endothelial cell function, insulin sensitivity, weight gain, and is cardioprotective in myocardial infarction (MI). While GDF-15 has been implicated in the pathophysiology of many conditions including cancer, this review focuses on the potential functions of GDF-15 and signaling pathways implicated in its role regulating metabolism, insulin sensitivity, and the cardiovascular system.
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