Potential of FGF21 in type 2 diabetes mellitus treatment based on untargeted metabolomics

Shuai Li1, Zilong Song2, Chunxiang Fan2

  • 1College of Life Sciences and Agriculture and Forestry, Qiqihar University, Qiqihar 161006, China; State Key Laboratory of New-Tech for Chinese Medicine Pharmaceutical Process, Jiangsu Kanion Parmaceutical CO. LTD, Lianyungang 222001, People s Republic of China.

PubMed

Insights

Fibroblast growth factor 21 (FGF21) effectively lowers blood glucose and improves lipid profiles in diabetic mice. This study reveals FGF21

Area of Science:

  • Endocrinology
  • Metabolomics
  • Biochemistry

Background:

  • Fibroblast growth factor 21 (FGF21) shows therapeutic potential for type 2 diabetes mellitus (T2DM) and related conditions.
  • The precise metabolic mechanisms underlying FGF21's glucose-lowering effects remain largely unelucidated.

Purpose of the Study:

  • To investigate the metabolic functions and mechanisms of FGF21 in a mouse model of diabetes.
  • To identify potential metabolic biomarkers associated with FGF21 treatment.

Main Methods:

  • Administration of FGF21 via intraperitoneal injections to diabetic db/db mice over 28 days.
  • Untargeted metabolomic analysis of serum samples using ultra-high-performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS).

Main Results:

  • FGF21 significantly reduced blood glucose and improved oral glucose tolerance without inducing hypoglycemia.
  • Treatment with FGF21 led to decreased triglyceride (TG) and low-density lipoprotein (LDL) levels, alongside increased high-density lipoprotein (HDL) and adiponectin levels.
  • Alterations in 45 metabolites, including amino acids and lipids, were observed, suggesting their utility as potential biomarkers.

Conclusions:

  • FGF21 demonstrates efficacy in improving glycemic control and lipid profiles in a diabetic mouse model.
  • Metabolomic analysis suggests FGF21 may exert its therapeutic effects by modulating fatty acid biosynthesis, the tricarboxylic acid (TCA) cycle, and vitamin digestion and absorption pathways.
  • These findings provide critical insights into FGF21's mechanism of action in T2DM and highlight its therapeutic promise.

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