Multi-tissue transcriptomic atlas reveals systemic effects of FGF19 on metabolism and immunity

Yang Xiao1, Liwen Kuang1, Juan He1

  • 1Chongqing University Cancer Hospital, School of Medicine, Chongqing University, Chongqing, China; Department of Medical Oncology, Chongqing University Cancer Hospital, Chongqing, China; Key Laboratory of Chongqing Education Commission of China for Cancer Immunometabolism Translational Research, Chongqing, China.

Biochemical Pharmacology
|August 22, 2026
PubMed

Insights

Fibroblast growth factor 19 (FGF19) broadly reprograms tissues, impacting lipid metabolism and immune cells like macrophages. A novel FGF19 delivery system enhances wound healing by promoting M2 macrophage infiltration.

Area of Science:

  • Endocrinology
  • Immunology
  • Systems Biology

Background:

  • Fibroblast growth factor 19 (FGF19) signaling is a key therapeutic target for metabolic diseases and cancers.
  • The systemic functions of endocrine FGF19 remain largely uncharacterized, limiting the development of FGF19-based therapies.

Purpose of the Study:

  • To systematically investigate the organism-wide effects of sustained FGF19 exposure.
  • To elucidate the role of FGF19 in metabolic and immune regulation.
  • To develop and validate a targeted FGF19 delivery system for therapeutic applications.

Main Methods:

  • Multi-tissue transcriptomic profiling in a FGF19 knock-in mouse model.
  • Integrated bioinformatic analysis and functional validation of FGF19 effects.
  • Development and testing of a macrophage-targeted, sustained-release FGF19 delivery system in a murine wound healing model.

Main Results:

  • Sustained FGF19 exposure induced significant, tissue-specific transcriptional changes, including alterations in lipid metabolic pathways in both metabolic and immune tissues.
  • FGF19 was found to promote monocyte/macrophage (Mo/MΦ) migration via FGFR4, driving an M2-like polarization state.
  • The macrophage-targeted FGF19 delivery system accelerated wound healing and increased M2 macrophage infiltration in vivo.

Conclusions:

  • This study provides a comprehensive multi-tissue transcriptional atlas of FGF19 action.
  • Sustained FGF19 exposure elicits broad metabolic and immune regulatory responses in mice.
  • Targeted modulation of macrophages using sustained-release FGF19 represents a promising therapeutic strategy.

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