2014
DOI: 10.1016/j.cmet.2014.07.012
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FGF21 Acts Centrally to Induce Sympathetic Nerve Activity, Energy Expenditure, and Weight Loss

Abstract: SUMMARY The mechanism by which pharmacologic administration of the hormone FGF21 increases energy expenditure to cause weight loss in obese animals is unknown. Here we report that FGF21 acts centrally to exert its effects on energy expenditure and body weight in obese mice. Using tissue-specific knockout mice, we show that βKlotho, the obligate co-receptor for FGF21, is required in the nervous system for these effects. FGF21 stimulates sympathetic nerve activity to brown adipose tissue through a mechanism that… Show more

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Cited by 439 publications
(474 citation statements)
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“…BAT, which mediates adaptive nonshivering thermogenesis, seemed to be a likely candidate considering that it is dense with mitochondria and can undergo a substantial increase in energy expenditure upon stimulation (14). In addition, recent studies have established the sensitivity of BAT to stimulation through FGF21, which we also observed to be highly elevated in POLG mice fed a HFD (15,16). Because BAT functionality in POLG mice has not previously been described, we first explored the impact of diet by using a thermal infrared camera to quantify radiated heat from the scapular region.…”
Section: Resultssupporting
confidence: 62%
“…BAT, which mediates adaptive nonshivering thermogenesis, seemed to be a likely candidate considering that it is dense with mitochondria and can undergo a substantial increase in energy expenditure upon stimulation (14). In addition, recent studies have established the sensitivity of BAT to stimulation through FGF21, which we also observed to be highly elevated in POLG mice fed a HFD (15,16). Because BAT functionality in POLG mice has not previously been described, we first explored the impact of diet by using a thermal infrared camera to quantify radiated heat from the scapular region.…”
Section: Resultssupporting
confidence: 62%
“…Given that CEACAM1 is not produced by adipose tissue (9), it is likely that adenoviral delivery of CEACAM1 drives the expression of a set of factors that mediate this positive effect on energy expenditure and adipose tissue biology (reversal of adipocytes' expansion and limited fibrosis and inflammation). One of these factors might be the rise in plasma FGF21 (47,48), which induces locomotor activity (49) to elevate energy dissipation (50,51). Recapitulating the protective effect of forced expression of hepatic WT CEACAM1 on metabolism (17) and on adipose tissue biology and energy expenditure (30) in response to HF diet, the restorative metabolic effect caused by hepatic adenoviral redelivery of WT CEACAM1 on adipocytes supports the critical role of hepatocytic CEACAM1 in regulating insulin action and metabolism in other tissues.…”
Section: Adenoviral-redelivery Of Ceacam1 Rescues Energy Expenditure mentioning
confidence: 81%
“…In mice, FGF21 increases corticotropin-releasing hormone expression in hypothalamus, circulating glucocorticoid concentrations, and sympathetic outflow (18)(19)(20), which are linked to heightened anxiety. We, therefore, tested Klb fl/fl and Klb Camk2a mice in behavioral paradigms measuring anxiety, including novelty suppressed feeding (Fig.…”
Section: Resultsmentioning
confidence: 99%