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Fibroblast growth factor 21 is a metabolic regulator that plays a role in the adaptation to ketosis.

Abstract
Fibroblast growth factor 21 (FGF21) was originally identified as a member of the FGF family in homology studies and is a member of the endocrine FGF subfamily that lacks heparin binding domains and is released into the circulation. A potential role as a metabolic regulator emerged when FGF21 was shown to increase glucose uptake in adipocytes. Subsequently, marked elevations in FGF21 expression were observed in mice that ate a ketogenic diet and when fasting, which suggests that FGF21 expression plays a role in the adaptation to metabolic states that require increased fatty acid oxidation. Consistent with this evidence, FGF21 knockout mice were not able to respond appropriately to consumption of a ketogenic diet. FGF21 expression is downstream of peroxisome proliferator-activated receptor (PPAR) α in the liver and PPARγ in adipose tissue. FGF21 concentrations are higher in both rodent and human obesity, and recent data suggest that obesity may be an FGF21-resistant state. Recent data increasingly suggest that FGF21 is an important metabolic regulator that may have potential clinical implications.
AuthorsEleni M Domouzoglou, Eleftheria Maratos-Flier
JournalThe American journal of clinical nutrition (Am J Clin Nutr) Vol. 93 Issue 4 Pg. 901S-5 (Apr 2011) ISSN: 1938-3207 [Electronic] United States
PMID21346090 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Fatty Acids
  • PPAR alpha
  • PPAR gamma
  • fibroblast growth factor 21
  • Fibroblast Growth Factors
  • Glucose
Topics
  • Adaptation, Physiological
  • Adipose Tissue (cytology, metabolism)
  • Animals
  • Diet, Ketogenic
  • Fasting
  • Fatty Acids (metabolism)
  • Fibroblast Growth Factors (metabolism)
  • Glucose (metabolism)
  • Humans
  • Ketosis (metabolism)
  • Liver (metabolism)
  • Mice
  • Mice, Knockout
  • Obesity (metabolism)
  • Oxidation-Reduction
  • PPAR alpha (metabolism)
  • PPAR gamma (metabolism)

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