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2015 ; 6
(3
): e1707
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Loss of fibroblast growth factor 21 action induces insulin resistance, pancreatic
islet hyperplasia and dysfunction in mice
#MMPMID25811804
So WY
; Cheng Q
; Xu A
; Lam KS
; Leung PS
Cell Death Dis
2015[Mar]; 6
(3
): e1707
PMID25811804
show ga
Fibroblast growth factor (FGF) 21 is an endocrine factor that normalizes glucose
homeostasis and reduces insulin resistance in diabetes. Although the pancreas is
an FGF21 target organ, its role in pancreatic islets remains obscure. This study
aimed to elucidate the physiological role of FGF21 in pancreatic islets using
FGF21-knockout (FGF21-KO) mice. Twenty-four-week-old male global FGF21-KO mice
were used in this study. Glucose and insulin tolerance were assessed. Expression
of genes and proteins related to islet function and underlying mechanisms were
also examined. Islet morphology and insulin-secreting capacity were further
evaluated. FGF21-KO mice exhibited insulin resistance while being normoglycemic,
associated with increases in beta-cell proliferation and insulin synthesis,
acting as compensatory responses. This phenotype probably results from enhanced
growth hormone (GH) sensitivity in FGF21-KO mouse islets. In addition, ex vivo
FGF21 treatment in normal C57BL/6J mouse islets reduced GH signaling, probably
via upregulation of peroxisome proliferator-activated receptor gamma (PPAR?) and
cytokine-inducible SH-2 containing (CIS) protein, whereas KO mouse islets
displayed reduced PPAR? and CIS expression. FGF21 treatment also reversed
GH-induced insulin expression, beta-cell proliferation and GH-impaired
glucose-stimulated insulin secretion (GSIS) in islets. Furthermore, distorted
islet morphology and impaired GSIS were observed in KO mice, suggestive of islet
dysfunction, whereas the enhanced insulin expression and impaired GSIS in
FGF21-KO mouse islets could be reversed by blockade of GH signaling. Our data
indicate that FGF21 is important in the regulation of beta-cell proliferation and
insulin synthesis, probably via modulation of GH signaling. These findings
provide evidence that FGF21 is an obligatory metabolic regulator in pancreatic
islets and shed new light onto the role of endogenous FGF21 in the pathogenesis
of insulin resistance and islet dysfunction.