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Publication : Hepatic FGF21 preserves thermoregulation and cardiovascular function during bacterial inflammation.

First Author  Huen SC Year  2021
Journal  J Exp Med Volume  218
Issue  10 PubMed ID  34406362
Mgi Jnum  J:327491 Mgi Id  MGI:7261121
Doi  10.1084/jem.20202151 Citation  Huen SC, et al. (2021) Hepatic FGF21 preserves thermoregulation and cardiovascular function during bacterial inflammation. J Exp Med 218(10):e20202151
abstractText  Sickness behaviors, including anorexia, are evolutionarily conserved responses to acute infections. Inflammation-induced anorexia causes dramatic metabolic changes, of which components critical to survival are unique depending on the type of inflammation. Glucose supplementation during the anorectic period induced by bacterial inflammation suppresses adaptive fasting metabolic pathways, including fibroblast growth factor 21 (FGF21), and decreases survival. Consistent with this observation, FGF21-deficient mice are more susceptible to mortality from endotoxemia and polybacterial peritonitis. Here, we report that increased circulating FGF21 during bacterial inflammation is hepatic derived and required for survival through the maintenance of thermogenesis, energy expenditure, and cardiac function. FGF21 signaling downstream of its obligate coreceptor, beta-Klotho (KLB), is required in bacterial sepsis. However, FGF21 modulates thermogenesis and chronotropy independent of the adipose, forebrain, and hypothalamus, which are operative in cold adaptation, suggesting that in bacterial inflammation, either FGF21 signals through a novel, undescribed target tissue or concurrent signaling of multiple KLB-expressing tissues is required.
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