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Liver-derived FGF21 is essential for full adaptation to ketogenic diet but does not regulate glucose homeostasis
Journal article   Peer reviewed

Liver-derived FGF21 is essential for full adaptation to ketogenic diet but does not regulate glucose homeostasis

Mikiko Watanabe, Garima Singhal, Ffolliott M Fisher, Thomas C Beck, Donald A Morgan, Fabio Socciarelli, Marie L Mather, Renata Risi, Jared Bourke, Kamal Rahmouni, …
Endocrine, Vol.67(1), pp.95-108
01/2020
DOI: 10.1007/s12020-019-02124-3
PMCID: PMC7948212
PMID: 31728756

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Abstract

Fibroblast growth factor 21 (FGF21) is expressed in several metabolically active tissues, including liver, fat, and acinar pancreas, and has pleiotropic effects on metabolic homeostasis. The dominant source of FGF21 in the circulation is the liver. To analyze the physiological functions of hepatic FGF21, we generated a hepatocyte-specific knockout model (LKO) by mating albumin-Cre mice with FGF21 flox/flox (fl/fl) mice and challenged it with different nutritional models. Mice fed a ketogenic diet typically show increased energy expenditure; this effect was attenuated in LKO mice. LKO on KD also developed hepatic pathology and altered hepatic lipid homeostasis. When evaluated using hyperinsulinemic-euglycemic clamps, glucose infusion rates, hepatic glucose production, and glucose uptake were similar between fl/fl and LKO DIO mice. We conclude that liver-derived FGF21 is important for complete adaptation to ketosis but has a more limited role in the regulation of glycemic homeostasis.
Energy metabolism Nonalcoholic fatty liver disease Adipose tissue Fibroblast Growth Factor 21 Cholesterol Ketogenic diet

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