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Pharmacological administration of FGF21 reverses obesity through a parabrachial-projecting neuron population in the hindbrain
Journal article   Open access   Peer reviewed

Pharmacological administration of FGF21 reverses obesity through a parabrachial-projecting neuron population in the hindbrain

Yunfan Lin, Kristin E Claflin, Iltan Aklan, Donald A Morgan, Andrew I Sullivan, Michael C Rudolph, Kamal Rahmouni and Matthew J Potthoff
Cell reports (Cambridge), Vol.45(4), 117093
03/31/2026
DOI: 10.1016/j.celrep.2026.117093
PMID: 41920739
url
https://doi.org/10.1016/j.celrep.2026.117093View
Published (Version of record) Open Access

Abstract

The obesity epidemic is associated with significant healthcare and economic burdens. Pharmacological administration of the endocrine hormone fibroblast growth factor 21 (FGF21) increases energy expenditure and reverses obesity. However, the central targets and neural pathways for these metabolic benefits remain elusive. Here, we demonstrate that β-klotho (KLB)-expressing neurons in the hindbrain, specifically the nucleus of the solitary tract (NTS) and area postrema (AP), are both necessary and sufficient for FGF21's effect on energy expenditure and weight loss. These pharmacological benefits are mediated largely by NTS/AP KLB-expressing neurons that project to the parabrachial nucleus (PBN) and not the hypothalamus. Our results provide insights into the central mechanisms of pharmacological FGF21 action to modulate energy homeostasis.
area postrema body weight CP: neuroscience brown adipose tissue nucleus of the solitary tract CP: metabolism betaKlotho FGF21

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