Endocrine fibroblast growth factors 15/19 and 21: from feast to famine

  1. David J. Mangelsdorf1,2,4
  1. 1Department of Pharmacology,
  2. 2Howard Hughes Medical Institute,
  3. 3Department of Molecular Biology, University of Texas Southwestern Medical Center, Dallas, Texas 75390, USA
    1. 4 These authors contributed equally to this work.

    Abstract

    We review the physiology and pharmacology of two atypical fibroblast growth factors (FGFs)—FGF15/19 and FGF21—that can function as hormones. Both FGF15/19 and FGF21 act on multiple tissues to coordinate carbohydrate and lipid metabolism in response to nutritional status. Whereas FGF15/19 is secreted from the small intestine in response to feeding and has insulin-like actions, FGF21 is secreted from the liver in response to extended fasting and has glucagon-like effects. FGF21 also acts in an autocrine fashion in several tissues, including adipose. The pharmacological actions of FGF15/19 and FGF21 make them attractive drug candidates for treating metabolic disease.

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