Cited by 111Adipokines, Inflammation, and Metabolic DiseasesFibroblast Growth Factor ResearchLiver Disease Diagnosis and Treatment

Hepatokines: unlocking the multi-organ network in metabolic diseases

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Iroz, Alison, Couty, Jean-Pierre, Postic, Catherine·2015·Diabetologia

Abstract

In the face of urbanisation, surplus energy intake, sedentary habits and obesity, type 2 diabetes has developed into a major health concern worldwide. Commonly overlooked in contemporary obesity research, the liver is emerging as a central regulator of whole body energy homeostasis. Liver-derived proteins known as hepatokines are now considered attractive targets for the development of novel type 2 diabetes treatments. This commentary presents examples of three leading hepatokines: fetuin-A, the first to be described and correlated with increased inflammation and insulin resistance; angiopoietin-like protein (ANGPTL)8/betatrophin, initially proposed for its action on beta cell proliferation, although this effect has recently been brought into question; and fibroblast growth factor 21 (FGF21), an insulin-sensitising hormone that is an appealing drug target because of its beneficial metabolic actions. Novel discoveries in hepatokine research may lead to promising biomarkers and treatments for metabolic disorders and type 2 diabetes. This is one of a series of commentaries under the banner '50 years forward', giving personal opinions on future perspectives in diabetes, to celebrate the 50th anniversary of Diabetologia (1965-2015).

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  • NAFLD is the most common chronic liver disease worldwide and a risk factor for type 2 diabetes, obesity, and cardiovascular disease.

    “NAFLD is the most common chronic liver disease worldwide and a risk factor for type 2 diabetes, obesity, and cardiovascular disease (CVD) [8,12,22].”

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Authors
Iroz, A., Couty, J.-P., & Postic, C.
Affiliations
  • Inserm (FR)
  • Centre National de la Recherche Scientifique (FR)
Corresponding author
Postic, Catherine
Venue
Diabetologia
Published
2015-06-02
Volume
58
Issue
8
Pages
1699-1703
ISSN
  • 0012-186X (ISSN-L)
  • 1432-0428
OpenAlex
W593049947
Cited by
111
References
23
Citations by year
2026: 3 · 2025: 10 · 2024: 6 · 2023: 12 · 2022: 9 · 2021: 6 · 2020: 13 · 2019: 13 · 2018: 8 · 2017: 15 · 2016: 13 · 2015: 3
FWCI
10.23
Type
journal article
Language
en
Open access
Locations
  • Diabetologia (publishedVersion)
  • PubMed (publishedVersion)
Funders
Institut National de la Santé et de la Recherche Médicale (U1016)
Topics
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fibroblast Growth Factor Research
  • Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
Keywords
hepatokines, fetuin-A, FGF21, type 2 diabetes, obesity, insulin resistance, energy homeostasis, liver, therapeutic target, biomarkers
MeSH terms
Angiopoietin-like Proteins, Angiopoietin-Like Protein 8, Animals, Diabetes Mellitus, Type 2, Fibroblast Growth Factors, Humans, Insulin Resistance, Liver, Metabolic Diseases, Obesity, Peptide Hormones, alpha-2-HS-Glycoprotein

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