Cited by 75Fibroblast Growth Factor ResearchLiver Disease Diagnosis and TreatmentLiver physiology and pathology

FGF21 reverses MASH through coordinated actions on the CNS and liver

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Rose, Jesse P., Morgan, Donald A., Sullivan, Andrew I., Fu, Xiaorong, Inigo-Vollmer, Melissa, Burgess, Shawn C., Meyerholz, David K., Rahmouni, Kamal +1 more·2025·Cell Metabolism

Abstract

Metabolic dysfunction-associated steatotic liver disease (MASLD) and its progressive form, metabolic dysfunction-associated steatohepatitis (MASH), represent a growing public health burden with limited therapeutic options. Recent studies have revealed that fibroblast growth factor 21 (FGF21)-based analogs can significantly improve MASH, but the mechanisms for this effect are not well understood. Here, we demonstrate that the beneficial metabolic effects of FGF21 to reverse MASH are mediated through distinct mechanisms to independently lower hepatic triglyceride and cholesterol levels. Specifically, FGF21 signaling directly to glutamatergic neurons in the central nervous system (CNS) stimulates hepatic triglyceride reduction and reversal of fibrosis, whereas FGF21 signaling directly to hepatocytes is necessary and sufficient to reduce hepatic cholesterol levels in mice. Mechanistically, we show that FGF21 acts in the CNS to increase sympathetic nerve activity to the liver, which suppresses hepatic de novo lipogenesis. These results provide critical insights into a promising pharmacological target to treat MASH.

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Cited by

Sorted by citations

Authors
Rose, J. P., Morgan, D. A., Sullivan, A. I., Fu, X., Inigo-Vollmer, M., Burgess, S. C., Meyerholz, D. K., Rahmouni, K., & Potthoff, M. J.
Affiliations
  • University of Iowa (US)
  • The University of Texas Southwestern Medical Center (US)
Corresponding author
Potthoff, Matthew J.
Venue
Cell Metabolism
Publisher
Elsevier BV
Published
2025-07
Volume
37
Issue
7
Pages
1515-1529.e6
ISSN
1550-4131 (ISSN-L)
OpenAlex
W4410316023
Cited by
75
References
27
Citations by year
2026: 54 · 2025: 21
FWCI
22.55
Type
journal article
Language
en
Open access
Locations
  • Cell Metabolism (acceptedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (publishedVersion)
Funders
  • US Department of Veterans Affairs (I01BX004634, IK6BX006040)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01HL162773, R01AA027654, R01DK106104, P30DK54759)
  • Cystic Fibrosis Foundation
  • National Institutes of Health
  • Roy J. and Lucille A. Carver College of Medicine, University of Iowa
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fibroblast Growth Factor Research
  • Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
  • Health Sciences › Medicine › Hepatology › Liver physiology and pathology
Keywords
FGF21, nonalcoholic steatohepatitis, non-alcoholic fatty liver disease, hepatic steatosis, liver fibrosis, hepatic triglycerides, liver cholesterol, glutamatergic neurons, central nervous system signaling, sympathetic activity, de novo lipogenesis, hepatocytes, diet-induced liver disease
MeSH terms
Animals, Central Nervous System, Cholesterol, Fatty Liver, Fibroblast Growth Factors, Humans, Liver, Male, Mice, Inbred C57BL, Triglycerides, Signal Transduction, Hepatocytes, Lipogenesis, Mice

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