Fibroblast growth factor 21 has no direct role in regulating fertility in female mice
Open accessAbstract
OBJECTIVE: Reproduction is an energetically expensive process. Insufficient calorie reserves, signaled to the brain through peripheral signals such as leptin, suppress fertility. Recently, fibroblast growth factor 21 (FGF21) was implicated as a signal from the liver to the hypothalamus that directly inhibits the hypothalamic-gonadotropin axis during fasting and starvation. However, FGF21 itself increases metabolic rate and can induce weight loss, which suggests that the effects of FGF21 on fertility may not be direct and may reflect changes in energy balance. METHODS: To address this important question, we evaluated fertility in several mouse models with elevated FGF21 levels including ketogenic diet fed mice, fasted mice, mice treated with exogenous FGF21 and transgenic mice over-expressing FGF21. RESULTS: We find that ketogenic diet fed mice remain fertile despite significant elevation in serum FGF21 levels. Absence of FGF21 does not alter transient infertility induced by fasting. Centrally infused FGF21 does not suppress fertility despite its efficacy in inducing browning of inguinal white adipose tissue. Furthermore, a high fat diet (HFD) can restore fertility of female FGF21-overexpressing mice, a model of growth restriction, even in the presence of supraphysiological serum FGF21 levels. CONCLUSIONS: We conclude that FGF21 is not a direct physiological regulator of fertility in mice. The infertility observed in FGF21 overexpressing mice is likely driven by the increased energy expenditure and consequent excess calorie requirements resulting from high FGF21 levels.
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Direct infusion of FGF21 into the brain at concentrations sufficient to acutely increase energy expenditure failed to alter the estrus cycle.
“In addition, the direct infusion of FGF21 into the brain at concentrations sufficient to acutely increase energy expenditure failed to alter the estrus cycle (119), suggesting that FGF21 may not function acutely to regulate female fertility.”
From Fibroblast Growth Factor 21: A Versatile Regulator of Metabolic Homeostasis (2018) · cites this paper as [119]
Fgf21 transgenic mice are infertile on a chow diet, but this infertility is reversed by high-fat diet feeding.
“While Fgf21 transgenic mice are infertile on a chow diet, this infertility is reversed by high-fat diet feeding (119).”
From Fibroblast Growth Factor 21: A Versatile Regulator of Metabolic Homeostasis (2018) · cites this paper as [119]
FGF21 has been shown to affect female reproduction.
“FGF21 has also been shown to affect female reproduction (100, 119).”
From Fibroblast Growth Factor 21: A Versatile Regulator of Metabolic Homeostasis (2018) · cites this paper as [119]
Female mice that over-express FGF21 are infertile.
“Female mice that over-express FGF21 are infertile, but whether this is a direct effect of FGF21 on fertility or rather a secondary consequence of FGF21-induced energy expenditure and relative caloric insufficiency has been disputed.”
From Fibroblast Growth Factor 21: A Versatile Regulator of Metabolic Homeostasis (2018) · cites this paper as [119]
The infertility phenotype in FGF21-overexpressing mice is due to caloric insufficiency from chronic energy expenditure.
“However, a separate study suggests that this phenotype is due to caloric insufficiency from chronic energy expenditure (119).”
From Fibroblast Growth Factor 21: A Versatile Regulator of Metabolic Homeostasis (2018) · cites this paper as [119]
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- Authors
- Singhal, G., Douris, N., Fish, A. J., Zhang, X., Adams, A. C., Flier, J. S., Pissios, P., & Maratos-Flier, E.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Eli Lilly (United States) (US)
- Corresponding author
- Pissios, Pavlos
- Venue
- Molecular Metabolism
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 5
- Issue
- 8
- Pages
- 690-698
- ISSN
- 2212-8778 (ISSN-L)
- PMC
- PMC5021666
- OpenAlex
- W2400615331
- Cited by
- 38
- References
- 33
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 9 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 2 · 2016: 2
- FWCI
- 2.08
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Molecular Metabolism (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute of Health (DK28082)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fibroblast Growth Factor Research
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- FGF21, female fertility, energy balance, ketogenic diet, high-fat diet, growth restriction, white adipose tissue browning, leptin, hypothalamic-pituitary-gonadal axis
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