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FGF21-based pharmacotherapy – potential utility for metabolic disorders
Abstract
Currently available therapies for diabetes or obesity produce modest efficacy and are usually used in combination with agents targeting cardiovascular risk factors. Fibroblast growth factor 21 (FGF21) is a circulating protein with pleiotropic metabolic actions; pharmacological doses of FGF21 produce anti-diabetic, lipid-lowering, and weight-reducing effects in rodents. Several potential benefits have translated to non-human primates and obese humans with type 2 diabetes (T2D). Accumulating results point to a specific receptor complex and actions in adipose tissue, liver, and brain; several pathways lead to enhanced fatty acid oxidation, increased insulin sensitivity, and augmented energy expenditure. A range of strategies are being explored to derive potent, safe, and convenient therapies which could potentially represent novel approaches to prevent and treat a variety of metabolic disorders.
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“Multiple FGF21 analogs have been developed or are in development for treating metabolic disease (44).”
From Fibroblast Growth Factor 21: A Versatile Regulator of Metabolic Homeostasis (2018) · cites this paper as [44]
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Self-citationThe effects of LY2405319, an FGF21 analog, in obese human subjects with type 2 diabetes
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Self-citationObesity Is a Fibroblast Growth Factor 21 (FGF21)-Resistant State
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Metadata
- Authors
- Gimeno, R. E., & Moller, D. E.
- Affiliations
- Eli Lilly (United States) (US)
- Corresponding author
- Gimeno, Ruth E.
- Moller, David E.
- ORCID
- Moller, David E.
- Venue
- Trends in Endocrinology & Metabolism
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 25
- Issue
- 6
- Pages
- 303-311
- ISSN
- 1043-2760 (ISSN-L)
- OpenAlex
- W2038863889
- Cited by
- 163
- References
- 82
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 8 · 2022: 8 · 2021: 14 · 2020: 15 · 2019: 14 · 2018: 13 · 2017: 16 · 2016: 36 · 2015: 21 · 2014: 3
- FWCI
- 2.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Trends in Endocrinology and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fibroblast Growth Factor Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- FGF21, type 2 diabetes, obesity, metabolic disorders, antidiabetic therapy, hypolipidemic effect, weight loss, insulin sensitivity, fatty acid oxidation, energy expenditure, adipose tissue, liver, brain, non-human primates
- MeSH terms
- Animals, Diabetes Mellitus, Type 2, Energy Metabolism, Fibroblast Growth Factors, Humans, Metabolic Diseases, Lipid Metabolism
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