Cited by 125Pancreatic function and diabetesGrowth Hormone and Insulin-like Growth FactorsFibroblast Growth Factor Research

Circulating follistatin is liver-derived and regulated by the glucagon-to-insulin ratio

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Hansen, Jakob S., Rutti, Sabine, Arous, Caroline, Clemmesen, Jens O., Secher, Niels H., Drescher, Andrea, Gonelle-Gispert, Carmen, Halban, Philippe A. +4 more·2016·The Journal of Clinical Endocrinology & Metabolism

Abstract

CONTEXT: Follistatin is a plasma protein recently reported to increase under conditions with negative energy balance, such as exercise and fasting in humans. Currently, the perception is that circulating follistatin is a result of para/autocrine actions from various tissues. The large and acute increase in circulating follistatin in response to exercise suggests that it may function as an endocrine signal. OBJECTIVE: We assessed origin and regulation of circulating follistatin in humans. DESIGN/INTERVENTIONS: First, we assessed arterial-to-venous difference of follistatin over the splanchnic bed at rest and during exercise in healthy humans. To evaluate the regulation of plasma follistatin we manipulated glucagon-to-insulin ratio in humans at rest as well as in cultured hepatocytes. Finally, the impact of follistatin on human islets of Langerhans was assessed. RESULTS: We demonstrate that in humans the liver is a major contributor to circulating follistatin both at rest and during exercise. Glucagon increases and insulin inhibits follistatin secretion both in vivo and in vitro, mediated via the secondary messenger cAMP in the hepatocyte. Short-term follistatin treatment reduced glucagon secretion from islets of Langerhans, whereas long-term follistatin treatment prevented apoptosis and induced proliferation of rat β cells. CONCLUSIONS: In conclusion, in humans, the liver secretes follistatin at rest and during exercise, and the glucagon-to-insulin ratio is a key determinant of circulating follistatin levels. Circulating follistatin may be a marker of the glucagon-to-insulin tone on the liver.

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Authors
Hansen, J. S., Rutti, S., Arous, C., Clemmesen, J. O., Secher, N. H., Drescher, A., Gonelle-Gispert, C., Halban, P. A., Pedersen, B. K., Weigert, C., Bouzakri, K., & Plomgaard, P.
Affiliations
University of Geneva (CH)
Corresponding author
Plomgaard, Peter
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2016-02
Volume
101
Issue
2
Pages
550-560
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W2193288511
Cited by
125
References
51
Citations by year
2026: 9 · 2025: 12 · 2024: 15 · 2023: 16 · 2022: 12 · 2021: 11 · 2020: 12 · 2019: 11 · 2018: 12 · 2017: 7 · 2016: 7 · 2015: 1
FWCI
9.06
Type
journal article
Language
en
Open access
Locations
  • The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
  • HAL (submittedVersion)
  • Site cant be reached (submittedVersion)
  • PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion)
Funders
  • National Research Foundation
  • Deutsche Forschungsgemeinschaft
  • Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
  • Danmarks Grundforskningsfond (09-067009, DNRF55, 09-075724)
  • Rigshospitalet
  • Region Hovedstaden (DNRF55)
  • TrygFonden
  • Schweizerischen Gesellschaft für Endokrinologie und Diabetologie
  • Center for Strategic Research
Topics
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Growth Hormone and Insulin-like Growth Factors
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Fibroblast Growth Factor Research
Keywords
follistatin, liver, physical activity, hepatic secretion, cAMP signaling, hepatocytes, pancreatic islets, beta-cell apoptosis, beta-cell proliferation, negative energy balance, hormone signaling
MeSH terms
Cyclic AMP, Animals, Cell Survival, Cells, Cultured, Emulsions, Glucagon, Humans, Insulin, Islets of Langerhans, Liver, Male, Phospholipids, Soybean Oil, Exercise, Hepatocytes, Follistatin, Cell Line, Tumor, Cell Proliferation, Insulin-Secreting Cells, Rats, Young Adult

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