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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Stemmer, K; Zani, F; Habegger, KM; Neff, C; Kotzbeck, P; Bauer, M; Yalamanchilli, S; Azad, A; Lehti, M; Martins, PJ; Müller, TD; Pfluger, PT; Seeley, RJ.
FGF21 is not required for glucose homeostasis, ketosis or tumour suppression associated with ketogenic diets in mice.
Diabetologia. 2015; 58(10): 2414-2423. Doi: 10.1007/s00125-015-3668-7 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Kotzbeck Petra
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Abstract:
Ketogenic diets (KDs) have increasingly gained attention as effective means for weight loss and potential adjunctive treatment of cancer. The metabolic benefits of KDs are regularly ascribed to enhanced hepatic secretion of fibroblast growth factor 21 (FGF21) and its systemic effects on fatty-acid oxidation, energy expenditure (EE) and body weight. Ambiguous data from Fgf21-knockout animal strains and low FGF21 concentrations reported in humans with ketosis have nevertheless cast doubt regarding the endogenous function of FGF21. We here aimed to elucidate the causal role of FGF21 in mediating the therapeutic benefits of KDs on metabolism and cancer. We established a dietary model of increased vs decreased FGF21 by feeding C57BL/6J mice with KDs, either depleted of protein or enriched with protein. We furthermore used wild-type and Fgf21-knockout mice that were subjected to the respective diets, and monitored energy and glucose homeostasis as well as tumour growth after transplantation of Lewis lung carcinoma cells. Hepatic and circulating, but not adipose tissue, FGF21 levels were profoundly increased by protein starvation, independent of the state of ketosis. We demonstrate that endogenous FGF21 is not essential for the maintenance of normoglycaemia upon protein and carbohydrate starvation and is therefore not needed for the effects of KDs on EE. Furthermore, the tumour-suppressing effects of KDs were independent of FGF21 and, rather, driven by concomitant protein and carbohydrate starvation. Our data indicate that the multiple systemic effects of KD exposure in mice, previously ascribed to increased FGF21 secretion, are rather a consequence of protein malnutrition.
Find related publications in this database (using NLM MeSH Indexing)
Adipose Tissue - metabolism
Animals -
Fibroblast Growth Factors - genetics
Fibroblast Growth Factors - metabolism
Glucose - metabolism
Homeostasis - genetics
Ketogenic Diet -
Ketosis - genetics
Ketosis - metabolism
Liver - metabolism
Mice -
Mice, Knockout -
Neoplasms - diet therapy
Neoplasms - genetics
Neoplasms - metabolism
Protein Deficiency - genetics
Protein Deficiency - metabolism

Find related publications in this database (Keywords)
Energy expenditure
Fibroblast growth factor 21
Glucose homeostasis
Ketogenic diets
Protein starvation
Tumour suppression
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