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      FGF15/19 is required for adipose tissue plasticity in response to thermogenic adaptations

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          Abstract

          Objective

          To determine the role of enterokine FGF15/19 in adipose tissue thermogenic adaptations.

          Methods

          Circulating FGF19 and gene expression (qRT-PCR) levels were assessed in subcutaneous adipose tissue from obese human patients. Effects of experimentally increased FGF15 and FGF19 levels in vivo were determined in mice using adenoviral and adeno-associated vectors. Adipose tissues were characterized in FGF15-null mice under distinct cold-related thermogenic challenges. The analyses spanned metabolic profiling, tissue characterization, histology, gene expression, and immunoblot assays.

          Results

          In humans, FGF19 levels are directly associated with UCP1 gene expression in subcutaneous adipose tissue. Experimental increases in FGF15 or FGF19 induced white fat browning in mice as demonstrated by the appearance of multilocular beige cells and markers indicative of a beige phenotype, including increased UCP1 protein levels. Mice lacking FGF15 showed markedly impaired white adipose tissue browning and a mild reduction in parameters indicative of BAT activity in response to cold-induced environmental thermogenic challenges. This was concomitant with signs of altered systemic metabolism, such as reduced glucose tolerance and impaired cold-induced insulin sensitization.

          Conclusions

          Enterokine FGF15/19 is a key factor required for adipose tissue plasticity in response to thermogenic adaptations.

          Highlights

          • Circulating FGF19 levels correlate positively with signs of fat browning in humans.

          • Adaptive adipose tissue browning in response to cold is impaired in mice lacking FGF15.

          • Experimentally induced increase in FGF15 or FGF19 promotes fat browning in mice.

          • FGF15/19 signaling is required for thermogenic challenge-induced plasticity of adipose tissue.

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          Most cited references41

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          Brown adipose tissue: function and physiological significance.

          The function of brown adipose tissue is to transfer energy from food into heat; physiologically, both the heat produced and the resulting decrease in metabolic efficiency can be of significance. Both the acute activity of the tissue, i.e., the heat production, and the recruitment process in the tissue (that results in a higher thermogenic capacity) are under the control of norepinephrine released from sympathetic nerves. In thermoregulatory thermogenesis, brown adipose tissue is essential for classical nonshivering thermogenesis (this phenomenon does not exist in the absence of functional brown adipose tissue), as well as for the cold acclimation-recruited norepinephrine-induced thermogenesis. Heat production from brown adipose tissue is activated whenever the organism is in need of extra heat, e.g., postnatally, during entry into a febrile state, and during arousal from hibernation, and the rate of thermogenesis is centrally controlled via a pathway initiated in the hypothalamus. Feeding as such also results in activation of brown adipose tissue; a series of diets, apparently all characterized by being low in protein, result in a leptin-dependent recruitment of the tissue; this metaboloregulatory thermogenesis is also under hypothalamic control. When the tissue is active, high amounts of lipids and glucose are combusted in the tissue. The development of brown adipose tissue with its characteristic protein, uncoupling protein-1 (UCP1), was probably determinative for the evolutionary success of mammals, as its thermogenesis enhances neonatal survival and allows for active life even in cold surroundings.
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            High Incidence of Metabolically Active Brown Adipose Tissue in Healthy Adult Humans

            OBJECTIVE The significant roles of brown adipose tissue (BAT) in the regulation of energy expenditure and adiposity are established in small rodents but have been controversial in humans. The objective is to examine the prevalence of metabolically active BAT in healthy adult humans and to clarify the effects of cold exposure and adiposity. RESEARCH DESIGN AND METHODS In vivo 2-[18F]fluoro-2-deoxyglucose (FDG) uptake into adipose tissue was measured in 56 healthy volunteers (31 male and 25 female subjects) aged 23–65 years by positron emission tomography (PET) combined with X-ray computed tomography (CT). RESULTS When exposed to cold (19°C) for 2 h, 17 of 32 younger subjects (aged 23–35 years) and 2 of 24 elderly subjects (aged 38–65 years) showed a substantial FDG uptake into adipose tissue of the supraclavicular and paraspinal regions, whereas they showed no detectable uptake when kept warm (27°C). Histological examinations confirmed the presence of brown adipocytes in these regions. The cold-activated FDG uptake was increased in winter compared with summer (P < 0.001) and was inversely related to BMI (P < 0.001) and total (P < 0.01) and visceral (P < 0.001) fat areas estimated from CT image at the umbilical level. CONCLUSIONS Our findings, being against the conventional view, indicate the high incidence of metabolically active BAT in adult humans and suggest a role in the control of body temperature and adiposity.
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              Fibroblast growth factor 15 functions as an enterohepatic signal to regulate bile acid homeostasis.

              The liver and intestine play crucial roles in maintaining bile acid homeostasis. Here, we demonstrate that fibroblast growth factor 15 (FGF15) signals from intestine to liver to repress the gene encoding cholesterol 7alpha-hydroxylase (CYP7A1), which catalyzes the first and rate-limiting step in the classical bile acid synthetic pathway. FGF15 expression is stimulated in the small intestine by the nuclear bile acid receptor FXR and represses Cyp7a1 in liver through a mechanism that involves FGF receptor 4 (FGFR4) and the orphan nuclear receptor SHP. Mice lacking FGF15 have increased hepatic CYP7A1 mRNA and protein levels and corresponding increases in CYP7A1 enzyme activity and fecal bile acid excretion. These studies define FGF15 and FGFR4 as components of a gut-liver signaling pathway that synergizes with SHP to regulate bile acid synthesis.
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                Author and article information

                Contributors
                Journal
                Mol Metab
                Mol Metab
                Molecular Metabolism
                Elsevier
                2212-8778
                07 November 2020
                January 2021
                07 November 2020
                : 43
                : 101113
                Affiliations
                [1 ]Department of Biochemistry and Molecular Biomedicine and Institute of Biomedicine, University of Barcelona, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain
                [2 ]CIBEROBN, Carlos III Health Institute, Spain
                [3 ]Hepatology Program, CIMA, University of Navarra, IdiSNA, Pamplona, Spain
                [4 ]CIBEREHD, Carlos III Health Institute, Spain
                [5 ]Department of Diabetes, Endocrinology and Nutrition, de Girona Biomedical Research Institute (IdIBGi), Girona, Spain
                Author notes
                []Corresponding author. Aleix Gavaldà-Navarro, Molecular Metabolism and Disease, Department of Biochemistry and Molecular Biomedicine, School of Biology, Institute of Biomedicine (IBUB), University of Barcelona, Avda Diagonal 643 (Edifici Prevosti, Planta-1), 08028, Barcelona, Spain. Tel.: +34934021549. aleixgavalda@ 123456ub.edu
                [∗∗ ]Corresponding author. Francesc Villarroya, Molecular Metabolism and Disease, Department of Biochemistry and Molecular Biomedicine, School of Biology, Institute of Biomedicine (IBUB), University of Barcelona, Avda Diagonal 643 (Edifici Prevosti, Planta-1), 08028, Barcelona, Spain. Tel.: +34934021525. fvillarroya@ 123456ub.edu
                Article
                S2212-8778(20)30187-3 101113
                10.1016/j.molmet.2020.101113
                7691747
                33171307
                c8088cda-b68f-4123-b549-156909490653
                © 2020 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 20 August 2020
                : 2 November 2020
                : 4 November 2020
                Categories
                Original Article

                adipose tissue plasticity,browning,enterokine,fibroblast growth factor 15,fibroblast growth factor 19

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