PMID- 30461198 OWN - NLM STAT- MEDLINE DCOM- 20200617 LR - 20210109 IS - 1582-4934 (Electronic) IS - 1582-1838 (Print) IS - 1582-1838 (Linking) VI - 23 IP - 2 DP - 2019 Feb TI - Pancreatic fibroblast growth factor 21 protects against type 2 diabetes in mice by promoting insulin expression and secretion in a PI3K/Akt signaling-dependent manner. PG - 1059-1071 LID - 10.1111/jcmm.14007 [doi] AB - Fibroblast growth factor 21 (FGF21) is important in glucose, lipid homeostasis and insulin sensitivity. However, it remains unknown whether FGF21 is involved in insulin expression and secretion that are dysregulated in type 2 diabetes mellitus (T2DM). In this study, we found that FGF21 was down-regulated in pancreatic islets of db/db mice, a mouse model of T2DM, along with decreased insulin expression, suggesting the possible involvement of FGF21 in maintaining insulin homeostasis and islet beta-cell function. Importantly, FGF21 knockout exacerbated palmitate-induced islet beta-cell failure and suppression of glucose-stimulated insulin secretion (GSIS). Pancreatic FGF21 overexpression significantly increased insulin expression, enhanced GSIS, improved islet morphology and reduced beta-cell apoptosis in db/db mice. Mechanistically, FGF21 promoted expression of insulin gene transcription factors and soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) proteins, the major regulators of insulin secretion, as well as activating phosphatidylinositol 3-kinase (PI3K)/Akt signaling in islets of db/db mice. In addition, pharmaceutical inhibition of PI3K/Akt signaling effectively suppressed FGF21-induced expression of insulin gene transcription factors and SNARE proteins, suggesting an essential role of PI3K/Akt signaling in FGF21-induced insulin expression and secretion. Taken together, our results demonstrate a protective role of pancreatic FGF21 in T2DM mice through inducing PI3K/Akt signaling-dependent insulin expression and secretion. CI - (c) 2018 The Authors. Journal of Cellular and Molecular Medicine published by John Wiley & Sons Ltd and Foundation for Cellular and Molecular Medicine. FAU - Pan, Yingying AU - Pan Y AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Wang, Baile AU - Wang B AD - State Key Laboratory of Pharmaceutical Biotechnology, Department of Medicine, The University of Hong Kong, Hong Kong. FAU - Zheng, Jujia AU - Zheng J AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Xiong, Rongrong AU - Xiong R AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Fan, Zhichao AU - Fan Z AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Ye, Yanna AU - Ye Y AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Zhang, Saisai AU - Zhang S AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Li, Qinyao AU - Li Q AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Gong, Fanghua AU - Gong F AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Wu, Chaoming AU - Wu C AD - The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Lin, Zhuofeng AU - Lin Z AD - The First Affiliated Hospital of Jinan University, Guangzhou, China. FAU - Li, Xiaokun AU - Li X AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Pan, Xuebo AU - Pan X AUID- ORCID: 0000-0002-8014-5538 AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181120 PL - England TA - J Cell Mol Med JT - Journal of cellular and molecular medicine JID - 101083777 RN - 0 (Insulin) RN - 0 (fibroblast growth factor 21) RN - 62031-54-3 (Fibroblast Growth Factors) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Apoptosis/physiology MH - Diabetes Mellitus, Type 2/*metabolism MH - Fibroblast Growth Factors/*metabolism MH - Glucose/metabolism MH - Insulin/*metabolism MH - Insulin Resistance/physiology MH - Insulin-Secreting Cells/metabolism MH - Islets of Langerhans/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Pancreas/metabolism MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Signal Transduction/*physiology PMC - PMC6349243 OTO - NOTNLM OT - FGF21 OT - diabetes OT - insulin OT - pancreatic beta-cell EDAT- 2018/11/22 06:00 MHDA- 2020/06/18 06:00 PMCR- 2019/02/01 CRDT- 2018/11/22 06:00 PHST- 2018/05/30 00:00 [received] PHST- 2018/10/11 00:00 [accepted] PHST- 2018/11/22 06:00 [pubmed] PHST- 2020/06/18 06:00 [medline] PHST- 2018/11/22 06:00 [entrez] PHST- 2019/02/01 00:00 [pmc-release] AID - JCMM14007 [pii] AID - 10.1111/jcmm.14007 [doi] PST - ppublish SO - J Cell Mol Med. 2019 Feb;23(2):1059-1071. doi: 10.1111/jcmm.14007. Epub 2018 Nov 20.