PMID- 36151002 OWN - NLM STAT- MEDLINE DCOM- 20221028 LR - 20230119 IS - 1879-3061 (Electronic) IS - 1043-2760 (Linking) VI - 33 IP - 11 DP - 2022 Nov TI - Knocking on GDF15's door for the treatment of type 2 diabetes mellitus. PG - 741-754 LID - S1043-2760(22)00163-1 [pii] LID - 10.1016/j.tem.2022.08.004 [doi] AB - Although a large number of drugs are available for the treatment of type 2 diabetes mellitus (T2DM), many patients do not achieve adequate disease control despite adhering to medication. Recent findings indicate that the pharmacological modulation of the stress-induced cytokine growth differentiation factor 15 (GDF15) shows promise for the treatment of T2DM. GDF15 suppresses appetite and reduces inflammation, increases thermogenesis and lipid catabolism, sustains AMP-activated protein kinase (AMPK) activity, and ameliorates insulin resistance and hepatic steatosis. In addition, circulating GDF15 levels are elevated in response to several antidiabetic drugs, including metformin, with GDF15 mediating some of their effects. Here, we review the mechanistic insights into the beneficial effects of recently explored therapeutic approaches that target GDF15 for the treatment of T2DM. CI - Copyright (c) 2022 Elsevier Ltd. All rights reserved. FAU - Aguilar-Recarte, David AU - Aguilar-Recarte D AD - Department of Pharmacology, Toxicology and Therapeutic Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, Barcelona, Spain; Institute of Biomedicine of the University of Barcelona (IBUB), Barcelona, Spain; Pediatric Research Institute-Hospital Sant Joan de Deu, Barcelona, Spain; CIBER de Diabetes y Enfermedades Metabolicas Asociadas, Instituto de Salud Carlos III, Avinguda Joan XXII 27-31, E-08028 Barcelona, Spain. FAU - Barroso, Emma AU - Barroso E AD - Department of Pharmacology, Toxicology and Therapeutic Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, Barcelona, Spain; Institute of Biomedicine of the University of Barcelona (IBUB), Barcelona, Spain; Pediatric Research Institute-Hospital Sant Joan de Deu, Barcelona, Spain; CIBER de Diabetes y Enfermedades Metabolicas Asociadas, Instituto de Salud Carlos III, Avinguda Joan XXII 27-31, E-08028 Barcelona, Spain. FAU - Palomer, Xavier AU - Palomer X AD - Department of Pharmacology, Toxicology and Therapeutic Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, Barcelona, Spain; Institute of Biomedicine of the University of Barcelona (IBUB), Barcelona, Spain; Pediatric Research Institute-Hospital Sant Joan de Deu, Barcelona, Spain; CIBER de Diabetes y Enfermedades Metabolicas Asociadas, Instituto de Salud Carlos III, Avinguda Joan XXII 27-31, E-08028 Barcelona, Spain. FAU - Wahli, Walter AU - Wahli W AD - Center for Integrative Genomics, University of Lausanne, CH-1015 Lausanne, Switzerland; Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore 308232; ToxAlim (Research Center in Food Toxicology), INRAE, UMR1331, 31300 Toulouse Cedex, France. FAU - Vazquez-Carrera, Manuel AU - Vazquez-Carrera M AD - Department of Pharmacology, Toxicology and Therapeutic Chemistry, Faculty of Pharmacy and Food Sciences, University of Barcelona, Barcelona, Spain; Institute of Biomedicine of the University of Barcelona (IBUB), Barcelona, Spain; Pediatric Research Institute-Hospital Sant Joan de Deu, Barcelona, Spain; CIBER de Diabetes y Enfermedades Metabolicas Asociadas, Instituto de Salud Carlos III, Avinguda Joan XXII 27-31, E-08028 Barcelona, Spain. Electronic address: mvazquezcarrera@ub.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20220920 PL - United States TA - Trends Endocrinol Metab JT - Trends in endocrinology and metabolism: TEM JID - 9001516 RN - 0 (Growth Differentiation Factor 15) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - 0 (Hypoglycemic Agents) RN - 9100L32L2N (Metformin) RN - 0 (Lipids) RN - 0 (GDF15 protein, human) SB - IM MH - Humans MH - Growth Differentiation Factor 15/metabolism MH - *Diabetes Mellitus, Type 2/drug therapy/metabolism MH - AMP-Activated Protein Kinases/metabolism MH - Hypoglycemic Agents/therapeutic use MH - *Metformin/pharmacology/therapeutic use MH - Lipids OTO - NOTNLM OT - AMPK OT - GFRAL OT - NAFLD OT - inflammation OT - insulin resistance OT - myokine COIS- Declaration of interests No interests are declared. EDAT- 2022/09/24 06:00 MHDA- 2022/10/29 06:00 CRDT- 2022/09/23 22:06 PHST- 2022/07/29 00:00 [received] PHST- 2022/08/26 00:00 [revised] PHST- 2022/08/29 00:00 [accepted] PHST- 2022/09/24 06:00 [pubmed] PHST- 2022/10/29 06:00 [medline] PHST- 2022/09/23 22:06 [entrez] AID - S1043-2760(22)00163-1 [pii] AID - 10.1016/j.tem.2022.08.004 [doi] PST - ppublish SO - Trends Endocrinol Metab. 2022 Nov;33(11):741-754. doi: 10.1016/j.tem.2022.08.004. Epub 2022 Sep 20.