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Glucagon-to-insulin ratio is pivotal for splanchnic regulation of FGF-21 in humans.


ABSTRACT:

Background & aims

Fibroblast growth factor 21 (FGF-21) is a liver-derived metabolic regulator induced by energy deprivation. However, its regulation in humans is incompletely understood. We addressed the origin and regulation of FGF-21 secretion in humans.

Methods

By determination of arterial-to-venous differences over the liver and the leg during exercise, we evaluated the organ-specific secretion of FGF-21 in humans. By four different infusion models manipulating circulating glucagon and insulin, we addressed the interaction of these hormones on FGF-21 secretion in humans.

Results

We demonstrate that the splanchnic circulation secretes FGF-21 at rest and that it is rapidly enhanced during exercise. In contrast, the leg does not contribute to the systemic levels of FGF-21. To unravel the mechanisms underlying the regulation of exercise-induced hepatic release of FGF-21, we manipulated circulating glucagon and insulin. These studies demonstrated that in humans glucagon stimulates splanchnic FGF-21 secretion whereas insulin has an inhibitory effect.

Conclusions

Collectively, our data reveal that 1) in humans, the splanchnic bed contributes to the systemic FGF-21 levels during rest and exercise; 2) under normo-physiological conditions FGF-21 is not released from the leg; 3) a dynamic interaction of glucagon-to-insulin ratio regulates FGF-21 secretion in humans.

SUBMITTER: Hansen JS 

PROVIDER: S-EPMC4529499 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature

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Publications

Glucagon-to-insulin ratio is pivotal for splanchnic regulation of FGF-21 in humans.

Hansen Jakob Schiøler JS   Clemmesen Jens Otto JO   Secher Niels Henry NH   Hoene Miriam M   Drescher Andrea A   Weigert Cora C   Pedersen Bente Klarlund BK   Plomgaard Peter P  

Molecular metabolism 20150612 8


<h4>Background & aims</h4>Fibroblast growth factor 21 (FGF-21) is a liver-derived metabolic regulator induced by energy deprivation. However, its regulation in humans is incompletely understood. We addressed the origin and regulation of FGF-21 secretion in humans.<h4>Methods</h4>By determination of arterial-to-venous differences over the liver and the leg during exercise, we evaluated the organ-specific secretion of FGF-21 in humans. By four different infusion models manipulating circulating glu  ...[more]

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