Evidence map›Paper›PMID 23933984›Full record

ArticleNature medicine2013

FGF21 regulates metabolism and circadian behavior by acting on the nervous system.

Angie L Bookout, Marleen H M de Groot, Bryn M Owen, Syann Lee, Laurent Gautron, Heather L Lawrence, Xunshan Ding, Joel K Elmquist, Joseph S Takahashi, David J Mangelsdorf and 1 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 325 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
325citing papers in PubMed, 1 pooled it
17.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

325 citing papers in PubMed, 1 synthesis or guideline pooled it, 524 citations in OpenAlex.

  1. Liver Brain Interactions: Focus on FGF21 a Systematic Review.International journal of molecular sciences · 2022
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Pan-tissue transcriptomic profiling of dairy cattle.Journal of animal science and biotechnology · 2026
    Article
  12. Hypothalamus-liver talks: whispers in the language of metabolism.Reviews in endocrine & metabolic disorders · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Mechanistic insights into the liver-brain axis during chronic liver disease.Nature reviews. Gastroenterology & hepatology · 2026
    Review

265 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Angie L Bookout1] Department of Pharmacology, University of Texas Southwestern Medical Center, Dallas, Texas, USA. [2] Division of Hypothalamic Research, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Marleen H M de Groot
Bryn M Owen
Syann Lee
Laurent Gautron
Heather L Lawrence
Xunshan Ding
Joel K Elmquist
Joseph S Takahashi
David J Mangelsdorf
Steven A Kliewer
The University of Texas Southwestern Medical Center · USHoward Hughes Medical Institute · USSouthwestern Medical Center · US

Funding

ProteomicsU19DK062434 · NIDDK · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI MANGELSDORF, DAVID J · 2002 to 2011
$37.4M
Novel Mechanisms Regulating the Adipocyte-Brain-Hepatocyte AxisP01DK088761 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI SCHERER, PHILIPP E · 2010 to 2019
$17.4M
MECHANISMS OF DRUG ACTION AND DISPOSITIONT32GM007062 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI MANGELSDORF, DAVID J · 1985 to 2020
$7.4M
Tissue-specific Mechanism of Action of the Metabolic Hormones FGF19 and FGF21R01DK067158 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI KLIEWER, STEVEN A. · 2004 to 2017
$4.1M
Central Mechanisms Regulating Energy Homeostasis, Project 2 of 10RL1DK081185 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI ELMQUIST, JOEL K. · 2007 to 2011
$3.8M
Role of FGF21 as a Hormonal Mediator of PPARalpha Actions, Project 4 of 10RL1GM084436 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI MANGELSDORF, DAVID J · 2007 to 2011
$1.9M
Taskforce for Obesity Research at Southwestern (RMI)P20RR020691 · NCRR · UT SOUTHWESTERN MEDICAL CENTER · PI HORTON, JAY D · 2004 to 2006
$1.8M
Howard Hughes Medical InstituteNCRR NIH HHS P20 RR020691NCRR NIH HHS P20RR20691NIDDK NIH HHS P01 DK088761NIDDK NIH HHS P01DK088761NIDDK NIH HHS R01 DK067158NIDDK NIH HHS R01DK067158NIDDK NIH HHS RL1 DK081185NIDDK NIH HHS RL1DK081185NIDDK NIH HHS U19 DK062434NIDDK NIH HHS U19DK62434NIGMS NIH HHS 1RL1GM084436-01NIGMS NIH HHS GM007062NIGMS NIH HHS RL1 GM084436NIGMS NIH HHS T32 GM007062
6 · The paper itself

Abstract

Fibroblast growth factor 21 (FGF21) is a hepatokine that acts as a global starvation signal to modulate fuel partitioning and metabolism and repress growth; however, the site of action of these diverse effects remains unclear. FGF21 signals through a heteromeric cell-surface receptor composed of one of three FGF receptors (FGFR1c, FGFR2c or FGFR3c) in complex with β-Klotho, a single-pass transmembrane protein that is enriched in metabolic tissues. Here we show that in addition to its known effects on peripheral metabolism, FGF21 increases systemic glucocorticoid levels, suppresses physical activity and alters circadian behavior, which are all features of the adaptive starvation response. These effects are mediated through β-Klotho expression in the suprachiasmatic nucleus of the hypothalamus and the dorsal vagal complex of the hindbrain. Mice lacking the gene encoding β-Klotho (Klb) in these regions are refractory to these effects, as well as those on metabolism, insulin and growth. These findings demonstrate a crucial role for the nervous system in mediating the diverse physiologic and pharmacologic actions of FGF21.

Indexed as

Energy MetabolismAnimalsCircadian RhythmFibroblast Growth FactorsGlucocorticoidsHypothalamusKlotho ProteinsMaleMembrane ProteinsMiceMice, Inbred C57BLMotor ActivityNervous SystemReceptor, Fibroblast Growth Factor, Type 1Receptor, Fibroblast Growth Factor, Type 2Receptor, Fibroblast Growth Factor, Type 3Fgfr1 protein, mouseFgfr2 protein, mouseFgfr3 protein, mousefibroblast growth factor 21Fibroblast Growth FactorsGlucocorticoidsKlb protein, mouseKlotho ProteinsMembrane ProteinsReceptor, Fibroblast Growth Factor, Type 1Receptor, Fibroblast Growth Factor, Type 2Receptor, Fibroblast Growth Factor, Type 3

Identifiers

PMID23933984
PMCPMC3769420
OpenAlexW1966181749

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.