Evidence map›Paper›PMID 24468826›Full record

ArticleMolecular psychiatry2015

FGF-21, a novel metabolic regulator, has a robust neuroprotective role and is markedly elevated in neurons by mood stabilizers.

Y Leng, Z Wang, L-K Tsai, P Leeds, E B Fessler, J Wang, D-M Chuang

Open access · greenAbstract read
In one paragraph

Article in Molecular psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

57 citing papers in PubMed, 97 citations in OpenAlex.

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  8. Intranasal administration of mesenchymal stem cells overexpressing FGF21 demonstrates therapeutic potential in experimental Parkinson's disease.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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  17. Research progress of fibroblast growth factor in nervous system diseases.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Article
  18. Article
  19. Serum Klotho and FGF23 Levels in Patients with Schizophrenia.Psychiatry and clinical psychopharmacology · 2022
    Article
  20. A Longitudinal Study of the Association between theInternational journal of molecular sciences · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Y LengSection on Molecular Neurobiology, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
Z WangSection on Molecular Neurobiology, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
L-K TsaiSection on Molecular Neurobiology, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
P LeedsSection on Molecular Neurobiology, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
E B FesslerSection on Molecular Neurobiology, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
J WangSection on Molecular Neurobiology, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
D-M ChuangSection on Molecular Neurobiology, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA.
National Institute of Mental Health · USNational Institutes of Health · US

Funding

Mechanisms Of Action Of Psychoactive DrugsZIAMH002468 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI AMARA, SUSAN · 2009 to 2015
$10.1M
Intramural NIH HHS ZIA MH002468
6 · The paper itself

Abstract

Fibroblast growth factor-21 (FGF-21) is a new member of the FGF super-family and an important endogenous regulator of glucose and lipid metabolism. It has been proposed as a therapeutic target for diabetes and obesity. Its function in the central nervous system (CNS) remains unknown. Previous studies from our laboratory demonstrated that aging primary neurons are more vulnerable to glutamate-induced excitotoxicity, and that co-treatment with the mood stabilizers lithium and valproic acid (VPA) induces synergistic neuroprotective effects. This study sought to identify molecule(s) involved in these synergistic effects. We found that FGF-21 mRNA was selectively and markedly elevated by co-treatment with lithium and VPA in primary rat brain neurons. FGF-21 protein levels were also robustly increased in neuronal lysates and culture medium following lithium-VPA co-treatment. Combining glycogen synthase kinase-3 (GSK-3) inhibitors with VPA or histone deacetylase (HDAC) inhibitors with lithium synergistically increased FGF-21 mRNA levels, supporting that synergistic effects of lithium and VPA are mediated via GSK-3 and HDAC inhibition, respectively. Exogenous FGF-21 protein completely protected aging neurons from glutamate challenge. This neuroprotection was associated with enhanced Akt-1 activation and GSK-3 inhibition. Lithium-VPA co-treatment markedly prolonged lithium-induced Akt-1 activation and augmented GSK-3 inhibition. Akt-1 knockdown markedly decreased FGF-21 mRNA levels and reduced the neuroprotection induced by FGF-21 or lithium-VPA co-treatment. In addition, FGF-21 knockdown reduced lithium-VPA co-treatment-induced Akt-1 activation and neuroprotection against excitotoxicity. Together, our novel results suggest that FGF-21 is a key mediator of the effects of these mood stabilizers and a potential new therapeutic target for CNS disorders.

Indexed as

AnimalsAnimals, NewbornAntimanic AgentsCells, CulturedCerebral CortexDrug SynergismExcitatory Amino Acid AgonistsFibroblast Growth FactorsGene Expression RegulationGlutamic AcidGlycogen Synthase Kinase 3HippocampusLithiumMaleMiceNeuronsAntimanic AgentsExcitatory Amino Acid Agonistsfibroblast growth factor 21Fibroblast Growth FactorsGlutamic AcidGlycogen Synthase Kinase 3LithiumNeuroprotective AgentsOncogene Protein v-aktValproic Acid

Identifiers

PMID24468826
PMCPMC4113566
OpenAlexW2032668499

What OpenQuestion holds

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Registered trials

None linked

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.