Evidence map›Paper›PMID 26755598›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Prolongevity hormone FGF21 protects against immune senescence by delaying age-related thymic involution.

Yun-Hee Youm, Tamas L Horvath, David J Mangelsdorf, Steven A Kliewer, Vishwa Deep Dixit

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed
7.7field-weighted citation impact, top 2% 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

80 citing papers in PubMed, 125 citations in OpenAlex.

  1. Trial
  2. Article
  3. AAV-mediated FGF21 gene therapy promotes health span extension by whole-body tissue-specific adaptations.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Thymic regeneration and tumor immunotherapy.Frontiers in immunology · 2026
    Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. FGF21 keeps the thymus young.Nature aging · 2025
    Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Yun-Hee YoumSection of Comparative Medicine and Program on Integrative Cell Signaling and Neurobiology of Metabolism, Yale School of Medicine, New Haven, CT 06520;
Tamas L HorvathSection of Comparative Medicine and Program on Integrative Cell Signaling and Neurobiology of Metabolism, Yale School of Medicine, New Haven, CT 06520;
David J MangelsdorfDepartment of Pharmacology, University of Texas Southwestern Medical Center, Dallas, TX 75390; Howard Hughes Medical Institute, University of Texas Southwestern Medical Center, Dallas, TX 75390;
Steven A KliewerDepartment of Pharmacology, University of Texas Southwestern Medical Center, Dallas, TX 75390; Department of Molecular Biology, University of Texas Southwestern Medical Center, Dallas, TX 75390;
Vishwa Deep DixitSection of Comparative Medicine and Program on Integrative Cell Signaling and Neurobiology of Metabolism, Yale School of Medicine, New Haven, CT 06520; Department of Immunobiology, Yale School of Medicine, New Haven, CT 06520 vishwa.dixit@yale.edu.
Yale University · USSouthwestern Medical Center · USThe University of Texas Southwestern Medical Center · US

Funding

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
Thymic adipogenesis and age-related thymic demiseR01AI105097 · NIAID · YALE UNIVERSITY · PI DIXIT, VISHWA DEEP · 2015 to 2018
$1.9M
Inflammasomes and the mechanism of thymic demise in agingR01AG043608 · NIA · YALE UNIVERSITY · PI DIXIT, VISHWA DEEP · 2013 to 2017
$1.8M
Impact of Obesity and Weight-Loss Interventions on Immune-Surveillance MechanismsR01DK090556 · NIDDK · YALE UNIVERSITY · PI DIXIT, VISHWA DEEP · 2011 to 2014
$1.6M
Thymic adipogenesis and age-related thymic demiseR56AI105097 · NIAID · YALE UNIVERSITY · PI DIXIT, VISHWA DEEP · 2013 to 2013
$348k
Howard Hughes Medical InstituteNIAID NIH HHS AI105097NIAID NIH HHS R01 AI105097NIAID NIH HHS R56 AI105097NIA NIH HHS AG043608NIA NIH HHS R01 AG043608NIDDK NIH HHS DK090556NIDDK NIH HHS R01 DK067158NIDDK NIH HHS R01DK067158NIDDK NIH HHS R01 DK090556
6 · The paper itself

Abstract

Age-related thymic degeneration is associated with loss of naïve T cells, restriction of peripheral T-cell diversity, and reduced healthspan due to lower immune competence. The mechanistic basis of age-related thymic demise is unclear, but prior evidence suggests that caloric restriction (CR) can slow thymic aging by maintaining thymic epithelial cell integrity and reducing the generation of intrathymic lipid. Here we show that the prolongevity ketogenic hormone fibroblast growth factor 21 (FGF21), a member of the endocrine FGF subfamily, is expressed in thymic stromal cells along with FGF receptors and its obligate coreceptor, βKlotho. We found that FGF21 expression in thymus declines with age and is induced by CR. Genetic gain of FGF21 function in mice protects against age-related thymic involution with an increase in earliest thymocyte progenitors and cortical thymic epithelial cells. Importantly, FGF21 overexpression reduced intrathymic lipid, increased perithymic brown adipose tissue, and elevated thymic T-cell export and naïve T-cell frequencies in old mice. Conversely, loss of FGF21 function in middle-aged mice accelerated thymic aging, increased lethality, and delayed T-cell reconstitution postirradiation and hematopoietic stem cell transplantation (HSCT). Collectively, FGF21 integrates metabolic and immune systems to prevent thymic injury and may aid in the reestablishment of a diverse T-cell repertoire in cancer patients following HSCT.

Indexed as

ImmunosenescenceAgingAnimalsFibroblast Growth FactorsMiceMice, Inbred C57BLReceptors, Antigen, T-CellThymus GlandT-Lymphocytesfibroblast growth factor 21Fibroblast Growth FactorsReceptors, Antigen, T-CellagingFGF21inflammationmetabolismthymus

Identifiers

PMID26755598
PMCPMC4743827
OpenAlexW2234368921

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.