Evidence map›Paper›PMID 36889282›Full record

ArticleCell metabolism2023

FGF21 counteracts alcohol intoxication by activating the noradrenergic nervous system.

Mihwa Choi, Marc Schneeberger, Wei Fan, Abhijit Bugde, Laurent Gautron, Kevin Vale, Robert E Hammer, Yuan Zhang, Jeffrey M Friedman, David J Mangelsdorf and 1 more

Open access · hybridFull text read
In one paragraph

Article in Cell metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
  2. Protein Decoys, Alcohol, and Energy Intake: Testing a Mechanistic-Ecological Model.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Negative feedback regulation of alcohol ingestion through the FGF21-PVH oxytocin-VTA dopamine system.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. FGF21 acting on the noradrenergic nervous system protects against influenza virus infection.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. A molecular tango between chromatin and metabolites orchestrates a feedback switch for alcohol consumption.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  15. Article
  16. FGF-based drug discovery: advances and challenges.Nature reviews. Drug discovery · 2025
    Review
  17. Review
  18. Norepinephrine Neurons in the Nucleus of the Solitary Tract Suppress Luteinizing Hormone Secretion in Female Mice.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2024
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Mihwa ChoiDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Marc SchneebergerLaboratory of Molecular Genetics, Howard Hughes Medical Institute, The Rockefeller University, New York, NY 10065, USA.
Wei FanDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Abhijit BugdeLive Cell Imaging Core Facility, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Laurent GautronDivision of Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Kevin ValeDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Robert E HammerDepartment of Biochemistry, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Yuan ZhangDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Jeffrey M FriedmanLaboratory of Molecular Genetics, Howard Hughes Medical Institute, The Rockefeller University, New York, NY 10065, USA.
David J MangelsdorfDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA; Howard Hughes Medical Institute, UT Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: davo.mango@utsouthwestern.edu.
Steven A KliewerDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA; Department of Molecular Biology, UT Southwestern Medical Center, Dallas, TX 75390, USA. Electronic address: steven.kliewer@utsouthwestern.edu.
Southwestern Medical Center · USHoward Hughes Medical Institute · US

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MELANIE H. COBB · 2010 to 2026
$53.7M
UT Southwestern NORCP30DK127984 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Jeff G McDonald · 2022 to 2026
$7.4M
Coordinate Regulation of an Alcohol Protective Response by the Liver-derived Hormone FGF21R01AA028473 · NIAAA · UT SOUTHWESTERN MEDICAL CENTER · PI KLIEWER, STEVEN A., MANGELSDORF, DAVID J · 2020 to 2024
$1.8M
In vivo multiphoton microscope for UT Southwestern Live Cell Imaging FacilityS10RR029731 · NCRR · UT SOUTHWESTERN MEDICAL CENTER · PI LUBY-PHELPS, KATHERINE J · 2010 to 2010
$1.2M
Understanding how the thermogenic response is orchestrated in the central nervous systemR00DK120869 · NIDDK · YALE UNIVERSITY · PI SCHNEEBERGER, MARC · 2022 to 2024
$721k
Understanding how the thermogenic response is orchestrated in the central nervous systemK99DK120869 · NIDDK · ROCKEFELLER UNIVERSITY · PI SCHNEEBERGER, MARC · 2020 to 2021
$233k
Howard Hughes Medical InstituteNCI NIH HHS P30 CA142543NCRR NIH HHS S10 RR029731NIAAA NIH HHS R01 AA028473NIDDK NIH HHS K99 DK120869NIDDK NIH HHS P30 DK127984NIDDK NIH HHS R00 DK120869
6 · The paper itself

Abstract

Animals that consume fermenting fruit and nectar are at risk of exposure to ethanol and the detrimental effects of inebriation. In this report, we show that the hormone FGF21, which is strongly induced by ethanol in murine and human liver, stimulates arousal from intoxication without changing ethanol catabolism. Mice lacking FGF21 take longer than wild-type littermates to recover their righting reflex and balance following ethanol exposure. Conversely, pharmacologic FGF21 administration reduces the time needed for mice to recover from ethanol-induced unconsciousness and ataxia. FGF21 did not counteract sedation caused by ketamine, diazepam, or pentobarbital, indicating specificity for ethanol. FGF21 mediates its anti-intoxicant effects by directly activating noradrenergic neurons in the locus coeruleus region, which regulates arousal and alertness. These results suggest that this FGF21 liver-brain pathway evolved to protect against ethanol-induced intoxication and that it might be targeted pharmaceutically for treating acute alcohol poisoning.

Indexed as

Alcoholic IntoxicationAnimalsBrainEthanolFibroblast Growth FactorsHumansMiceEthanolfibroblast growth factor 21Fibroblast Growth Factorsalcoholamethysticanti-intoxicantFGF21hormoneinebriationliverlocus coeruleusnoradrenergic

Identifiers

PMID36889282
PMCPMC10009780
OpenAlexW4323530518

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read61
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.