Evidence map›Paper›PMID 29657029›Full record

Trial reportCell metabolism2018

The Hormone FGF21 Stimulates Water Drinking in Response to Ketogenic Diet and Alcohol.

Parkyong Song, Christoph Zechner, Genaro Hernandez, José Cánovas, Yang Xie, Varun Sondhi, Martin Wagner, Vanessa Stadlbauer, Angela Horvath, Bettina Leber and 4 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cell metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 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. Trial
  5. 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
  6. Article
  7. Article
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  11. 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
  12. Article
  13. Article
  14. Article
  15. FGF-based drug discovery: advances and challenges.Nature reviews. Drug discovery · 2025
    Review
  16. Article
  17. Review
  18. Metabolic Crosstalk between Liver and Brain: From Diseases to Mechanisms.International journal of molecular sciences · 2024
    Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Parkyong SongDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Christoph ZechnerDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA; Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA; Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Genaro HernandezDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA.
José CánovasDepartments of Biochemistry and Molecular Biophysics and Neuroscience, Columbia College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
Yang XieDepartment of Clinical Sciences, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Varun SondhiDepartment of Pharmacology, UT Southwestern Medical Center, Dallas, TX 75390, USA; Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Martin WagnerDepartment of Gastroenterology and Hepatology, Medical University of Graz, 8036 Graz, Austria.
Vanessa StadlbauerDepartment of Gastroenterology and Hepatology, Medical University of Graz, 8036 Graz, Austria.
Angela HorvathDepartment of Transplantation Surgery, Medical University of Graz, 8036 Graz, Austria; Center for Biomarker Research in Medicine (CBmed), 8010 Graz, Austria.
Bettina LeberDepartment of Transplantation Surgery, Medical University of Graz, 8036 Graz, Austria; Center for Biomarker Research in Medicine (CBmed), 8010 Graz, Austria.
Ming Chang HuDepartment of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA; Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, UT Southwestern Medical Center, Dallas, TX 75390, USA.
Orson W MoeDepartment of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA; Charles and Jane Pak Center for Mineral Metabolism and Clinical Research, UT Southwestern Medical Center, Dallas, TX 75390, USA; Department of Physiology, UT Southwestern Medical Center, Dallas, TX 75390, 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 · USMedical University of Graz · ATThe University of Texas Southwestern Medical Center · USSouthwestern Medical CenterCenter For Biomarker Research In Medicine · ATColumbia University · US

Funding

The role of AgRP/Auga-ALK pathway in FGF21's brain action on agingP01AG051459 · NIA · YALE UNIVERSITY · PI VISHWA DEEP DIXIT · 2016 to 2026
$25.7M
UT Southwestern O'Brien Kidney Research Core CenterP30DK079328 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI MOE, ORSON W · 2007 to 2021
$16.9M
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
Klotho: Therapeutic Agent for Ischemia Reperfusion Induced Acute Kidney InjuryR01DK092461 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI HU, MING-CHANG · 2011 to 2021
$3.7M
Klotho and Phosphate in Chronic Kidney Disease: Pathogenesis and TherapeuticsR01DK091392 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI HU, MING-CHANG, MOE, ORSON W · 2011 to 2021
$3.2M
Structural Plasticity in Compensatory Lung Growth and RemodelingR01HL134373 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI HSIA, CONNIE C. W. · 2017 to 2020
$2.8M
Integrative Analysis to Identify Regulation Targets of RNA-Binding ProteinsR01GM115473 · NIGMS · UT SOUTHWESTERN MEDICAL CENTER · PI XIE, YANG · 2016 to 2019
$1.3M
FGF15/FGF19 - γ Klotho FGFR axis in renal phosphate homeostasisK08DK106569 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI ZECHNER, PETER GERHARD CHRISTOPH · 2015 to 2021
$787k
Howard Hughes Medical InstituteNHLBI NIH HHS R01 HL134373NIA NIH HHS P01 AG051459NIDDK NIH HHS K08 DK106569NIDDK NIH HHS P30 DK079328NIDDK NIH HHS R01 DK067158NIDDK NIH HHS R01 DK091392NIDDK NIH HHS R01 DK092461NIGMS NIH HHS R01 GM115473
6 · The paper itself

Abstract

Alcohol and ketogenic diets increase water consumption. Here, we show that the hormone FGF21 is required for this drinking response in mice. Circulating levels of FGF21 are increased by alcohol consumption in humans and by both alcohol and ketogenic diets in mice. Pharmacologic administration of FGF21 stimulates water drinking behavior in mice within 2 hr. Concordantly, mice lacking FGF21 fail to increase water intake in response to either alcohol or a ketogenic diet. The effect of FGF21 on drinking is mediated in part by SIM1-positive neurons of the hypothalamus and is inhibited by β-adrenergic receptor antagonists. Given that FGF21 also is known to suppress alcohol intake in favor of pure water, this work identifies FGF21 as a fundamental neurotropic hormone that governs water balance in response to specific nutrient stresses that can cause dehydration.

Indexed as

Adrenergic beta-AntagonistsAdultAlcohol DrinkingAnimalsBasic Helix-Loop-Helix ProteinsDiet, KetogenicDrinkingFemaleFibroblast Growth FactorsHealthy VolunteersHumansHypothalamusMaleMiceMice, Inbred C57BLMice, KnockoutAdrenergic beta-AntagonistsBasic Helix-Loop-Helix Proteinsfibroblast growth factor 21Fibroblast Growth FactorsRepressor ProteinsSIM1 protein, humanSim1 protein, mousealcoholFGF21hypothalamusketogenic dietneuronswater drinkingβ-adrenergic signalingβ-klotho

Identifiers

PMID29657029
PMCPMC5990458
OpenAlexW2797132297

What Socratic holds

Textmetadata
LicenceTDM
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 Socratic graph.