Evidence map›Paper›PMID 36909316›Full record

ArticleFrontiers in endocrinology2023

Fibroblast growth factor 21 is expressed and secreted from skeletal muscle following electrical stimulation

Manuel Arias-Calderón, Mariana Casas, Julián Balanta-Melo, Camilo Morales-Jiménez, Nadia Hernández, Paola Llanos, Enrique Jaimovich, Sonja Buvinic

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Exercise-myokine relationships in osteoarthritis.Journal of translational medicine · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Protective effects of exerkine on cardiovascular system.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  13. Exerkines and myokines in aging sarcopenia.Frontiers in endocrinology · 2025
    Review
  14. Advances in electrical stimulation for wound healing.Frontiers in bioengineering and biotechnology · 2025
    Review
  15. Article
  16. Article
  17. Review
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

8 authors.

Manuel Arias-CalderónInstitute for Research in Dental Sciences, Faculty of Dentistry, Universidad de Chile, Santiago, Chile.
Mariana CasasInstitute of Biomedical Sciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Julián Balanta-MeloInstitute for Research in Dental Sciences, Faculty of Dentistry, Universidad de Chile, Santiago, Chile.
Camilo Morales-JiménezInstitute for Research in Dental Sciences, Faculty of Dentistry, Universidad de Chile, Santiago, Chile.
Nadia HernándezInstitute for Research in Dental Sciences, Faculty of Dentistry, Universidad de Chile, Santiago, Chile.
Paola LlanosInstitute for Research in Dental Sciences, Faculty of Dentistry, Universidad de Chile, Santiago, Chile.
Enrique JaimovichInstitute of Biomedical Sciences, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Sonja BuvinicInstitute for Research in Dental Sciences, Faculty of Dentistry, Universidad de Chile, Santiago, Chile.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fibroblast growth factor 21 (FGF21) is a hormone involved in the regulation of lipid, glucose, and energy metabolism. Although it is released mainly from the liver, in recent years it has been shown that it is a "myokine", synthesized in skeletal muscles after exercise and stress conditions through an Akt-dependent pathway and secreted for mediating autocrine and endocrine roles. To date, the molecular mechanism for the pathophysiological regulation of FGF21 production in skeletal muscle is not totally understood. We have previously demonstrated that muscle membrane depolarization controls gene expression through extracellular ATP (eATP) signaling, by a mechanism defined as "Excitation-Transcription coupling". eATP signaling regulates the expression and secretion of interleukin 6, a well-defined myokine, and activates the Akt/mTOR signaling pathway. This work aimed to study the effect of electrical stimulation in the regulation of both production and secretion of skeletal muscle FGF21, through eATP signaling and PI3K/Akt pathway. Our results show that electrical stimulation increases both mRNA and protein (intracellular and secreted) levels of FGF21, dependent on an extracellular ATP signaling mechanism in skeletal muscle. Using pharmacological inhibitors, we demonstrated that FGF21 production and secretion from muscle requires the activation of the P2YR/PI3K/Akt/mTOR signaling pathway. These results confirm skeletal muscle as a source of FGF21 in physiological conditions and unveil a new molecular mechanism for regulating FGF21 production in this tissue. Our results will allow to identify new molecular targets to understand the regulation of FGF21 both in physiological and pathological conditions, such as exercise, aging, insulin resistance, and Duchenne muscular dystrophy, all characterized by an alteration in both FGF21 levels and ATP signaling components. These data reinforce that eATP signaling is a relevant mechanism for myokine expression in skeletal muscle.

Indexed as

Phosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktAdenosine TriphosphateElectric StimulationFibroblast Growth FactorsMuscle, SkeletalSignal TransductionTOR Serine-Threonine KinasesAdenosine Triphosphatefibroblast growth factor 21Fibroblast Growth FactorsPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine KinasesAkt signalingexcitation-transcription couplingextracellular nucleotidesfibroblast growth factor 21membrane depolarizationmuscle activitymyokines

Identifiers

PMID36909316
PMCPMC9997036

What Socratic holds

Textmetadata
LicenceCC BY
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.