Evidence mapPaperPMID 42313341Full record

ReviewMolecular biology reports2026

The role of fibroblast growth factor 21 in diabetes and metabolic dysfunction.

Ashirvad Jaiswal, Chadani Nigam, Gaurish Narayan Singh, Anurag Kumar Gautam

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In one paragraph

Review in Molecular biology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Ashirvad JaiswalDepartment of Pharmacy Practice, Institute of Pharmacy, Deen Dayal Upadhyaya Gorakhpur University, Civil Lines, Gorakhpur, 273009, Uttar Pradesh, India.
Chadani NigamDepartment of Pharmacology, Amity Institute of Pharmacy, Amity University Uttar Pradesh Lucknow Campus, Lucknow, 226028, Uttar Pradesh, India.
Gaurish Narayan SinghDepartment of Pharmaceutics, Institute of Pharmacy, Deen Dayal Upadhyaya Gorakhpur University, Civil Lines, Gorakhpur, 273009, Uttar Pradesh, India.
Anurag Kumar GautamDepartment of Pharmacology, Institute of Pharmacy, Deen Dayal Upadhyaya Gorakhpur University, Civil Lines, Gorakhpur, 273009, Uttar Pradesh, India. kumargautamanurag@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fibroblast growth factor 21 (FGF21) is an endocrine hormone central to metabolic regulation under nutritional and cellular stress. Predominantly synthesized by the liver, FGF21 exerts pleiotropic effects through fibroblast growth factor receptor 1c (FGFR1c) and its co receptor β-Klotho, targeting adipose tissue, skeletal muscle, pancreas, and the central nervous system. In diabetes mellitus, FGF21 enhances insulin sensitivity, stimulates adiponectin secretion, alleviates hepatic steatosis, and protects pancreatic β-cells from oxidative and endoplasmic reticulum stress. These effects are mediated via key molecular pathways, including AMPK, SIRT1, PGC-1α, and mTOR signaling. Interestingly, despite elevated circulating FGF21 levels in obesity and type 2 diabetes, biological responsiveness is diminished-a phenomenon termed FGF21 resistance, characterised by impaired receptor expression, inflammatory signaling interference, and downstream signaling deficits. This review presents an in depth mechanistic overview of FGF21 signaling, its regulatory networks, and implications for glucose and lipid homeostasis, inflammation, mitochondrial health, and autophagy. Additionally, it discusses the development of pharmacologically optimized FGF21 analogs and multi agonists designed to overcome resistance and enhance therapeutic efficacy. As our comprehension of FGF21 biology deepens, elucidation of its molecular processes, resistance phenomena, and pharmacological refinement will be crucial in establishing FGF21 as a fundamental element of precision medicine for metabolic illnesses. The incorporation of FGF21 based strategies with combinatorial pharmacotherapy and tissue targeted delivery methods offers a potential approach to tackle the complicated pathophysiology of diabetes and improve clinical outcomes in affected populations.

Indexed as

Diabetes Mellitus, Type 2Fibroblast Growth FactorsMetabolic DiseasesAnimalsHumansInsulin ResistanceKlotho ProteinsLipid MetabolismObesityReceptor, Fibroblast Growth Factor, Type 1Signal TransductionFGF21 protein, humanfibroblast growth factor 21Fibroblast Growth FactorsKlotho ProteinsReceptor, Fibroblast Growth Factor, Type 1DiabetesFibroblast growth factor 21InflammationMetabolic diseases

Identifiers

What Socratic 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 Socratic graph.