GDF15 promotes weight loss by enhancing energy expenditure in muscle

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Documents

  • Dongdong Wang
  • Logan K. Townsend
  • Geneviève J. DesOrmeaux
  • Sara M. Frangos
  • Battsetseg Batchuluun
  • Lauralyne Dumont
  • Elham Ahmadi
  • Sumei Hu
  • Irena A. Rebalka
  • Jaya Gautam
  • Maria Joy Therese Jabile
  • Chantal A. Pileggi
  • Sonia Rehal
  • Eric M. Desjardins
  • Evangelia E. Tsakiridis
  • James S.V. Lally
  • Emma Sara Juracic
  • A. Russell Tupling
  • Hertzel C. Gerstein
  • Guillaume Paré
  • Theodoros Tsakiridis
  • Mary Ellen Harper
  • Thomas J. Hawke
  • John R. Speakman
  • Denis P. Blondin
  • Graham P. Holloway
  • Sebastian Beck Jørgensen
  • Gregory R. Steinberg

Caloric restriction that promotes weight loss is an effective strategy for treating non-alcoholic fatty liver disease and improving insulin sensitivity in people with type 2 diabetes 1. Despite its effectiveness, in most individuals, weight loss is usually not maintained partly due to physiological adaptations that suppress energy expenditure, a process known as adaptive thermogenesis, the mechanistic underpinnings of which are unclear 2,3. Treatment of rodents fed a high-fat diet with recombinant growth differentiating factor 15 (GDF15) reduces obesity and improves glycaemic control through glial-cell-derived neurotrophic factor family receptor α-like (GFRAL)-dependent suppression of food intake 4–7. Here we find that, in addition to suppressing appetite, GDF15 counteracts compensatory reductions in energy expenditure, eliciting greater weight loss and reductions in non-alcoholic fatty liver disease (NAFLD) compared to caloric restriction alone. This effect of GDF15 to maintain energy expenditure during calorie restriction requires a GFRAL–β-adrenergic-dependent signalling axis that increases fatty acid oxidation and calcium futile cycling in the skeletal muscle of mice. These data indicate that therapeutic targeting of the GDF15–GFRAL pathway may be useful for maintaining energy expenditure in skeletal muscle during caloric restriction.

Original languageEnglish
JournalNature
Volume619
Issue number7968
Pages (from-to)143-150
Number of pages8
ISSN0028-0836
DOIs
Publication statusPublished - 2023

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© 2023, The Author(s).

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