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Skeletal muscle–targeted delivery of Fgf6 protects mice from diet-induced obesity and insulin resistance
Bo Xu, … , Cheng Hu, Weiping Jia
Bo Xu, … , Cheng Hu, Weiping Jia
Published September 7, 2021
Citation Information: JCI Insight. 2021;6(19):e149969. https://doi.org/10.1172/jci.insight.149969.
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Research Article Metabolism Muscle biology

Skeletal muscle–targeted delivery of Fgf6 protects mice from diet-induced obesity and insulin resistance

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Abstract

Obesity, a major health care issue, is characterized by metabolic abnormalities in multiple tissues, including the skeletal muscle. Although dysregulation of skeletal muscle metabolism can strongly influence the homeostasis of systemic energy, the underlying mechanism remains unclear. We found promoter hypermethylation and decreased gene expression of fibroblast growth factor 6 (FGF6) in the skeletal muscle of individuals with obesity using high-throughput sequencing. Reduced binding of the cyclic AMP responsive element binding protein-1 (CREB1) to the hypermethylated cyclic AMP response element, which is a regulatory element upstream of the transcription initiation site, partially contributed to the downregulation of FGF6 in patients with obesity. Overexpression of Fgf6 in mouse skeletal muscle stimulated protein synthesis, activating the mammalian target of rapamycin pathway, and prevented the increase in weight and the development of insulin resistance in high-fat diet–fed mice. Thus, our findings highlight the role played by Fgf6 in regulating skeletal muscle hypertrophy and whole-body metabolism, indicating its potential in strategies aimed at preventing and treating metabolic diseases.

Authors

Bo Xu, Caizhi Liu, Hong Zhang, Rong Zhang, Mengyang Tang, Yan Huang, Li Jin, Lingyan Xu, Cheng Hu, Weiping Jia

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Figure 3

Fgf6 promotes skeletal muscle hypertrophy.

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Fgf6 promotes skeletal muscle hypertrophy.
(A) Representative images of...
(A) Representative images of H&E-stained muscles. Scale bars: 100 μm. (B) Frequency distribution of cross-sectional area (CSA) and mean fiber area of the stained muscle fibers (n = 4). (C) Relative mRNA level of Fgf6 determined by qPCR in gastroc muscles injected with AAV9-Ctrl or AAV9-FGF6 (n = 8). (D) Alterations of relative mRNA levels of genes relevant to muscle atrophy (Mstn, Murf1, Fbxo32, and Fbxo21) and hypertrophy (Igf1, Fst-total, Fst288, and Fst315) after Fgf6 overexpression in gastroc muscles (n = 8). Mstn, myostatin; Murf1, muscle ring finger 1; Igf1, insulin like growth factor 1; Fst, follistatin. (E) Western blotting analysis depicting the changes in protein synthesis rates (tracked using SUnSET assay) and FGF6 in gastroc muscles following AAV9-FGF6 injection (n = 2). SUnSET, surface sensing of translation. (F) Representative images of Western blotting analysis of the mammalian target of rapamycin signaling proteins in lysates from skeletal muscles injected with AAV9-Ctrl or AAV9-FGF6 (n = 5). (G) Comparison of the ratio of phosphorylated protein to the total protein in the lysates of skeletal muscles with or without Fgf6 overexpression. Integrated density of phosphorylated protein (F) band was divided by that of the total protein (F) band (n = 5). Data information: Results are represented as mean ± standard error of mean. Unpaired and paired Student’s t test comparisons were conducted. *P < 0.05, **P < 0.01, ***P < 0.001.

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