Peripherally derived FGF21 promotes remyelination in the central nervous system

J Clin Invest. 2017 Sep 1;127(9):3496-3509. doi: 10.1172/JCI94337. Epub 2017 Aug 21.

Abstract

Demyelination in the central nervous system (CNS) leads to severe neurological deficits that can be partially reversed by spontaneous remyelination. Because the CNS is isolated from the peripheral milieu by the blood-brain barrier, remyelination is thought to be controlled by the CNS microenvironment. However, in this work we found that factors derived from peripheral tissue leak into the CNS after injury and promote remyelination in a murine model of toxin-induced demyelination. Mechanistically, leakage of circulating fibroblast growth factor 21 (FGF21), which is predominantly expressed by the pancreas, drives proliferation of oligodendrocyte precursor cells (OPCs) through interactions with β-klotho, an essential coreceptor of FGF21. We further confirmed that human OPCs expressed β-klotho and proliferated in response to FGF21 in vitro. Vascular barrier disruption is a common feature of many CNS disorders; thus, our findings reveal a potentially important role for the peripheral milieu in promoting CNS regeneration.

MeSH terms

  • Animals
  • Blood-Brain Barrier / metabolism
  • Cell Differentiation
  • Cell Proliferation
  • Central Nervous System / cytology*
  • Central Nervous System / metabolism
  • Cuprizone / chemistry
  • Demyelinating Diseases / metabolism
  • Female
  • Fibroblast Growth Factors / physiology*
  • Humans
  • Kinetics
  • Klotho Proteins
  • Membrane Proteins / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Multiple Sclerosis / metabolism
  • Myelin Sheath / metabolism
  • Nerve Regeneration / physiology*
  • Oligodendroglia / cytology
  • Permeability
  • Regenerative Medicine
  • Stem Cells / metabolism

Substances

  • KLB protein, human
  • Membrane Proteins
  • fibroblast growth factor 21
  • Cuprizone
  • Fibroblast Growth Factors
  • Klotho Proteins