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I read with interest the paper by Uriarte et al,1 in which the authors conclude that ‘Fgf15 is a key mediator of the liver growth-promoting effects of bile acids.’
There are reasons to question the conclusions drawn in this paper. Due to space limit I forward three issues.
(1) Fgf15 exerts its effects via FGFR4 as mentioned. The authors have not recognised a report by Yu et al 2 showing that deletion of FGFR4 does not alter the ability of the liver to regenerate after partial hepatectomy.
How can circulating Fgf15 (derived from the gut as currently often believed, and as also these authors claim) be crucial for liver regeneration, when FGFR4 has no role in liver regeneration2?
This discrepancy strongly suggests that the inability of the liver to regenerate in Fgf15KO mice is independent of FGFR4, and by consequence, must be explained by FGFR4-independent actions.
This, in turn, implies that changes in any circulating Fgf15 from gut to liver is highly unlikely to explain why liver regeneration in FGF15KO mice is impaired, provided that FGFR4 indeed is the receptor for Fgf15. One plausible explanation for this intriguing latter conclusion is that Fgf15 is simply not present in mouse or rat blood plasma, which is actually in line with previous and recent3 failures to detect Fgf15 in rodent plasma. It must be remembered that the evidence for the presence of circulating Fgf15 are circumstantial, and that an alternative mechanism explaining ‘Fgf15-caused’ effects on bile acid synthesis was recently suggested4 that is soon to be demonstrated.
(2) In the introduction, the authors state that: ‘After reaching the liver through the portal circulation, Fgf15 was shown to bind and activate the FGF receptor 4 (FGFR4)’.
This statement is incorrect. The evidence for circulating Fgf15 are circumstantial, and the presence of circulating Fgf15 has never been shown, as mentioned presumably because it is not there. If authors have data on mouse plasma Fgf15, please indicate that.
(3) Authors show that incubation of mouse hepatocytes with 50 and 100 ng/ml of FGF19 stimulates cell proliferation. In normal human plasma FGF19 averages 0.146 ng/ml.4 The doses employed are thus 350–700 times higher than that. What was the rationale for such doses? With such suprapharmacological FGF19 doses on mouse cells, virtually anything could happen, please see ref. 5 for this serious matter.
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.
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