BACKGROUND
Cold exposure stimulates <em>fibroblast</em> <em>growth</em> <em>factor</em> <em>21</em> (FGF<em>21</em>) secretion in animals, enhancing the cold-induced thermogenesis (CIT) response through browning of white adipose tissue. In humans, the effects of cold exposure on circulating FGF<em>21</em> levels are unknown.
OBJECTIVE
Our objective was to evaluate the effects of mild cold exposure on circulating FGF<em>21</em> and its relationship with CIT and lipolysis in humans.
METHODS
We conducted a randomized, single-blind, crossover intervention study at the National Institutes of Health Clinical Center.
METHODS
Participants were healthy adults.
METHODS
Subjects were exposed to a 12-h exposure to 24 or 19 C in a whole-room indirect calorimeter.
METHODS
Energy expenditure, plasma FGF <em>21</em>, nonesterified fatty acid, and adipose tissue microdialysis glycerol concentrations were evaluated.
RESULTS
At 24 C, plasma FGF<em>21</em> exhibited a diurnal rhythm, peaking at 0800 h [110 (59-178) pg/ml], and progressively dropped to a nadir at 1700 h [41 (<em>21</em>-71) pg/ml, P < 0.0001] before rising at 1900 h [60 (11-81) pg/ml, P < 0.0001]. Exposure at 19 C lessened the diurnal reduction of FGF<em>21</em> observed at 24 C from 0800-1700 h and augmented overall FGF<em>21</em> levels by 37 ± 45% (P = 0.01). The change in area under the curve plasma FGF<em>21</em> between 19 and 24 C correlated positively with the change in area under the curve adipose microdialysate glycerol (R(2) = 0.35, P = 0.04) but not with nonesterified fatty acid. Cold-induced increase in FGF<em>21</em> predicted greater rise in energy expenditure during cold exposure (β = 0.66, P = 0.027), independent of age, gender, fat mass, and lean mass.
CONCLUSIONS
Mild cold exposure increased circulating FGF<em>21</em> levels, predicting greater lipolysis and CIT. A small reduction in environmental temperature is sufficient to modulate FGF<em>21</em> diurnal rhythm in humans, which may mediate cold-induced metabolic changes similar to those in animals.