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Unpacking GDF15: The Hormone Connecting Stress, Appetite, and Resilience

An interesting study highlighted Growth Differentiation Factor 15 (GDF15) as a revolutionizing understanding of how the body responds to stress. This stress-regulated hormone works in harmony with key players like cortisol, adrenaline, and the Integrated Stress Response (ISR) to coordinate stress responses at both cellular and systemic levels.

 

What is GDF15?

  • ·GDF15 is a hormone secreted by cells under stress conditions like ER stress, nutrient deprivation, or oxidative damage.

  • It signals to the brain via the GFRAL-RET receptor in the hindbrain, triggering reduced appetite and energy conservation—a survival mechanism.

 

How GDF15 Works on a Molecular Level:

1.      Triggered by the Integrated Stress Response (ISR):

  • Cellular stress activates ISR, leading to the phosphorylation of eIF2α, which globally suppresses protein synthesis.

  • ISR effectors like ATF4 and CHOP upregulate GDF15 expression, marking it as a core mediator of the stress response.

 

2.      Crosstalk with Stress Hormones:

  • Elevated cortisol can amplify ISR pathways during chronic stress, potentially enhancing GDF15 secretion.

  • Adrenaline, a hallmark of acute stress, works with GDF15 during exercise and energetic challenges to fine-tune metabolic adaptation.

 

3.      The Brain-Body Connection:

  • GDF15 acts on the hindbrain's GFRAL-RET receptor, reducing food intake and promoting aversive behaviors to limit exposure to harmful stimuli (e.g., toxins or imbalanced diets).

  • This aligns with stress hormones like cortisol, which mobilizes energy stores, and adrenaline, which prioritizes acute survival.

 

Why Does This Matter?

  • In Disease: GDF15 levels rise in cancer cachexia, heart failure, and metabolic dysfunction, signaling systemic stress.

  • In Therapy: Targeting the GDF15-GFRAL axis shows promise for managing obesity, cachexia, and even chemotherapy-induced nausea.

  • In Daily Life: Intense exercise or nutrient imbalances temporarily elevate GDF15, mirroring ISR activation to optimize recovery and energy balance.

 

Why GDF15 is Revolutionary:

GDF15 is a molecular bridge, translates cellular stress signals into whole-body responses, ensuring survival and metabolic efficiency during adversity. It coordinates a finely tuned stress adaptation strategy by working in concert with the ISR, cortisol, and adrenaline.


Lockhart, S. M., Saudek, V., & O'Rahilly, S. (2020). GDF15: A Hormone Conveying Somatic Distress to the Brain. Endocr Rev, 41(4). https://doi.org/10.1210/endrev/bnaa007




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