Fibroblast growth factors are a family of peptide signaling hormones involved in tissue growth, angiogenesis, metabolic regulation, wound healing, cellular differentiation, and endocrine communication. Different FGF family members perform specialized functions across developmental biology, connective tissue maintenance, skeletal physiology, and metabolic adaptation.
FGF signaling influences cell proliferation, extracellular matrix remodeling, endothelial communication, nutrient metabolism, and organ development. Endocrine-relevant FGFs such as FGF19, FGF21, and FGF23 function as circulating metabolic hormones that regulate bile acid metabolism, energy balance, phosphate homeostasis, and nutrient signaling pathways. Additional FGF family members contribute to tissue repair, angiogenesis, and developmental organization.
FGFs are produced by numerous tissues including liver, adipose tissue, bone, endothelial cells, fibroblasts, skeletal muscle, epithelial tissues, and connective tissue structures. Most FGFs act locally through paracrine signaling, while certain endocrine FGFs circulate systemically and require co-receptor proteins for target-cell activation.
FGF synthesis reflects developmental signaling patterns, metabolic demand, tissue repair requirements, and endocrine communication pathways. Some family members are stored within extracellular matrix environments where controlled release regulates signaling availability.
FGF production is regulated by nutrient availability, hypoxia, inflammatory cytokines, developmental pathways, endocrine signaling, mechanical stress, and tissue injury. Metabolic FGFs are particularly responsive to fasting, feeding, bile acid signaling, phosphate balance, and energy demand.
FGFs act through fibroblast growth factor receptors, a family of receptor tyrosine kinases that activate MAP kinase pathways, PI3K-AKT signaling, phospholipase cascades, and growth-regulatory transcription systems. Klotho co-receptors regulate signaling specificity for endocrine FGFs. Through these integrated growth and metabolic signaling systems, FGFs coordinate tissue adaptation, angiogenesis, metabolic communication, and developmental regulation.
Endocrine-relevant FGFs coordinate systemic metabolic adaptation, bile acid feedback, and phosphate–vitamin D balance.
