GDF11: An emerging therapeutic target for liver diseases and fibrosis

J Cell Mol Med. 2024 Apr;28(7):e18140. doi: 10.1111/jcmm.18140.

Abstract

Growth differentiation factor 11 (GDF11), also known as bone morphogenetic protein 11 (BMP11), has been identified as a key player in various biological processes, including embryonic development, aging, metabolic disorders and cancers. GDF11 has also emerged as a critical component in liver development, injury and fibrosis. However, the effects of GDF11 on liver physiology and pathology have been a subject of debate among researchers due to conflicting reported outcomes. While some studies suggest that GDF11 has anti-aging properties, others have documented its senescence-inducing effects. Similarly, while GDF11 has been implicated in exacerbating liver injury, it has also been shown to have the potential to reduce liver fibrosis. In this narrative review, we present a comprehensive report of recent evidence elucidating the diverse roles of GDF11 in liver development, hepatic injury, regeneration and associated diseases such as non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), liver fibrosis and hepatocellular carcinoma. We also explore the therapeutic potential of GDF11 in managing various liver pathologies.

Keywords: GDF11; HCC; MAFLD; NAFLD; growth differentiation factor 11.

Publication types

  • Review

MeSH terms

  • Bone Morphogenetic Proteins / genetics
  • Bone Morphogenetic Proteins / metabolism
  • Fibrosis
  • Growth Differentiation Factors / genetics
  • Growth Differentiation Factors / metabolism
  • Humans
  • Liver Cirrhosis / pathology
  • Liver Neoplasms* / pathology
  • Non-alcoholic Fatty Liver Disease* / drug therapy
  • Non-alcoholic Fatty Liver Disease* / genetics
  • Non-alcoholic Fatty Liver Disease* / metabolism

Substances

  • Growth Differentiation Factors
  • Bone Morphogenetic Proteins
  • GDF11 protein, human