Fibroblast growth factor 21 (FGF21) has been identified as a potent metabolic regulator. Administration of recombinant FGF21 protein to rodents and rhesus monkeys with diet-induced or genetic obesity and diabetes exerts strong antihyperglycemic and triglyceride-lowering effects and reduction of body weight. Despite the importance of FGF21 in the regulation of glucose, lipid, and energy homeostasis, the mechanisms by which FGF21 functions as a metabolic regulator remain largely unknown. Here we demonstrate that FGF21 regulates energy homeostasis in adipocytes through activation of AMP-activated protein kinase (AMPK) and sirtuin 1 (SIRT1), resulting in enhanced mitochondrial oxidative function. AMPK phosphorylation levels were increased by FGF21 treatment in adipocytes as well as in white adipose tissue from ob/ob mice. FGF21 treatment increased cellular NAD + levels, leading to activation of SIRT1 and deacetylation of its downstream targets, peroxisome proliferator-activated receptor-γ coactivator-1α (PGC-1α) and histone 3. Activation of AMPK and SIRT1 by FGF21 in adipocytes enhanced mitochondrial oxidative capacity as demonstrated by increases in oxygen consumption, citrate synthase activity, and induction of key metabolic genes. The effects of FGF21 on mitochondrial function require serine/ threonine kinase 11 (STK11/LKB1), which activates AMPK. Inhibition of AMPK, SIRT1, and PGC-1α activities attenuated the effects of FGF21 on oxygen consumption and gene expression, indicating that FGF21 regulates mitochondrial activity and enhances oxidative capacity through an AMPK-SIRT1-PGC1α-dependent mechanism in adipocytes.A MP-activated protein kinase (AMPK) is a major metabolic energy sensor and master regulator of metabolic homeostasis (1). LKB1, a serine threonine kinase, is a major regulator of AMPK activation. LKB1 directly phosphorylates Thr-172 of AMPK and activates its kinase activity (2). LKB1 expression is induced upon exercise and acts as a critical mediator of gluconeogenesis in the liver (3). Recently, AMPK has been shown to play an important role in the therapeutic benefits of metformin (1, 4), thiazolidinediones (5), and exercise (6, 7), all cornerstones in the management of type 2 diabetes and metabolic syndrome. Activation of AMPK maintains energy balance by switching on catabolic pathways, enhancing oxidative metabolism and mitochondrial biogenesis (1). Recently, AMPK was found to enhance NAD + -dependent type III deacetylase sirtuin 1 (SIRT1) activity by increasing cellular NAD + levels, resulting in modulation of the activity of downstream SIRT1 targets (8).SIRT1 plays an important role in metabolic function and longevity in mammals (9, 10). Activation of SIRT1 also results in selective nutrient utilization and enhanced mitochondrial oxidative function to regulate energy balance. Both AMPK and SIRT1 act in concert with the master regulator of mitochondrial biogenesis, peroxisome proliferator-activated receptor-γ coactivator-1α (PGC-1α), to regulate energy homeostasis in response to environmental and ...