“…Given the wide associations of GDF-15 with a variety of biological processes, including pregnancy, metabolism, and inflammation, it is very likely that GDF-15 plays additional roles to those described in our studies ( Tsai et al, 2018 ; Patel et al, 2019 ; Breit et al, 2021 ) and may act on multiple different low(er) affinity receptors on different cell types and in concert with other bone morphogenic proteins or TGF-β family members, as has been demonstrated and postulated for these proteins ( Antebi et al, 2017 ). Some of these receptors, like Tmed1, are expressed in cells present during muscle regeneration ( McKellar et al, 2020 Preprint ). It is also possible that its high-affinity receptor, GFRAL ( Mullican et al, 2017 ; Yang et al, 2017 ), may be expressed on other rare cell types outside of the area postrema in the brain, or more likely, additional receptors for GDF-15 may exist but have not yet been discovered.…”