Fatty Acid-Binding Proteins in Metabolic Disorders

Summary

Fatty acid-binding proteins (FABPs) are a family of small cytosolic chaperones that bind long-chain fatty acids and related lipids, facilitating their intracellular trafficking and modulating lipid-sensitive signalling pathways. There are at least ten tissue-specific isoforms in mammals, each displaying a conserved β-barrel structure and distinct expression pattern in tissues such as liver, adipose, heart and brain. Beyond their classical role in directing fatty acids to metabolic organelles, FABPs participate in transcriptional regulation by delivering lipid ligands to nuclear receptors and interact with membrane or protein partners to fine-tune cellular energy homeostasis. Recent evidence supports the notion that certain FABPs can be secreted and act as adipokines or endocrine mediators, linking adipose tissue function to distant organs. Dysregulation of FABP expression or secretion is now recognised as a key feature of metabolic disorders, including obesity, insulin resistance, type 2 diabetes, nonalcoholic fatty liver disease and cardiovascular disease. Altered levels of circulating FABP4 and FABP3 have been proposed as predictive biomarkers of cardiometabolic risk, while inhibition of specific FABPs has shown promise in preclinical models as a strategy to improve lipid handling, reduce inflammation and restore glucose homeostasis.

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Fatty Acid-Binding Proteins in Metabolic Disorders publication trend

The graph below shows the total number of articles in fatty acid-binding proteins in metabolic disorders across all publications each year (not limited to Nature Index journals).

Technical terms

Fatty acid-binding protein (FABP): A small intracellular protein that binds long-chain fatty acids and other lipids to facilitate transport and signalling.

Lipolysis: The enzymatic breakdown of stored triglycerides into free fatty acids and glycerol.

Adipokine: A bioactive protein secreted by adipose tissue that acts as a hormone or cytokine.

Peroxisome proliferator-activated receptor (PPAR): A nuclear receptor that regulates gene expression involved in lipid metabolism and energy homeostasis.

Insulin resistance: A metabolic state in which target tissues exhibit a diminished response to normal circulating levels of insulin.

References

  1. The Multifunctional Family of Mammalian Fatty Acid–Binding Proteins. Annual Review of Nutrition (2023).
  2. Fatty Acid Binding Proteins 3 and 4 Predict Both All-Cause and Cardiovascular Mortality in Subjects with Chronic Heart Failure and Type 2 Diabetes Mellitus. Antioxidants (2023).
  3. Endothelial FABP4 constitutes the majority of basal circulating hormone levels and regulates lipolysis-driven insulin secretion. JCI Insight (2023).

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