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Updated: Mar 26, 2026

Real-time Analyses of Retinol Transport by the Membrane Receptor of Plasma Retinol Binding Protein
Published on: January 28, 2013
[Association between retinol-binding protein 4 and coronary artery disease in Chinese: a Meta-analysis]
Xiaowen Hou1, Guangxiao Li1, Qiongrui Zhao1
1Department of Clinical Epidemiology and Evidence-based Medicine, Institute of Cardiovascular Diseases, The First Affiliated Hospital, China Medical University, Shenyang 110001, China.
Insights
Retinol-binding protein 4 (RBP4) is associated with coronary artery disease (CAD) in the Chinese population. This finding was consistent across stable angina and acute myocardial infarction subtypes, particularly in younger patients.
Area of Science:
- Biochemistry
- Cardiology
- Epidemiology
Background:
- Retinol-binding protein 4 (RBP4) is an adipokine linked to metabolic disorders.
- Its role in coronary artery disease (CAD) among the Chinese population requires clarification.
Purpose of the Study:
- To evaluate the association between RBP4 levels and CAD in Chinese individuals.
- To analyze this association across different CAD subtypes and age groups.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (PubMed, Web of Science, CNKI, etc.) up to February 2015.
- Included case-control studies were assessed for quality, and data were analyzed using RevMan 5.2 software.
- A meta-analysis was performed on 10 qualified studies.
Main Results:
- The pooled analysis of 10 studies revealed a significant association between RBP4 and CAD in Chinese individuals (WMD=7.17 µg/ml, P<0.05).
- Subgroup analyses indicated RBP4 is associated with both stable angina pectoris (WMD=4.81 µg/ml, P<0.05) and acute myocardial infarction (WMD=13.96 µg/ml, P<0.05).
- A significant association was observed in patients aged ≤65 years (WMD=7.26 µg/ml, P<0.05).
Conclusions:
- RBP4 levels are significantly associated with coronary artery disease in the Chinese population.
- This association is evident in both stable angina and acute myocardial infarction, and particularly in individuals aged 65 years or younger.
Objective:
To evaluate the association between retinol-binding protein 4 (RBP4) and coronary artery disease (CAD) in Chinese.
Methods:
A document retrieval was conducted by using retrieval systems, such as PubMed, Web of Science, Cochrane Library, Chinese National Knowledge Infrastructure (CNKI) ,CBM, VIP and WanFang Database, to collect the published papers of case-control studies on association between RBP4 and CAD in Chinese up to February, 2015. Data collection and quality assessment were completed by two authors respectively. All the analyses were conducted with software RevMan 5.2.
Results:
A total of 10 qualified studies were included in our meta-analysis. The pooled analysis showed that RBP4 might be associated with CAD in Chinese [WMD=7.17 (95% CI: 3.56-10.78) µg/ml, P<0.05]. Clinical subtype specific subgroup analysis showed RBP4 might be also associated with both stable angina pectoris [WMD=4.81 (95% CI: 1.25-8.37) µg/ml, P<0.05 ] and acute myocardial infarction [WMD=13.96 (95% CI: 6.12-21.80) µg/ml, P<0.05]. Age specific subgroup analysis showed the significant association between RBP4 and CAD was only found in patients aged≤65 years [WMD=7.26(95% CI:2.73-11.79) µg/ml, P<0.05]. Sensitivity and publication bias analyses indicated that our results were stable and reliable.
Conclusion:
The meta-analysis suggests that RBP4 might be associated with CAD in Chinese.
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