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Published on: April 9, 2021
Role of Fatty Acid Binding Protein 4 (FABP4) in Kidney Disease
1Kidney Research Institute, Division of Nephrology, West China Hospital of Sichuan University, Chengdu 610041, China.
Abstract:
Accumulating evidences indicated that obesity and metabolic syndrome were independent risk factors for the development and progression of kidney diseases. Apart from inflammation, lipotoxicity, and hemodynamic factors, adipokines have been proposed to play crucial roles in the relationship between kidney diseases and metabolic disorders. As one of the key adipokines, fatty acid binding protein 4 (FABP4), which is mainly expressed in adipocytes and macrophages, has recently been shown to be associated with renal dysfunction and kidney damage. Both clinical and experimental studies have proposed circulating FABP4 as a novel predictor for renal injuries, and it might also be a predictor for cardiovascular events in patients with end stage renal disease (ESRD). FABP4 has also been detected in the glomerular cells and epithelial tubular cells in mouse and human kidneys, and the expression of FABP4 in these cells has been involved in the pathogenesis of kidney diseases. In addition, experimental studies suggested that inhibition of FABP4 had protective effects on renal damage. Here, we reviewed current knowledge regarding the role of FABP4 in pathophysiological insights as well as its potential function as a predictor and therapeutic target for kidney diseases.
Insights
Fatty acid binding protein 4 (FABP4) is linked to kidney disease progression and may predict kidney injuries. Inhibiting FABP4 shows protective effects, suggesting it as a potential therapeutic target for kidney diseases.
Area of Science:
- Nephrology
- Metabolic Disorders
- Cardiovascular Health
Background:
- Obesity and metabolic syndrome are independent risk factors for kidney disease.
- Adipokines, including FABP4, play a role in linking metabolic disorders and kidney diseases.
- FABP4, expressed in adipocytes and macrophages, is associated with renal dysfunction.
Purpose of the Study:
- To review the role of FABP4 in kidney diseases.
- To explore FABP4 as a predictor of renal injuries and cardiovascular events in ESRD patients.
- To discuss FABP4 as a potential therapeutic target for kidney diseases.
Main Methods:
- Review of clinical and experimental studies.
- Analysis of FABP4 expression in kidney cells.
- Evaluation of FABP4 inhibition effects on renal damage.
Main Results:
- Circulating FABP4 is a potential predictor for renal injuries.
- FABP4 expression in glomerular and tubular cells is involved in kidney disease pathogenesis.
- Inhibition of FABP4 demonstrates protective effects against renal damage.
Conclusions:
- FABP4 is implicated in the pathophysiology of kidney diseases.
- FABP4 serves as a potential biomarker for renal and cardiovascular complications.
- Targeting FABP4 may offer a novel therapeutic strategy for kidney diseases.
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