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Updated: Oct 10, 2025

Author Spotlight: Investigating Islet Abnormalities and Function with a Pseudoislet Protocol
Published on: November 3, 2023
A hormone complex of FABP4 and nucleoside kinases regulates islet function
Kacey J Prentice1, Jani Saksi1, Lauren T Robertson1
1Sabri Ülker Center for Metabolic Research, Harvard T. H. Chan School of Public Health, Department of Molecular Metabolism, Boston, MA, USA.
Fatty-acid-binding protein 4 (FABP4) forms a novel hormone complex, Fabkin, regulating energy balance and beta-cell function. Targeting this complex shows promise for preventing type 1 and type 2 diabetes.
Area of Science:
- Endocrinology and Metabolism
- Molecular Biology
- Cardiovascular Research
Background:
- Adipocyte energy store liberation is vital but dysregulated lipolysis, linked to insulin resistance, disrupts metabolic homeostasis.
- Circulating fatty-acid-binding protein 4 (FABP4) levels correlate with cardiometabolic diseases, but its mechanism of action remains unknown.
Purpose of the Study:
- To elucidate the mechanism of action for hormonal FABP4.
- To investigate the role of FABP4 in regulating extracellular ATP/ADP levels and its impact on beta cells.
- To explore the potential of targeting the FABP4 complex for metabolic disease prevention.
Main Methods:
- Investigated the formation of a functional hormone complex involving FABP4, adenosine kinase (ADK), and nucleoside diphosphate kinase (NDPK).
- Assessed the regulation of extracellular ATP and ADP levels by this complex.
- Evaluated the effects of antibody-mediated targeting of the FABP4 complex on metabolic outcomes and beta-cell function in models of diabetes.
Main Results:
- Demonstrated that hormonal FABP4 forms a complex with ADK and NDPK, termed Fabkin, which regulates extracellular ATP and ADP.
- Identified a significant impact of the Fabkin complex on beta cells, suggesting a role in an adipose-beta-cell endocrine axis.
- Showed that antibody-mediated targeting of the Fabkin complex improves metabolic health, enhances beta-cell function, and preserves beta-cell integrity.
Conclusions:
- The FABP4-ADK-NDPK complex (Fabkin) is a novel hormone regulating energy homeostasis and metabolic organ function.
- Fabkin acts as a key regulator of the adipose-beta-cell axis, influencing lipolysis and beta-cell function.
- Targeting the Fabkin complex offers a promising therapeutic strategy for preventing type 1 and type 2 diabetes and other metabolic diseases.
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