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Published on: November 10, 2021
Fatty acid-binding protein 4 in kidney diseases: From mechanisms to clinics
Weijing Lai1, Min Shi2, Rongshuang Huang2
1Kidney Research Institute, Department of Nephrology, West China Hospital of Sichuan University, Sichuan, Chengdu, 610041, China; Department of Nephrology, Clinical Medical College and the First Affiliated Hospital of Chengdu Medical College, Chengdu, 610500, China.
Abstract:
Considerable evidence indicated the relationship between fatty acid-binding protein 4 (FABP4) and kidney diseases. FABP4, a small molecular lipid chaperone, is identified to regulate fatty acid oxidation, inflammation, apoptosis, endoplasmic reticulum stress and macrophage-to-myofibroblast transition in kidney diseases. Many studies have shown that circulating FABP4 level is related to proteinuria, renal function decline, cardiovascular complications of end-stage renal disease and even the prognosis of kidney transplanted patients. Notably, pharmacological or genetic inhibition of FABP4 attenuated renal injury in the various experimental models of kidney diseases, making it promising to develop potential therapeutic strategies targeting FABP4 in kidney diseases. In this study, we updated and reviewed the mechanisms and clinical significance of FABP4 in kidney diseases.
Insights
Fatty acid-binding protein 4 (FABP4) plays a key role in kidney diseases by regulating inflammation and cell stress. Targeting FABP4 shows promise for treating kidney injury and improving patient outcomes.
Area of Science:
- Nephrology
- Molecular Biology
- Biochemistry
Background:
- Fatty acid-binding protein 4 (FABP4) is implicated in various kidney diseases.
- FABP4 regulates critical cellular processes including fatty acid oxidation, inflammation, apoptosis, and endoplasmic reticulum stress.
- FABP4 influences macrophage-to-myofibroblast transition within the kidney.
Purpose of the Study:
- To review and update the understanding of FABP4's mechanisms in kidney diseases.
- To summarize the clinical significance of FABP4 in kidney disease progression and outcomes.
- To highlight FABP4 as a potential therapeutic target for renal pathologies.
Main Methods:
- Literature review of existing studies on FABP4 and kidney diseases.
- Analysis of experimental models demonstrating FABP4's role in renal injury.
- Synthesis of clinical data linking FABP4 levels to disease severity and prognosis.
Main Results:
- Elevated circulating FABP4 levels correlate with proteinuria and declining renal function.
- FABP4 is associated with cardiovascular complications in end-stage renal disease.
- FABP4 inhibition in experimental models significantly attenuates kidney injury.
Conclusions:
- FABP4 is a significant mediator of kidney disease pathogenesis.
- Circulating FABP4 levels serve as a biomarker for kidney disease severity and prognosis.
- Targeting FABP4 offers a promising therapeutic avenue for kidney diseases.
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