Correlation between the serum FABP4, ANGPTL3, and ANGPTL4 levels and coronary artery disease

Zhuoyan Zhao1, Ying Fu1, Huan Lian1

  • 1Department of Cardiology, The Affiliated Hospital of Chengde Medical University, Chengde, China.

Clinical Cardiology
|March 1, 2024
PubMed

Insights

New research shows angiopoietin-like protein 3 (ANGPTL3), angiopoietin-like 4 (ANGPTL4), and fatty acid-binding protein 4 (FABP4) are independent risk factors for coronary artery disease (CAD). These factors offer potential for CAD diagnosis and treatment.

Area of Science:

  • Cardiovascular Research
  • Metabolic Syndrome
  • Biomarker Discovery

Background:

  • Coronary artery disease (CAD) is significantly influenced by lipid metabolism.
  • Emerging factors like angiopoietin-like protein 3 (ANGPTL3), angiopoietin-like 4 (ANGPTL4), and fatty acid-binding protein 4 (FABP4) are implicated in CAD pathogenesis.

Purpose of the Study:

  • To investigate the association between ANGPTL3, ANGPTL4, FABP4, and coronary artery disease (CAD).
  • To evaluate the potential of these lipid metabolism factors as diagnostic and therapeutic targets for CAD.

Main Methods:

  • Enrolled 284 inpatients with suspected CAD, categorized by coronary angiography.
  • Measured serum levels of ANGPTL3, ANGPTL4, FABP4, and tumor necrosis factor-α (TNF-α) via ELISA.
  • Utilized multivariate logistic regression and ROC curve analysis to identify risk factors and diagnostic values.

Main Results:

  • Significant differences in TNF-α, FABP4, ANGPTL3, and ANGPTL4 levels were observed between CAD and non-CAD groups.
  • FABP4, ANGPTL3, and ANGPTL4 were identified as independent risk factors for CAD after adjusting for confounders.
  • A combination of elevated ANGPTL3, ANGPTL4, and FABP4 levels demonstrated the highest diagnostic value for CAD.

Conclusions:

  • ANGPTL3, ANGPTL4, and FABP4 are confirmed as independent risk factors for coronary artery disease (CAD).
  • These lipid metabolism factors hold significant clinical value for the diagnosis and management of CAD.
Abstract