Document Detail


Serum fatty acid binding protein 4, free fatty acids, and metabolic risk markers.
MedLine Citation:
PMID:  19394980     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fatty acid binding protein (FABP) 4 chaperones free fatty acids (FFAs) in the adipocytes during lipolysis. Serum FFA relates to metabolic syndrome, and serum FABP4 is emerging as a novel risk marker. In 36 overweight/obese women, serum FABP4 and FFA were measured hourly during 5-hour oral glucose tolerance test. Insulin resistance was determined using frequently sampled intravenous glucose tolerance test. Serum lipids and inflammation markers were measured at fasting. During oral glucose tolerance test, serum FABP4 decreased by 40%, reaching its nadir at 3 hours (from 45.3 +/- 3.1 to 31.9 +/- 1.6 ng/mL), and stayed below the baseline at 5 hours (35.9 +/- 2.2 ng/mL) (P < .0001 for both, compared with the baseline). Serum FFA decreased by 10-fold, reaching a nadir at 2 hours (from 0.611 +/- 0.033 to 0.067 +/- 0.004 mmol/L), then rebounded to 0.816 +/- 0.035 mmol/L at 5 hours (P < .001 for both, compared with baseline). Both fasting FABP4 and nadir FABP4 correlated with obesity. Nadir FABP4 correlated also with insulin resistance parameters from frequently sampled intravenous glucose tolerance test and with inflammation. Nadir FFA, but not fasting FFA, correlated with the metabolic syndrome parameters. In conclusion, fasting FABP4 related to metabolic risk markers more strongly than fasting FFA. Nadir FABP4 and nadir FFA measured after glucose loading may provide better risk assessment than the fasting values.
Authors:
Sidika E Karakas; Rogelio U Almario; Kyoungmi Kim
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Metabolism: clinical and experimental     Volume:  58     ISSN:  1532-8600     ISO Abbreviation:  Metab. Clin. Exp.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-08     Completed Date:  2009-07-13     Revised Date:  2010-09-27    
Medline Journal Info:
Nlm Unique ID:  0375267     Medline TA:  Metabolism     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1002-7     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Division of Endocrinology, Clinical Nutrition and Vascular Medicine, The University of California at Davis, Davis, CA 95817, USA. sekarakas@ucdavis.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Blood Glucose / metabolism*
C-Reactive Protein / metabolism
Fatty Acid-Binding Proteins / blood*
Fatty Acids, Nonesterified / blood*
Female
Glucose Tolerance Test
Humans
Insulin Resistance / physiology
Interleukin-1beta / metabolism
Interleukin-6 / blood,  metabolism
Metabolic Syndrome X / blood*,  metabolism
Middle Aged
Obesity / blood*,  metabolism
Statistics, Nonparametric
Tumor Necrosis Factor-alpha / metabolism
Young Adult
Grant Support
ID/Acronym/Agency:
AT002280/AT/NCCAM NIH HHS; R21 AT002280-01A2/AT/NCCAM NIH HHS; R21 AT003401-01A1/AT/NCCAM NIH HHS; RR 024146/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Blood Glucose; 0/FABP4 protein, human; 0/Fatty Acid-Binding Proteins; 0/Fatty Acids, Nonesterified; 0/Interleukin-1beta; 0/Interleukin-6; 0/Tumor Necrosis Factor-alpha; 9007-41-4/C-Reactive Protein
Comments/Corrections

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