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Fatty acid binding proteins (FABPs) are small intracellular proteins that transport long-chain fatty acids and play a central role in cellular metabolism and lipid homeostasis.
Fatty acid binding proteins (FABPs) are small intracellular proteins that transport long-chain fatty acids and play a central role in cellular metabolism and lipid homeostasis.
Fatty acid binding proteins (FABPs) are a family of small, intracellular proteins with a molecular weight of approximately 14–15 kilodaltons. They are found in virtually all tissues of the human body and play essential roles in the transport and metabolism of long-chain fatty acids and other lipophilic (fat-soluble) molecules.
At least 12 different FABP types have been identified in humans. Each is named according to the tissue in which it is predominantly expressed. Key members include heart-type FABP (H-FABP or FABP3), liver-type FABP (L-FABP or FABP1), intestinal FABP (I-FABP or FABP2), and brain-type FABP (B-FABP or FABP7).
FABPs fulfill a range of critical functions within cells:
When cells are damaged, FABPs are rapidly released into the bloodstream, making them sensitive biomarkers for tissue injury. Their diagnostic role has been studied extensively in the following conditions:
Heart-type FABP (H-FABP) rises in the blood within 1–3 hours of a heart attack (myocardial infarction) – earlier than the classical marker troponin. This makes it a valuable early indicator of acute cardiac injury and it is used clinically to support the diagnosis of acute coronary syndrome.
Urinary liver-type FABP (L-FABP) is a sensitive marker for early kidney damage, particularly in chronic kidney disease, diabetic nephropathy, and acute kidney injury. It is under investigation as a potential surrogate marker for kidney function assessment.
Intestinal FABP (I-FABP) is released when the intestinal mucosa is damaged, for example in intestinal ischemia, inflammatory bowel disease, or following major surgery. Elevated I-FABP levels in blood or urine indicate a disrupted intestinal barrier.
Brain-type FABP (B-FABP) and neuronal FABP (FABP5) are released upon neuronal cell damage and are being explored as biomarkers in stroke, traumatic brain injury, and neurodegenerative diseases such as Alzheimer disease.
Alterations in FABP expression or function have been associated with several metabolic disorders:
FABPs can be measured quantitatively in blood (serum or plasma) and urine using immunological assays such as ELISA (enzyme-linked immunosorbent assay). Reference values vary depending on the FABP type, measurement method, and laboratory. Elevated levels generally indicate damage to the corresponding tissue and must always be interpreted within the clinical context.
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