Elevated retinol binding protein 4 induces apolipoprotein B production and associates with hypertriglyceridemia

The Journal of Clinical Endocrinology and Metabolism
Yan LiuMin Xia

Abstract

A high level of retinol binding protein 4 (RBP4) is reported to be associated with insulin resistance in humans. However, evidence from large-scale populations about the relationship between serum RBP4 and metabolic phenotypes is scarce. In the present study, we aimed to evaluate serum RBP4 distribution and its association with metabolic phenotypes among middle-aged and elderly Chinese. Serum concentrations of RBP4 in a cross-sectional sample of 2780 Chinese population aged 50-70 years old in Guangzhou were measured by ELISA. The mean of serum RBP4 concentration was 28.04 μg/mL for male and 37.76 μg/mL for female (P < .01), respectively. Circulating RBP4 was positively correlated with serum triglyceride and apolipoprotein B (apoB) concentrations. The odds ratio (OR) was substantially higher for hypertriglyceridemia (OR, 3.26; 95% confidence interval, 2.36-4.51) in the highest RBP4 quartile compared with those in the lowest quartile after multiple adjustment for confounders. Furthermore, serum RBP4 was significantly associated with fasting glucose, insulin levels, and homeostasis model assessment index-insulin resistance (HOMA-IR). Moreover, we showed that RBP4 enhanced microsomal triglyceride transfer protein (MTP) expression a...Continue Reading

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