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Fatty acid-binding protein 4 (FABP4), also known as adipocyte protein 2 (aP2), is a 15 kDa cytosolic protein predominantly expressed in adipocytes and macrophages (UniProt P15090). It functions as an intracellular lipid chaperone, facilitating the transport of long-chain fatty acids to various organelles for metabolism, signaling, or storage (PMID: 25732502). Beyond its role in lipid trafficking, FABP4 is a key regulator of metabolic and inflammatory pathways, interacting with peroxisome proliferator-activated receptors (PPARs) and modulating cytokine production (PMID: 36640194). Elevated circulating levels of FABP4 are strongly correlated with obesity, insulin resistance, type 2 diabetes, and atherosclerosis, making it a significant biomarker and therapeutic target (PMID: 25732502). Therapeutic strategies include small molecule inhibitors that block the fatty acid-binding pocket and RNA-targeted approaches, such as antisense oligonucleotides (ASOs) or siRNA, designed to degrade FABP4 mRNA and reduce protein expression (PMID: 26606130). Targeting FABP4 mRNA specifically aims to lower the total protein pool, thereby improving glucose tolerance and reducing vascular inflammation.
Degradation of FABP4 mRNA via antisense oligonucleotides or siRNA to reduce protein expression, or competitive inhibition of the protein's lipid-binding pocket.
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