Abstract
Retinol binding protein 4 (RBP4) is regarded as a novel cardiometabolic risk factor, which is secreted mainly by
the hepatocytes and also by the adipose tissue. RBP4 has been shown to induce insulin resistance, and plasma RBP4 values are increased in type 2 diabetes mellitus, obesity, metabolic syndrome, and
cardiovascular disease. Moreover, it has been found that circulating RBP4 decreases during medical interventions that result in amelioration of the metabolic
profile, such as diet, exercise, oral antidiabetic drugs, and hypolipidemic agents.
However, only few of the RBP4-related studies have investigated whether RBP4 constitutes a causal factor of the above-mentioned metabolic conditions. Importantly,
circulating RBP4 is influenced by some nonmetabolic conditions, such as renal failure, acute illness,
injury, and liver failure. Thus, further studies investigating the metabolic roles
of RBP4 should be carefully planned, taking into account the effects of nonmetabolic conditions
on circulating RBP4.
Key words
insulin resistance - lipid metabolism - adipose tissue - metabolic syndrome - adipokines
- atherosclerosis