Abstract
Heart type fatty acid binding protein (H-FABP) is a major cytoplasmic low-molecular weight protein and released into the circulation when the myocardium is injured. Previous studies have demonstrated that H-FABP is closely associated with acute coronary syndrome, hypertrophic and dilated cardiomyopathy, heart failure, stroke, obstructive sleep apnea syndrome, pulmonary embolism. The aim of this study was to investigate serum H-FABP value in the patients with metabolic syndrome (MetS). We measured serum H-FABP levels in 55 consecutive patients with MetS, and 73 age-matched control subjects by using a sandwich enzyme-linked immunosorbent assay. Serum H-FABP levels were significantly higher in patients with MetS than in control subjects 18.37 ± 13.0 and 7.9 ± 6.5 ng/ml, respectively, (P < 0.001). Serum H-FABP levels were significantly higher in patients with diabetic MetS than in without diabetic MetS, 24.0 ± 10.2 and 13.9 ± 12.6 ng/ml, respectively, (P: 0,003). There were statistically significant differences between patients without diabetic MetS and control subjects, 13.8 ± 12.6 and 7.9 ± 6.5 ng/ml, respectively, (P = 0.023). Patients with MetS have an increased risk of death from cardiovascular diseases. H-FABP seems to be a marker that will enable the detection of cardiac injury in the early asymptomatic period in patients with MetS.
Similar content being viewed by others
Abbreviations
- BMI:
-
Body mass index
- CVD:
-
Cardiovascular disease
- HDL-C:
-
High-density lipoprotein cholesterol
- TG:
-
Triglycerides
- CIMT:
-
Carotis intima-media thickness
- H-FABP:
-
Heart type fatty acid binding protein
- CAC:
-
Coronary artery calcium
- MetS:
-
Metabolic syndrome
References
S.M. Grundy, Obesity, metabolic syndrome, and cardiovascular disease. J. Clin. Endocrinol. Metab. 89, 2595–2600 (2004)
P. Schoenhagen, S.E. Nissen, Identification of the metabolic syndrome and imaging of subclinical coronary artery disease: early markers of cardiovascular risk. J. Cardiovasc. Nurs. 21, 291–297 (2006)
N.C. Fournier, M.A. Richard, Role of fatty acid-binding protein in cardiac fatty acid oxidation. Mol. Cell. Biochem. 98, 149–159 (1990)
M.M. Pelsers, W.T. Hermens, J.F. Glatz, Fatty acid-binding proteins as plasma markers of tissue injury. Clin. Chim. Acta 352, 15–35 (2005)
D. Nagahara, T. Nakata, A. Hashimoto, T. Takahashi, M. Kyuma, M. Hase, K. Tsuchihashi, K. Shimamoto, Early positive biomarker in relation to myocardial necrosis and impaired fatty acid metabolism in patients presenting with acute chest pain at an emergency room. Circ. J. 70, 419–425 (2006)
T. Arimoto, Y. Takeishi, T. Niizeki, N. Nozaki, O. Hirono, T. Watanabe, J. Nitobe, Y. Tsunoda, S. Suzuki, Y. Koyama, T. Kitahara, A. Okada, K. Takahashi, I. Kubota, Cardiac sympathetic denervation and ongoing myocardial damage for prognosis in early stages of heart failure. J. Card. Fail. 13, 34–41 (2007)
T. Niizeki, Y. Takeishi, N. Takabatake, Y. Shibata, T. Konta, T. Kato, S. Kawata, I. Kubota, Circulating levels of heart-type fatty acid-binding protein in a general Japanese population: effects of age, gender, and physiologic characteristics. Circ. J. 71, 1452–1457 (2007)
K. Komamura, T. Sasaki, A. Hanatani, J. Kim, K. Hashimura, Y. Ishida, Y. Ohkaru, K. Asayama, T. Tanaka, A. Ogai, T. Nakatani, S. Kitamura, K. Kangawa, K. Miyatake, M. Kitakaze, Heart-type fatty acid binding protein is a novel prognostic marker in patients with non-ischaemic dilated cardiomyopathy. Heart 92, 615–628 (2006)
M.T. Wunderlich, T. Hanhoff, M. Goertler, F. Spener, J.F. Glatz, C.W. Wallesch, M.M. Pelsers, Release of brain-type and heart-type fatty acid-binding proteins in serum after acute ischaemic stroke. J. Neurol. 252, 718–724 (2005)
B. Renaud, A. Ngako, Heart-type fatty acid-binding proteins (H-FABP): a reliable tool for initial risk stratification of pulmonary embolism? Eur. Heart J. 28, 146–157 (2007)
B. Oktay, E. Akbal, H. Firat, S. Ardic, R. Akdemir, M. Kizilgun, Evaluation of the relationship between heart type fatty acid binding protein levels and the risk of cardiac damage in patients with obstructive sleep apnea syndrome. Sleep Breath 12, 223–228 (2008)
S.M. Grundy, J.I. Cleeman, S.R. Daniels, K.A. Donato, R.H. Eckel, B.A. Franklin, D.J. Gordon, R.M. Krauss, P.J. Savage, S.C. Smith Jr, J.A. Spertus, F. Costa, Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation 112, 2735–2752 (2005)
P.B. Burton, C.E. Hogben, C.L. Joannou, A.G. Clark, J.J. Hsuan, N.F. Totty, C. Sorensen, R.W. Evans, M.J. Tynan, Heart Fatty acid binding protein is a novel regulator of cardiac myocyte hyperthyrophy. Biochem. Biophys. Res. Commun. 305, 1822–1828 (1994)
T. Tanaka, Y. Hirota, K. Sohmiya, S. Nishimura, K. Kawamura, Serum and urinary human heart fatty acid-binding protein in acute myocardial infarction. Clin. Biochem. 24, 195–201 (1991)
J.F. Glatz, A.H. Kleine, F.A. van Nieuwenhoven, W.T. Hermens, M.P. van Dieijen-Visser, G.J. van der Vusse, Fatty acid-binding protein as a plasma marker fort he estimation of myocardial infarct size in humans. Br. Heart J. 71, 135–140 (1994)
K. Yoshimoto, T. Tanaka, K. Somiya, R. Tsuji, F. Okamoto, K. Kawamura, Y. Ohkaru, K. Asayama, H. Ishii, Human heart-type cytoplasmic fatty acid-binding protein as an indicator of acute myocardial infarction. Heart Vessels 10, 304–309 (1995)
F. Okamoto, K. Sohmiya, Y. Ohkaru, K. Kawamura, K. Asayama, H. Kimura, S. Nishimura, H. Ishii, N. Sunahara, T. Tanaka, Human heart-type cytoplasmic fatty acid-bindingprotein (H-FABP) for the diagnosis of acute myocardial infarction. Clinical evaluation of H-FABP in comparison with myoglobin and creatine kinase isoenzyme MB. Clin. Chem. Lab. Med. 38, 231–238 (2000)
T. Nakata, A. Hashimoto, M. Hase, K. Tsuchihashi, K. Shimamoto, Human heart-type fatty acid-binding protein as an early diagnostic and prognostic marker in acute coronary syndrome. Cardiology 99, 96–104 (2003)
T. Arimoto, Y. Takeishi, R. Shiga, A. Fukui, H. Tachibana, N. Nozaki, O. Hirono, J. Nitobe, T. Miyamoto, B.D. Hoit, I. Kubota, Prognostic value of elevated circulating heart-type fatty acid binding protein in patients with congestive heart failure. J. Card. Fail. 11, 56–60 (2005)
K. Tambara, M. Fujita, S. Miyamoto, K. Doi, K. Nishimura, M. Komeda, Pericardial fluid level of heart-type cytoplasmic fatty acid-binding protein (H-FABP) is an indicator of severe myocardial ischemia. Int. J. Cardiol. 93, 281–284 (2004)
K. Alhadi, K.A. Fox, Do we need additional markers of myocytenecrosis: the potential value of heart fatty-acid-binding protein. QJM 97, 187–198 (2004)
C.M. Alexander, P.B. Landsman, S.M. Teutsch, S.M. Haffner, Third National Health and Nutrition Examination Survey (NHANES III); National Cholesterol Education Program (NCEP). NCEP-defined metabolic syndrome, diabetes, and prevalence of coronary heart disease among NHANES III participants age 50 years and older. Diabetes 52, 1210–1214 (2003)
B. Iglseder, P. Cip, L. Malaimare, G. Ladurner, B. Paulweber, The metabolic syndrome is a stronger risk factor for early carotid atherosclerosis in women than in men. Stroke 36, 1212–1217 (2005)
A.I. Del Sol, K.G. Moons, M. Hollander, A. Hofman, P.J. Koudstaal, D.E. Grobbee, M.M. Breteler, J.C. Witteman, M.L. Bots, Is carotid intima-media thickness useful in cardiovascular disease risk assessment? The Rotterdam Study. Stroke 32, 1532–1538 (2001)
J.A. Hoff, M.L. Daviglus, E.V. Chomka, A.J. Krainik, A. Sevrukow, G.T. Kondos, Conventional coronary artery disease risk factors and coronary artery calcium detected by electron beam tomography in 30.908 healthy individuals. Ann. Epidemiol. 13, 163–169 (2003)
M.J. Budoff, K.M. Gul, Expert review on coronary calcium. Vasc. Health Risk Manag. 4, 315–324 (2008)
A. Adolphe, L.S. Cook, X. Huang, A cross-sectional study of intima-media thickness, ethnicity, metabolic syndrome, and cardiovascular risk in 2268 study participants. Mayo Clin. Proc. 84, 221–228 (2009)
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Akbal, E., Özbek, M., Güneş, F. et al. Serum heart type fatty acid binding protein levels in metabolic syndrome. Endocr 36, 433–437 (2009). https://doi.org/10.1007/s12020-009-9243-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12020-009-9243-6