PMID- 23013043 OWN - NLM STAT- MEDLINE DCOM- 20121207 LR - 20120927 IS - 1470-8736 (Electronic) IS - 0143-5221 (Linking) VI - 124 IP - 2 DP - 2013 Jan TI - Circulating adipocyte fatty acid-binding protein levels are independently associated with heart failure. PG - 115-22 AB - A-FABP (adipocyte fatty acid-binding protein), one of the most abundant proteins in adipocytes, plays a key role in obesity-related insulin resistance, inflammation and atherosclerosis in animals. In the present study, we sought to investigate the association of A-FABP with HF (heart failure) in Chinese subjects. Serum A-FABP levels were measured in 252 HF patients and 261 age-, gender- and BMI (body mass index)-matched non-HF subjects. Echocardiography was performed on each patient. The severity of HF was determined by the NYHA (New York Heart Association) classification system. After adjustments for age, gender and BMI, serum A-FABP concentrations in patients with HF were significantly higher than in non-HF patients [11.17 (6.63-19.93) ng/ml compared with 5.67 (3.20-8.87) ng/ml; P<0.001] and significantly progressed with the NYHA class (P<0.001). In addition, NT-proBNP (N-terminal pro-brain natriuretic peptide) was independently and positively correlated with A-FABP (standardized beta=0.340, P<0.001) after adjusting for confounding factors. Each echocardiographic parameter, especially LVEF (left ventricular ejection fraction), was independently associated with A-FABP (all P<0.05). Multivariate logistic regression analysis demonstrated that A-FABP concentration was an independent risk factor for HF [odds ratio, 6.93 (95% confidence interval, 2.49-19.30); P<0.001]. Our results demonstrate that A-FABP is closely associated with HF, and raise the possibility that increased A-FABP may be causally related to the pathogenesis of heart dysfunction in humans. FAU - Liu, Mingya AU - Liu M AD - Department of Cardiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, People's Republic of China. FAU - Zhou, Mi AU - Zhou M FAU - Bao, Yuqian AU - Bao Y FAU - Xu, Zhiyong AU - Xu Z FAU - Li, Huating AU - Li H FAU - Zhang, Hao AU - Zhang H FAU - Zhu, Wei AU - Zhu W FAU - Zhang, Jialiang AU - Zhang J FAU - Xu, Aimin AU - Xu A FAU - Wei, Meng AU - Wei M FAU - Jia, Weiping AU - Jia W LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Sci (Lond) JT - Clinical science (London, England : 1979) JID - 7905731 RN - 0 (FABP4 protein, human) RN - 0 (Fatty Acid-Binding Proteins) SB - IM MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Analysis of Variance MH - Anthropometry MH - Body Mass Index MH - China MH - Cohort Studies MH - Echocardiography MH - Fatty Acid-Binding Proteins/*blood MH - Female MH - Heart Failure/*blood MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Sex Factors EDAT- 2012/09/28 06:00 MHDA- 2012/12/12 06:00 CRDT- 2012/09/28 06:00 PHST- 2012/09/28 06:00 [entrez] PHST- 2012/09/28 06:00 [pubmed] PHST- 2012/12/12 06:00 [medline] AID - CS20120004 [pii] AID - 10.1042/CS20120004 [doi] PST - ppublish SO - Clin Sci (Lond). 2013 Jan;124(2):115-22. doi: 10.1042/CS20120004.