Also known as ANGPTL4, PGAR, or HFARP, FIAF (fasting-induced adipose factor) is an adipocytokine whose expression is increased by fasting, peroxisome proliferator-activated receptor agonists, and hypoxia. ANGPTL4 can be found in both human and mouse blood plasma in its full-length form as well as in a truncated form. Studies have shown that only the full-length form of ANGPTL4 is detectable in human white adipose tissue and SGBS adipocytes. In contrast, truncated ANGPTL4 is the predominant form observed during the differentiation of mouse 3T3-L1 adipocytes. It's worth noting that the truncated form of ANGPTL4 is generated by the human liver. Within human blood plasma, FIAF primarily exists as a truncated form (FIAF-S2), and experimental data indicates that treatment leads to an elevation in its levels. Interestingly, there is interindividual variability observed in the levels of both the truncated and full-length forms of ANGPTL4. However, these levels appear to be unaffected by prolonged periods of semistarvation and do not exhibit any correlation with body mass index.
To reconstitute the lyophilized pellet, dissolve it completely in 0.1M Acetate buffer with a pH of 4. For adjusting the pH to a higher value, it is recommended to dilute the solution extensively with an appropriate buffer to a final concentration of 10 µg/ml. It's important to note that the solubility of this antigen is limited at higher concentrations.
Human ANGPTL4 is a 406-amino acid secreted protein with a protein structure common to the angiopoietin family. Its structure consists of a signal peptide directing secretion, an N-terminal coiled-coil domain (CCD), a linker region, and a C-terminal fibrinogen-like domain (FLD). ANGPTL4 is predominantly expressed in adipose tissue, liver, and placenta, though it can be found in numerous tissues depending on physiological conditions . The full-length protein is secreted by liver and adipose tissues and subsequently cleaved to generate circulating CCD and FLD fragments that have distinct biological functions . This proteolytic processing is a critical regulatory mechanism that influences ANGPTL4's diverse activities in different tissue contexts.
Long-term fasting (>16 hours)
Chronic caloric restriction
Endurance exercise
Elevated plasma free fatty acids (FFAs)
The relationship between elevated FFAs and ANGPTL4 appears to be causal, as experimental interventions that increase plasma FFAs (such as Intralipid injection or β-adrenergic agonist treatment) consistently increase plasma ANGPTL4 levels compared to control treatments . This responsiveness suggests ANGPTL4 serves as a metabolic signal linking lipid availability to triglyceride metabolism, with fatty acids directly inducing ANGPTL4 gene expression in multiple cell types including hepatocytes, myocytes, and intestinal cells .
ANGPTL4 functions as a potent endogenous inhibitor of lipoprotein lipase (LPL), the enzyme responsible for hydrolysis of triglycerides from circulating lipoproteins. By inhibiting LPL activity, ANGPTL4 raises plasma triglyceride levels through reduced triglyceride clearance . Mechanistically, ANGPTL4 inhibits LPL by disrupting its dimeric structure, converting active LPL dimers into inactive monomers . This regulatory mechanism appears to be particularly important during fasting when ANGPTL4 levels rise, thereby reducing triglyceride clearance in adipose tissue while promoting fatty acid utilization in muscle. The physiological significance of this function is evident in carriers of the p.E40K variant, which impairs ANGPTL4's ability to inhibit LPL, resulting in lower triglyceride levels and higher HDL-cholesterol levels .
ANGPTL4 can be reliably quantified in human serum, plasma, or cell culture medium using solid-phase sandwich ELISA (enzyme-linked immunosorbent assay) techniques. These assays utilize pairs of antibodies that specifically recognize distinct epitopes on the ANGPTL4 protein . A typical ANGPTL4 ELISA workflow includes:
Capture of ANGPTL4 by pre-coated target-specific antibodies in microplate wells
Addition of a second detector antibody to form a sandwich complex
Introduction of a substrate solution that reacts with the enzyme-antibody-target complex
Measurement of signal intensity, which is directly proportional to ANGPTL4 concentration
For human samples, EDTA-plasma or serum are preferred sample types, with typical assay sensitivities around 17.53 pg/mL and detection ranges from approximately 23.44 to 1500 pg/mL . Importantly, researchers should note that some assays specifically detect the N-terminal portion of ANGPTL4, which may influence interpretation if studying the cleaved fragments separately .
Genetic studies have revealed significant associations between ANGPTL4 variants and metabolic phenotypes. The p.E40K variant, which abolishes ANGPTL4's ability to inhibit lipoprotein lipase, produces several beneficial metabolic effects:
Parameter | Effect in p.E40K Carriers | Statistical Significance |
---|---|---|
Type 2 Diabetes risk | 11% reduction (OR 0.89) | p = 6.3 × 10^-10 |
Fasting glucose | Decreased | Significant |
Insulin sensitivity | Increased | Significant |
Even more pronounced effects are observed with predicted loss-of-function variants in ANGPTL4, which are associated with 29% lower odds of Type 2 Diabetes (OR 0.71, 95% CI 0.49–0.99, p = 0.041) among 32,015 cases and 84,006 controls . These genetic findings suggest that inhibition of ANGPTL4 may represent a potential therapeutic strategy for improving glucose homeostasis and reducing Type 2 Diabetes risk, with the mechanism likely involving altered lipid metabolism and fatty acid partitioning.
Research into ANGPTL4's role in endothelial biology requires specialized methodological approaches. Based on recent studies, effective experimental designs include:
Endothelial-specific knockout models: Endothelial-specific Angptl4 knockout mice (often designated as Angptl4^iΔEC) provide a powerful system for studying tissue-specific functions without confounding by systemic metabolic effects .
Integrated transcriptomic and metabolic flux analysis: This combined approach enables researchers to link changes in gene expression to functional metabolic outcomes. For endothelial ANGPTL4 research, this approach has revealed that ANGPTL4 knockdown promotes lipase-mediated lipoprotein lipolysis, increased fatty acid uptake/oxidation, and decreased glucose utilization for angiogenic activation .
Vascular permeability assays: Since ANGPTL4 regulates endothelial barrier function, permeability assays (such as transendothelial electrical resistance or fluorescent dextran passage) are valuable for assessing functional outcomes.
Angiogenesis models: Both in vitro tube formation assays and in vivo models of pathological neovascularization can reveal ANGPTL4's effects on vessel formation and stability, particularly when combined with pericyte coverage assessment .
When implementing these methods, researchers should consider potential confounding from systemic metabolic effects and design appropriate controls to isolate endothelial-specific phenotypes.
ANGPTL4 exhibits context-dependent functions that can appear contradictory across different experimental systems. To properly interpret these seemingly conflicting results, researchers should consider:
Tissue source and processing state: The biological activities of ANGPTL4 differ between its full-length form and its cleaved N-terminal and C-terminal fragments. The N-terminal domain primarily regulates lipid metabolism by inhibiting LPL, while the C-terminal domain mediates effects on vascular permeability and angiogenesis .
Metabolic context: ANGPTL4's effects depend on prevailing metabolic conditions. During fasting or exercise when FFAs are elevated, ANGPTL4 upregulation serves to redistribute triglyceride utilization between tissues, which may have different implications in metabolic versus vascular disease models .
Cell-specific signaling: The endothelial-specific functions of ANGPTL4 may differ from its systemic metabolic effects. Endothelial ANGPTL4 regulates cellular metabolism critical for vascular permeability and angiogenesis, as demonstrated in endothelial-specific knockout studies .
Pathological stage: In cancer studies, ANGPTL4 has been implicated in both pro-tumorigenic angiogenesis and metastasis inhibition, possibly reflecting stage-specific effects or interactions with different microenvironmental factors .
When designing experiments, researchers should clearly define which aspect of ANGPTL4 biology they are studying and interpret results within the appropriate cellular and physiological context.
Researchers seeking to modulate ANGPTL4 levels or activity should consider these methodological approaches:
Genetic approaches:
CRISPR/Cas9-mediated knockout or knockin for complete loss of function or targeted mutation studies
Conditional tissue-specific models (e.g., using Cre-lox systems) to avoid developmental effects and isolate tissue-specific functions
RNA interference approaches (siRNA or shRNA) for transient knockdown studies
Pharmacological approaches:
Recombinant ANGPTL4 protein administration (full-length or specific domains)
Neutralizing antibodies against ANGPTL4
Small molecule modulators of ANGPTL4 expression (e.g., PPAR agonists that induce ANGPTL4)
Physiological manipulation:
Each approach has distinct advantages and limitations. Genetic approaches offer specificity but may trigger compensatory mechanisms. Pharmacological approaches enable dose-response studies but may have off-target effects. Physiological manipulations provide translational relevance but affect multiple pathways simultaneously. The choice should be guided by the specific research question and experimental system.
ANGPTL4 has emerged as an important factor in cancer biology, with expression documented in multiple cancer types including liposarcoma, hepatocellular carcinoma, and renal cell carcinoma . To effectively study ANGPTL4 in cancer contexts, researchers should consider:
Tumor-stroma interaction models:
Co-culture systems incorporating cancer cells, endothelial cells, and adipocytes
3D organoid models that better recapitulate tissue architecture
Patient-derived xenografts that maintain tumor heterogeneity
Microenvironmental condition simulation:
Functional readouts:
In vivo metastasis models:
When designing these studies, researchers should account for both the direct effects of ANGPTL4 on cancer cells and its indirect effects via modulation of the tumor microenvironment, particularly vascular integrity and metabolic reprogramming.
Angiopoietin-like Protein 4 (ANGPTL4) is a multifaceted secreted protein that plays a significant role in lipid metabolism, inflammation, and various diseases, including cancer. It belongs to the angiopoietin-like protein family and is encoded by the ANGPTL4 gene. This protein is highly expressed in adipose tissues and the liver, with lower expression levels in the heart, muscle, kidney, and skin .
ANGPTL4 was discovered simultaneously by three different institutions in 2000 and later unified by the HUGO Gene Nomenclature Committee as ANGPTL4 . The protein contains an N-terminal coiled-coil domain and a C-terminal fibrinogen-like domain, which can be proteolytically separated in vivo . The recombinant form of ANGPTL4 is often produced in mouse myeloma cell lines and is available in both carrier-free and carrier-containing formulations .
ANGPTL4 is involved in the regulation of lipid metabolism by inhibiting lipoprotein lipase (LPL) activity, which affects triglyceride (TG) metabolism . It is induced under hypoxic conditions and is a target of peroxisome proliferator-activated receptors . The protein has pleiotropic functions with both anti- and pro-inflammatory properties, making it a key player in various inflammatory diseases .
ANGPTL4 has been implicated in numerous cancers, where it modulates vascular permeability, cancer cell motility, and invasiveness . It is also a diagnostic and prognostic biomarker for hepatocellular carcinoma (HCC) and has potential therapeutic applications in suppressing HCC growth, angiogenesis, and metastasis . Genetic inactivation of ANGPTL4 can significantly reduce the risk of developing coronary artery disease and diabetes .
The therapeutic potential of ANGPTL4 is being explored in various contexts. For instance, human monoclonal antibodies against ANGPTL4 have been shown to reduce circulating TG levels in mice and monkeys . However, there are challenges, such as undesirable effects like lymphadenopathy and ascites observed in animal models .