FABP3 facilitates intracellular transport of long-chain fatty acids (LCFAs) to mitochondria for β-oxidation and regulates lipid-mediated signaling pathways . It exhibits higher binding affinity for saturated fatty acids (SFAs) over polyunsaturated fatty acids (PUFAs), influencing membrane lipid composition .
FABP3 overexpression reduces membrane fluidity by increasing sphingomyelin (SM) and lysophosphatidylcholine (LPC), activating the PERK-eIF2α pathway, and inhibiting protein synthesis .
Knockdown of FABP3 restores PUFA/SFA ratios, reduces ER stress, and improves muscle recovery in aged tissues .
Mechanism: Age-related FABP3 upregulation alters lipid composition, inducing ER stress and impairing protein synthesis .
Intervention: FABP3 knockdown or PUFA supplementation (e.g., DHA) restores membrane fluidity and muscle function .
Ischemic Injury: FABP3 overexpression exacerbates post-MI apoptosis via MAPK pathway activation (↑ phospho-p38, JNK, ERK1/2) and ↓ Akt phosphorylation .
Hypertrophy: FABP3 deficiency disrupts fatty acid oxidation (FAO), increases glycolysis, and accelerates metabolic derangement in cardiac hypertrophy .
Alzheimer’s Disease (AD): Elevated CSF FABP3 correlates with Aβ42/40 ratio and tau pathology .
Schizophrenia: Inverse associations between plasma FABP3 and heart rate variability (HRV) suggest autonomic dysfunction .
FABP3 is a biomarker for acute myocardial infarction (AMI), with plasma kinetics resembling myoglobin but higher cardiac specificity .
Diagnostic kits (e.g., Meso Scale Discovery) quantify FABP3 with a sensitivity of 0.103 ng/mL .
Structure: Recombinant FABP3 (133 amino acids, 19.1 kDa) includes a His-tag for purification .
Expression: High in heart, skeletal muscle, and kidney; low in liver and lung .
Assay | Target | LLOD (ng/mL) | Clinical Use Case |
---|---|---|---|
MSD Human FABP3 Kit | Plasma/serum | 0.103 | Early AMI detection, prognostics |
Fatty acid-binding protein heart, H-FABP, Heart-type fatty acid-binding protein, Muscle fatty acid-binding protein, M-FABP, Mammary-derived growth inhibitor, MDGI, FABP3, FABP11, O-FABP.
Human heart tissue.
FABP3, also known as cardiac-type fatty acid-binding protein, is a cytosolic protein specifically expressed in tissues such as myocardium and skeletal muscles. It functions as an intracellular lipid carrier and plays crucial roles in myocardial development, tissue repair, and the modulation of cell growth and proliferation . Recent research has identified FABP3 as a potential biomarker for neurodegeneration, suggesting broader physiological significance beyond muscle and heart tissues .
Measurement of FABP3 in human samples commonly employs electrochemiluminescence (ECL) through multi-plex biomarker assay platforms. In research settings such as the Healthy Aging Brain Study – Health Disparities (HABS-HD) cohort, serum FABP3 levels have been measured using ECL protocols with reported excellent coefficient of variation ≤10% . Other advanced approaches include using the ultra-sensitive Quanterix Simoa (single molecule array) technology platform when studying FABP3 alongside other biomarkers . For statistical analysis, researchers often use logarithmically transformed values when FABP3 shows skewed distribution in study populations .
FABP3 is predominantly expressed in myocardium and skeletal muscles, serving as a specific biomarker for muscle and heart tissue injury . In the central nervous system, animal studies have revealed high FABP3 expression in the dentate gyrus and white matter regions . This differential expression pattern has implications for its role in both cardiac function and neurological health. Expression levels can vary based on physiological conditions, with evidence suggesting regulation in response to hypoxia in certain cell types .
Research from the HABS-HD cohort has demonstrated that FABP3 is significantly associated with neurodegeneration and white matter hyperintensity (WMH) burden, independent of traditional Alzheimer's disease (AD) markers. Specifically, regression analyses revealed that FABP3 was associated with neurodegeneration (B = –0.08, p = 0.003) and WMH burden (B = 0.18, p = 0.03) in Mexican Americans . These associations persisted after controlling for plasma amyloid and tau markers, suggesting FABP3 may contribute to gray and white matter neurodegeneration through pathways distinct from classical AD pathogenesis .
Significant ethnoracial differences exist in FABP3 levels, with Mexican Americans demonstrating lower FABP3 levels compared to Non-Hispanic Whites (NHWs), independent of age, education, sex, APOE ε4 positivity, MCI diagnosis, and cardiometabolic burden . Interestingly, despite lower baseline levels, FABP3 shows stronger associations with neurodegeneration and WMH burden in Mexican Americans but not in NHWs . These findings highlight the importance of considering ethnoracial differences in biomarker studies and suggest FABP3 may have particular relevance as a prognostic marker in certain populations. The differences could potentially result from ethnoracial variations in FABP single nucleotide polymorphisms, though additional research is needed to clarify these genetic contributions .
To effectively study FABP3's relationship to cognitive impairment, researchers should implement comprehensive neuropsychological testing batteries covering multiple cognitive domains. The HABS-HD methodology demonstrates an effective approach, including assessments of general cognition (Mini-Mental Status Examination, Clinical Dementia Rating Scale), attention/executive functioning, verbal memory, language, and premorbid intellectual functioning . When establishing cognitive diagnoses, algorithmic criteria verified through clinician consensus review provide robust classification. For Mild Cognitive Impairment (MCI), criteria should include objective cognitive deficits (e.g., performance ≤1.5 standard deviations below z-score adjusted norms) alongside subjective cognitive complaints . Additionally, researchers should control for confounding variables including age, education, sex, APOE ε4 status, and cardiometabolic factors when examining FABP3 associations with cognitive measures.
Under hypoxic conditions, FABP3 shows significant upregulation in human bone marrow-derived mesenchymal stem cells (MSCs). Quantitative RT-PCR analysis revealed that FABP3 is upregulated in 11 of 12 healthy donor cells during 24-hour hypoxic exposure compared to normoxic conditions . This response appears to be specific to MSCs, as no significant changes in FABP3 were observed in hypoxic amniotic epithelial cells (AECs) and HeLa cells . Furthermore, the study demonstrated that FABP3 expression levels fluctuate in response to changing oxygen levels, suggesting it may serve as a biosensor for MSC response to oxygen concentration variations .
To effectively study FABP3's impact on cell proliferation, researchers should consider a multi-method approach combining genetic manipulation, protein expression analysis, and functional assays. A robust experimental design would include:
Genetic modification: Establish FABP3-overexpressing cells (e.g., MSC FABP3lv) alongside appropriate controls (e.g., MSC clv) .
Morphological assessment: Monitor and document cell morphology changes using phase-contrast microscopy .
Proliferation marker analysis: Measure Proliferating Cell Nuclear Antigen (PCNA) protein expression levels using Western blot to quantify proliferation potential .
Growth curve analysis: Perform cell proliferation assays using methods such as CCK-8, seeding identical numbers of modified and control cells in multi-well plates, and measuring optical density values daily for 7+ days .
Oxygen condition comparison: Conduct parallel experiments under both normoxic and hypoxic conditions to assess oxygen-dependent effects .
This comprehensive approach enabled researchers to determine that FABP3 overexpression inhibits cellular proliferation while enhancing adaptation to hypoxic conditions in MSCs .
Research suggests that FABP3 may enhance cellular adaptability to stress conditions, particularly hypoxia, despite inhibiting proliferation. In MSCs, FABP3-overexpressing cells exhibited slower growth rates but demonstrated greater tolerance to low oxygen environments compared to control cells . This phenomenon indicates a potential trade-off between proliferative capacity and stress resistance. The molecular mechanisms underlying this adaptation remain to be fully elucidated, but may involve FABP3's role in fatty acid transport and metabolism, which could optimize energy utilization under stress conditions . Further research using pathway analysis, metabolomic profiling, and gene expression studies would help clarify these mechanisms.
FABP3 offers unique research opportunities for investigating Alzheimer's disease pathogenesis, particularly in understanding ethnic disparities in AD risk. Researchers should consider:
Multimodal biomarker profiling: Integrating FABP3 measurements with traditional AD biomarkers (amyloid-β, tau) and neuroimaging to develop more comprehensive disease models .
Longitudinal designs: Tracking FABP3 levels over time to assess whether changes predict future neurodegeneration or cognitive decline .
Mechanistic studies: Investigating whether FABP3 contributes to neurodegeneration through impaired amyloid processing, inflammation, blood-brain barrier dysfunction, or other pathways .
Ethnoracial comparisons: Including diverse participant cohorts to further clarify how FABP3's role in AD pathogenesis may vary across populations .
The HABS-HD findings suggest FABP3 may be particularly important for understanding AD risk in Mexican Americans, where it was associated with neurodegeneration independent of traditional AD markers .
The relationship between FABP3, cardiovascular health, and neurological outcomes represents an important intersection of research domains. FABP3's traditional role as a cardiac-specific marker intersects with its emerging significance in neurological health. Evidence suggests cardiometabolic conditions, which are intimately linked to lipid homeostasis, may interact with FABP3's effects on neural health . For instance, Mexican Americans in the HABS-HD cohort had higher levels of cardiometabolic disease burden, and although they showed lower FABP3 levels compared to NHWs, FABP3 demonstrated stronger associations with neural markers in this group . This suggests FABP3 may have enhanced detrimental effects within the context of negative cardiometabolic conditions. Future research should employ multivariate models that account for cardiovascular risk factors when studying FABP3's neurological associations and consider potential shared pathways involving lipid metabolism, inflammation, and vascular function.
When measuring FABP3 in diverse clinical populations, researchers should consider several methodological factors to ensure valid and reliable results:
Sample standardization: Establish consistent protocols for collection, processing, and storage of biological samples (serum vs. plasma considerations) .
Statistical approach: Check for and address skewed distributions of FABP3 measurements, potentially using logarithmic transformations as demonstrated in previous studies .
Controlling for confounders: Account for demographic factors (age, sex, education), genetic factors (APOE genotype), and health conditions (cardiometabolic diseases) that may influence FABP3 levels .
Ethnoracial considerations: Recognize potential genetic variations in FABP expression across ethnic groups and include appropriate population-specific reference ranges .
Integration with other biomarkers: Consider FABP3 measurements alongside other relevant biomarkers (e.g., FABP4, inflammatory markers) for comprehensive analysis .
Rigorous attention to these considerations will help researchers generate more reliable and translatable findings across diverse study populations.
Fatty Acid Binding Protein-3 (FABP3), also known as Heart-type Fatty Acid Binding Protein (H-FABP), is a member of the fatty acid-binding protein family. These proteins are crucial for the intracellular transport of fatty acids and other lipophilic substances. FABP3 is predominantly expressed in cardiac and skeletal muscles, where it plays a significant role in lipid metabolism and energy production.
FABP3 is a small, cytoplasmic protein that binds long-chain fatty acids and other hydrophobic ligands. The primary function of FABP3 is to facilitate the transport of fatty acids from the cell membrane to various intracellular sites, including the mitochondria, where they undergo β-oxidation to produce energy. Additionally, FABP3 is involved in the regulation of gene expression and cellular signaling pathways related to lipid metabolism.
FABP3 is integral to several metabolic processes, particularly in tissues with high energy demands such as the heart and skeletal muscles. It ensures the efficient utilization of fatty acids as an energy source, which is vital for maintaining cellular function and overall energy homeostasis. Dysregulation of FABP3 expression or function can lead to metabolic disorders, including insulin resistance, obesity, and cardiovascular diseases .
FABP3 has garnered significant attention as a potential biomarker for various diseases. Elevated levels of FABP3 in the bloodstream are indicative of myocardial injury, making it a valuable marker for the early diagnosis of acute myocardial infarction. Furthermore, research has shown that FABP3 is associated with peripheral arterial disease (PAD) and other cardiovascular conditions .
Recent studies have highlighted the role of epigenetic modifications in regulating FABP3 expression. For instance, CpG methylation in the promoter region of the FABP3 gene has been linked to metabolic syndrome phenotypes, including dyslipidemia, insulin resistance, and hypertension. These findings suggest that epigenetic mechanisms may influence FABP3 expression and its associated metabolic functions .