Diabetes complications

Increased fatty acid-binding protein 4 levels are associated with the risk of developing retinopathy in type 2 diabetes mellitus patients

Diabetes MetabPublished Cross-sectional study

Main finding · DR risk with FABP4 above cutoffResult — go to the resultOdds ratio 6.394 95 % CI 3.18–13.58

Authors' conclusion

The FABP4 level is associated with DR severity and has the potential as a serum biomarker for DR prediction.

Study context

Population
Patients with T2DM and healthy controls; Diabetic retinopathy (DR) severity by fundus fluorescence angiography
Participants
275 patients
Exposure
Serum FABP4 above vs below cutoff
  • Healthy controlsn = 78
  • T2DMn = 197
Outcome
Association between serum FABP4 levels and risk of DR

Main finding

DR risk with FABP4 above cutoff

Odds ratio

6.394

95 % CI 3.18–13.58

P < 0.001

FABP4 >20.57 ng/mlvs FABP4 ≤20.57 ng/ml
OR 6.394 (95 % CI 3.18–13.58); P < 0.001

As reported in the abstract

FABP4 correlated positively with DR severity
r = 0.328, P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeOR (95 % CI)P value
PDR risk with FABP4 above cutoffFABP4 >24.40 ng/mlvs FABP4 ≤24.40 ng/ml4.686 (1.907–12.34)P = 0.001

Original publication

Increased fatty acid-binding protein 4 levels are associated with the risk of developing retinopathy in type 2 diabetes mellitus patients. Diabetes Metab. Published 18 April 2025. doi:10.1016/j.diabet.2025.101653

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