November 2019

Volume 60Issue 11p1805-1980
Open Access
COVER: The breakdown of lipid stores from adipocytes is a critical function in adaptive responses and communicates the status of energy stores with the rest of the homeostatic systems of the body. During this process, known as lipolysis, adipocytes release a newly discovered hormone called fatty acid binding protein 4, FABP4, which signals to distant organs such as the liver and pancreas to coordinate appropriate systemic metabolic responses and maintains glucose homeostasis. Under conditions of immunometabolic stress and uncontrolled lipolysis, such as is the case in obesity, the circulating levels of this counterregulatory hormone increases in an inappropriate manner and chronically engages the otherwise adaptive short-term responses to disrupt glucose homeostasis and set the stage for metabolic diseases such diabetes, cardiovascular and airway diseases, and cancer. Targeting of FABP4 therefore presents a powerful opportunity to revert the endocrine axis controlled by this hormone to a homeostatic state to prevent and treat chronic immunometabolic diseases. (See Prentice et al. in the JLR April issue p. 734.)...
COVER: The breakdown of lipid stores from adipocytes is a critical function in adaptive responses and communicates the status of energy stores with the rest of the homeostatic systems of the body. During this process, known as lipolysis, adipocytes release a newly discovered hormone called fatty acid binding protein 4, FABP4, which signals to distant organs such as the liver and pancreas to coordinate appropriate systemic metabolic responses and maintains glucose homeostasis. Under conditions of immunometabolic stress and uncontrolled lipolysis, such as is the case in obesity, the circulating levels of this counterregulatory hormone increases in an inappropriate manner and chronically engages the otherwise adaptive short-term responses to disrupt glucose homeostasis and set the stage for metabolic diseases such diabetes, cardiovascular and airway diseases, and cancer. Targeting of FABP4 therefore presents a powerful opportunity to revert the endocrine axis controlled by this hormone to a homeostatic state to prevent and treat chronic immunometabolic diseases. (See Prentice et al. in the JLR April issue p. 734.)

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