# Retinol-binding protein 4 in cardiovascular diseases: mechanisms and therapeutic perspectives

**Authors:** Jiefang Chen, Gaijie Chen, Xiaojing Xu, Jiewen Zhang, Feng Liu

PMC · DOI: 10.3389/fcvm.2026.1703840 · Frontiers in Cardiovascular Medicine · 2026-01-29

## TL;DR

This review explores how retinol-binding protein 4 (RBP4) contributes to cardiovascular diseases and its potential as a diagnostic tool and therapeutic target.

## Contribution

The paper provides a comprehensive overview of RBP4's role in CVDs and highlights its potential for improving diagnosis and treatment.

## Key findings

- RBP4 is involved in the pathogenesis of cardiovascular diseases and their risk factors.
- RBP4 shows promise as a biomarker for diagnosing and predicting cardiovascular outcomes.
- Understanding RBP4's mechanisms could lead to new therapeutic strategies for CVDs.

## Abstract

Cardiovascular diseases (CVDs) continue to be the leading cause of mortality worldwide, highlighting the need for enhanced diagnostic tools to enable early intervention. However, the complexity of these diseases poses significant challenges to their diagnosis and management. Therefore, a deeper understanding of CVD mechanisms and the development of novel diagnostic and therapeutic strategies are of critical importance. Retinol-binding protein 4 (RBP4), a member of the lipocalin family, is mainly secreted by the liver and adipose tissue and is widely recognized for its role in transporting retinol (vitamin A). Beyond functioning as a selective retinol carrier, growing evidence suggests that RBP4 is intricately involved in the pathogenesis of CVDs and their associated risk factors. Although numerous studies have established a link between RBP4 and the onset and progression of CVDs, the underlying mechanisms remain incompletely elucidated. This review summarizes the biological characteristics and multifunctional roles of RBP4 in CVD pathophysiology, examines its potential as a biomarker for diagnosis and prognosis, and explores its implications for developing new strategies to prevent and treat cardiovascular disorders.

## Linked entities

- **Proteins:** RBP4 (retinol binding protein 4)
- **Chemicals:** retinol (PubChem CID 3840), vitamin A (PubChem CID 445354)

## Full-text entities

- **Genes:** RBP4 (retinol binding protein 4) [NCBI Gene 5950] {aka MCOPCB10, RDCCAS}
- **Diseases:** CVDs (MESH:D002318)
- **Chemicals:** retinol (MESH:D014801)

## Full text

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## Figures

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## References

183 references — full list in the complete paper: https://tomesphere.com/paper/PMC12894221/full.md

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Source: https://tomesphere.com/paper/PMC12894221