Fatty acid binding protein 4 (FABP4, also known as aP2) is a cytoplasmic fatty acid chaperone expressed primarily in adipocytes and myeloid cells and implicated in the development of insulin resistance and atherosclerosis. Here we demonstrate that FABP4 triggers the ubiquitination and subsequent proteasomal degradation of peroxisome proliferator-activated receptor g (PPARg), a master regulator of adipogenesis and insulin responsiveness. Importantly, FABP4-null mouse preadipocytes as well as macrophages exhibited increased expression of PPARg, and complementation of FABP4 in the macrophages reversed the increase in FABP4 expression. The FABP4-null preadipocytes exhibited a remarkably enhanced adipogenesis compared with wild-type cells, indicating that FABP4 regulates adipogenesis by downregulating PPARg. We found that the FABP4 level was higher and PPARg level was lower in human visceral fat and mouse epididymal fat compared with their subcutaneous fat. Furthermore, FABP4 was higher in the adipose tissues of obese diabetic individuals compared with healthy ones. Suppression of PPARg by FABP4 in visceral fat may explain the reported role of FABP4 in the development of obesity-related morbidities, including insulin resistance, diabetes, and atherosclerosis. Adiposity is closely correlated with important physiological parameters such as blood pressure, systemic insulin sensitivity, dyslipidemia, and serum triglyceride levels (1,2), rendering obesity to an independent risk factor for myocardial infarction, stroke, type 2 diabetes, and certain cancers (3). Among adipose tissues, visceral fat is more closely correlated with obesity-associated pathologies than overall adiposity (4-8).The nuclear receptor peroxisome proliferatoractivated receptor g (PPARg) is a master regulator of adipose cell differentiation, playing a critical role in systemic lipid and glucose metabolism (9). PPARg is activated by natural or synthetic agonists such as the antidiabetic thiazolidinedione (TZD) (10). Activated PPARg is a master regulator of adipogenesis, acting as a transcription factor of genes expressed in mature adipocytes, including fatty acid binding protein (FABP4), CD36, lipoprotein lipase (LPL), and adiponectin, all of which contain peroxisome proliferator response elements (PPREs) (11). PPARg is also expressed in myeloid cells, and its activation promotes an anti-inflammatory phenotype (11). Disruption of PPARg specifically in myeloid cells also predisposes
METABOLISMmice to the development of diet-induced obesity, insulin resistance, and glucose intolerance (12), whereas activation of PPARg within macrophages promotes lipid efflux, thereby stabilizing atherosclerotic lesions (13). A major target gene of PPARg is the lipid transporter FABP4, also known as aP2 (14). PPARg induces FABP4 almost exclusively in adipocytes and macrophages. FABP4 acts as a fatty acids chaperone, which couples intracellular lipids to biological targets and signaling pathways (15,16). FABP4 has been implicated in several aspects of the metabolic syndro...