Tanumihardjo added, "Our results further the understanding of the relationship of retinol, RBP, and BMI and suggest that apo-RBP should be evaluated. Retinol:RBP may add new insights and be a better clinical diagnostic for potential insulin resistance than RBP alone." The authors say, "This elevated serum apo-RBP may be adipose-derived and it is unknown whether it is a direct contributor to insulin resistance in obese individuals. Alternatively, apo-RBP from adipose may transport an unidentified ligand that is responsible for mediating insulin signaling." Further research is needed to determine whether apo-RBP is bound to some other compound in circulation. Dr. Steven R. Goodman, Editor-in-Chief of Experimental Biology and Medicine, said "this interesting study, led by Dr. Tanumihardjo, opens the door to the determination of the role of apo-RBP in insulin resistance in obese individuals. This will be an important issue for those working on type 2 diabetes".
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