We crystallized human liver fatty acid-binding protein (LFABP) in apo, holo, and intermediate states of palmitic acid engagement. Structural snapshots of fatty acid recognition, entry, and docking within LFABP support a heads-in mechanism for ligand entry. Apo-LFABP undergoes structural remodeling, where the first palmitate ingress creates the atomic environment for placement of the second palmitate. These new mechanistic insights will facilitate development of pharmacological agents against LFABP.Liver fatty acid-binding protein (LFABP) 2 is an intracellular lipid chaperone belonging to a family of ϳ15 kDa intracellular lipid-binding proteins (iLFABP). LFABP, along with the other iLBP family members, appears to maintain physiologically relevant concentrations of cytosolic fatty acids (1-6). Increased expression of LFABP in humans is associated with insulin-dependent diabetes and gestational diabetes (7-9). Studies with LFABP gene-ablated mice demonstrate a physiological role for LFABP in hepatic fatty acid metabolism and in diet-induced obesity (10 -12). Mechanistic details of LFABP-fatty acid interaction have not as yet resolved the mode of binding for both fatty acid molecules. This is in part due to the lack of high resolution crystal structures of ligand-free and ligand-bound forms of human LFABP. Unlike other members of the iLFABP family, LFABP is unique in binding two fatty acid molecules (13,14). It can also bind bile salts, acyl-CoA esters, and other hydrophobic compounds (15)(16)(17)(18)(19). LFABP shares a common structural motif with other iFABPs comprising a 10 -11-stranded  barrel that forms a ligand binding cavity, which is covered by a helix-turn-helix (HTH) motif (20). This HTH along with neighboring  turns between  strands is hypothesized to form a portal to the protein cavity, allowing ligand trafficking without significant structural rearrangements in the  barrel (21-24). The terminology of apo-and holo-used in this work refers to ligand-bound and ligand-unbound states of FABP, and this terminology is used here to remain consistent with previously published works on FABP (21). We crystallized the human LFABP in apo, holo, and in intermediate states of fatty acid (palmitate) binding to obtain structural snapshots of fatty acid engagement, entry, and final docking within LFABP. Our data provide crystallographic evidence for hitherto unexplored heads-in modes of entry for fatty acids in LFABP. The analyses are supported by earlier mutagenesis experiments (13), and together these data reveal the atomic reconstruction required within LFABP to accommodate two chains of fatty acids. Targeting the newly identified critical residues within LFABP, which undergo conformational alterations to accommodate two fatty acids, with small molecule inhibitors may be a potent new strategy for developing anti-FABP drugs.
EXPERIMENTAL PROCEDURESOverexpression and Purification of LFABP-The full-length human LFABP was cloned and overexpressed as described previously (25). Delipidation of LFABP was performed by ...