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2013 ; 127
(24
): 2403-13
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Serum proprotein convertase subtilisin/kexin type 9 and cell surface low-density
lipoprotein receptor: evidence for a reciprocal regulation
#MMPMID23690465
Tavori H
; Fan D
; Blakemore JL
; Yancey PG
; Ding L
; Linton MF
; Fazio S
Circulation
2013[Jun]; 127
(24
): 2403-13
PMID23690465
show ga
BACKGROUND: Proprotein convertase subtilisin/kexin type 9 (PCSK9) modulates
low-density lipoprotein (LDL) receptor (LDLR) degradation, thus influencing serum
cholesterol levels. However, dysfunctional LDLR causes hypercholesterolemia
without affecting PCSK9 clearance from the circulation. METHODS AND RESULTS: To
study the reciprocal effects of PCSK9 and LDLR and the resultant effects on serum
cholesterol, we produced transgenic mice expressing human (h) PCSK9. Although
hPCSK9 was expressed mainly in the kidney, LDLR degradation was more evident in
the liver. Adrenal LDLR levels were not affected, likely because of the impaired
PCSK9 retention in this tissue. In addition, hPCSK9 expression increased hepatic
secretion of apolipoprotein B-containing lipoproteins in an LDLR-independent
fashion. Expression of hPCSK9 raised serum murine PCSK9 levels by 4.3-fold in
wild-type mice and not at all in LDLR(-/-) mice, in which murine PCSK9 levels
were already 10-fold higher than in wild-type mice. In addition, LDLR(+/-) mice
had a 2.7-fold elevation in murine PCSK9 levels and no elevation in cholesterol
levels. Conversely, acute expression of human LDLR in transgenic mice caused a
70% decrease in serum murine PCSK9 levels. Turnover studies using physiological
levels of hPCSK9 showed rapid clearance in wild-type mice (half-life, 5.2
minutes), faster clearance in human LDLR transgenics (2.9 minutes), and much
slower clearance in LDLR(-/-) recipients (50.5 minutes). Supportive results were
obtained with an in vitro system. Finally, up to 30% of serum hPCSK9 was
associated with LDL regardless of LDLR expression. CONCLUSIONS: Our results
support a scenario in which LDLR represents the main route of elimination of
PCSK9 and a reciprocal regulation between these 2 proteins controls serum PCSK9
levels, hepatic LDLR expression, and serum LDL levels.