Uptake of low density lipoproteins (LDL) by their receptor, LDLR, is the primary mechanism by which cells incorporate cholesterol from plasma. Mutations in LDLR lead to familial hypercholesterolemia, a common disease affecting 1 in 500 of the human population. LDLR is a modular protein that uses several small repeats to bind LDL. The repeats contain around 40 residues, including three disulfide bonds and a calcium ion. Repeat 5 (LR5) is critical for LDL and -migrating very low density lipoprotein binding. Based on the crystal structure of LDLR at endosomal pH (but close to extracellular calcium concentration), LR5 has been proposed to bind to the epidermal growth factor (EGF) precursor domain of LDLR in the endosome, thus releasing the LDL particles previously bound in extracellular conditions. We report here the conformational stability of LR5 as a function of temperature and calcium concentration under both extracellular and endosomal pH conditions. The repeat was very stable when it bore a bound calcium ion but was severely destabilized in the absence of calcium and even further destabilized at acidic versus neutral pH. The temperature and calcium concentration dependence of LR5 stability clearly indicate that under endosomal conditions the unfolded conformation of the repeat is largely dominant. We thus propose a new mechanism for LDL release in the endosome in which calcium depletion and decreased stability at acidic pH drives LR5 unfolding, which triggers LDL release from the receptor. Subsequent binding of LR5 to the EGF precursor domain, if it takes place at low calcium concentrations, would contribute to a further shifting of the equilibrium toward dissociation.
Most plasma cholesterol in humans is transported by low density lipoprotein (LDL)4 (1). LDL receptors (LDLR) in cell membranes bind LDL, and the complexes enter the cell by endocytosis (2-5). At the acidic pH of the endosome, LDL is released allowing LDLR recycling to the membrane (1). Although LDLR was initially thought to play the single role of helping to achieve cholesterol homeostasis, its expression in neurons suggests that it may also perform other roles (6, 7). LDLR gives its name to the LDL receptor family of transmembrane receptors that additionally comprises the low density lipoprotein receptor-related protein and the very low density lipoprotein receptor among others (8). This family of receptors is involved in a variety of important biological functions related to cell uptake and signal transduction (9, 10). LDLR (11-13) is a transmembrane protein containing 839 amino acid residues organized in five domains: ligand binding, EGF precursor homologous, glycosylated, transmembrane, and cytoplasmatic (1, 14 -16). The ligand-binding domain, consisting of seven tandem, structurally-homologous repeats, is responsible for binding lipoproteins (17-21); the EGF precursor domain participates in receptor recycling to the cell surface and, together with the binding domain, in lipoprotein release in the endosome (18,(22)(23)(24)(25)(26)(27). Of t...