2013
DOI: 10.1074/jbc.m113.468108
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Mapping the Binding Region on the Low Density Lipoprotein Receptor for Blood Coagulation Factor VIII

Abstract: Background: Low density lipoprotein receptor (LDLR) mediates clearance of blood coagulation factor VIII (FVIII). Results:The region of complement-type repeats 2-5 in LDLR was identified as the binding site for FVIII and for ␣-2-macroglobulin receptor-associated protein (RAP). Conclusion: Binding sites of LDLR for FVIII, and also for RAP, were characterized. Significance: This provides new data on LDLR structure and function and on FVIII catabolism.

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Cited by 15 publications
(50 citation statements)
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References 67 publications
(79 reference statements)
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“…Ldlr -/- mice may also develop endothelial disturbances due to the LDL receptor deficiency itself. This assumption can be corroborated by data showing an increased inactivation of H 2 O 2 (an endothelial relaxation factor in Ldlr -/- mice) [ 25 , 26 ] and by the fact that the LDL receptor serves as a binding site for the blood coagulation factor VIII, thus mediating its clearance from the circulation [ 27 ]. Taken together, it is very likely that hypercholesterolemia-dependent and -independent mechanisms contribute to CSVD development in Ldlr -/- mice.…”
Section: Discussionmentioning
confidence: 89%
“…Ldlr -/- mice may also develop endothelial disturbances due to the LDL receptor deficiency itself. This assumption can be corroborated by data showing an increased inactivation of H 2 O 2 (an endothelial relaxation factor in Ldlr -/- mice) [ 25 , 26 ] and by the fact that the LDL receptor serves as a binding site for the blood coagulation factor VIII, thus mediating its clearance from the circulation [ 27 ]. Taken together, it is very likely that hypercholesterolemia-dependent and -independent mechanisms contribute to CSVD development in Ldlr -/- mice.…”
Section: Discussionmentioning
confidence: 89%
“…We are conscious that our study has some limitations, and among these the different FVIII concentrates used in the patients. Concerning the FL and BDD FVIII products, the LDLR binds an FVIII epitope involving multiple lysine residues located in the A3, C1, and C2 domains, and thus outside the B domain. Finding that the genetic associations were substantially maintained by analysis of FVIII concentrates, would suggest that the genetic components on PKs, both ABO ‐ and LDLR ‐related, exert quite robust effects.…”
Section: Discussionmentioning
confidence: 99%
“…Although HA patients genetically experience low FVIII levels, the treatment with high concentrations of FVIII transiently exposes HA patients to high peaks of circulating FVIII, comparable to those of patients with cardiovascular disease. This could favor the interaction between FVIII and the LDLR, mediated by four adjacent complement type repeats (CR 2‐5) forming a binding site for FVIII with noticeable affinity (40‐90 nmol/L) however, this affinity could be potentially insufficient to bind efficiently the low concentration (0.3 nmol/L) of FVIII in plasma. Thus, significant binding between FVIII and LDLR would require, in addition to increased FVIII levels present in cardiovascular disease or after infusion in HA patients, heparan‐sulfate like proteoglycans, whose role for FVIII binding is still undefined.…”
Section: Discussionmentioning
confidence: 99%
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“…Indeed, (i) disruption of the RAP gene in mouse model resulted in impairing the expression of these receptors, except LDLR ( 21 , 22 ); (ii) cotransfection of the RAP gene in cell culture facilitated expression of recombinant vLDLR and LRP1, but not LDLR ( 20 ), and (iii) coexpression of RAP and the LRP1 exodomain in cell culture resulted in increase of the latter's yield ( 19 ). At the same time, expression of recombinant CR fragments of LRP1 and LDLR in cell culture yielded relatively low amounts of correctly folded proteins ( 28 , 32 , 33 ) indicating requirement of a folding factor. Notably, the affinity of RAP for LDLR was found to be similar ( 32 ) or weaker ( 34 ) than that for LRP1.…”
mentioning
confidence: 99%