2014
DOI: 10.1097/mol.0000000000000114
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PCSK9 and LDLR degradation

Abstract: Purpose of reviewProprotein convertase subtilisin/kexin type-9 (PCSK9) binds to LDL receptor (LDLR) and targets it for lysosomal degradation in cells. Decreased hepatic clearance of plasma LDL-cholesterol is the primary gauge of PCSK9 activity in humans; however, PCSK9's evolutionary role may extend to other lipoprotein classes and processes. This review highlights studies that are providing novel insights into physiological regulation of PCSK9 transcription and plasma PCSK9 activity.Recent findingsRecent stud… Show more

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Cited by 290 publications
(151 citation statements)
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“…Paradoxically, these two genes would be expected to oppose one another, as LXR-induced expression of RP1-13D10.2 would increase LDLR activity, while LXR-induced expression of MYLIP would stimulate LDLR decay. However, this is similar to the well-known phenomena in which SREBF2 both induces LDLR transcription, while stimulating expression of a factor, PCSK9, that promotes LDLR protein decay 31 .…”
Section: Discussionsupporting
confidence: 67%
“…Paradoxically, these two genes would be expected to oppose one another, as LXR-induced expression of RP1-13D10.2 would increase LDLR activity, while LXR-induced expression of MYLIP would stimulate LDLR decay. However, this is similar to the well-known phenomena in which SREBF2 both induces LDLR transcription, while stimulating expression of a factor, PCSK9, that promotes LDLR protein decay 31 .…”
Section: Discussionsupporting
confidence: 67%
“…The function of PCSK9 is the binding of specific cell surface receptors to escort them towards intracellular acidic endosome/lysosome degradation compartments 58, 59. Specifically, PCSK9 plays a key role in the regulation of hepatic LDLR function through receptor binding and targeting to intracellular lysosomal degradation 19; this leads to reduced LDLR recycling and expression on the cell membrane, decreased plasma LDL catabolism and increased plasma LDL‐C levels.…”
Section: Pcsk9 and Lipoprotein Receptorsmentioning
confidence: 99%
“…Specifically, a concentration‐dependent impact of PCSK9 on liver cell CD81 expression has been documented 16, 17. Also, circulating PCSK9 down‐regulates LDLR expression on the hepatocyte surface, thus decreasing LDL catabolism and increasing plasma LDL‐cholesterol (LDL‐C) levels 18, 19. Although there is evidence that PCSK9 decreases VLDLR expression in adipose tissue 20, whether such a down‐regulation may occur in the liver is not established and the potential impact of PCSK9‐mediated change in VLDLR expression on HCV infection is still unknown.…”
Section: Introductionmentioning
confidence: 99%
“…The first, PCSK9 can bind to LDLR right after synthesis and direct to lysosomal vesicles [34]. In the second route, surrounding PCSK9 binds to low-density lipoprotein (LDLR) receptors present on the surface of hepatocytes, causing their internalization and degradation within lysosomal vesicles [33]. This affects availability of LDLR on the cell surface and consequently concentration of LDL in plasma [31,[35][36].…”
Section: Uptake Of Ldl (Low-density Lipoprotein)mentioning
confidence: 99%
“…PCSK9 is synthesized as a soluble zymogen (proPCSK9) and requires autocatalysis for its activation and maturation [33]. Once activated, PCSK9 can follow two pathways for the degradation of LDLR.…”
Section: Uptake Of Ldl (Low-density Lipoprotein)mentioning
confidence: 99%