The modular adaptor protein autosomal recessive hypercholesterolemia (ARH) promotes low density lipoprotein receptor

Rita Garuti1, Christopher Jones, Wei-Ping Li

  • 1Department of Molecular Genetics, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas 75390-8591, USA.

Insights

Autosomal recessive hypercholesterolemia involves a defect in low-density lipoprotein receptor (LDLR) uptake. The ARH protein requires binding to the LDLR tail and either clathrin or AP-2 to enable LDL internalization.

Area of Science:

  • Cell biology
  • Molecular genetics
  • Biochemistry

Background:

  • Autosomal recessive hypercholesterolemia presents a cell-specific defect in low-density lipoprotein receptor (LDLR) endocytosis.
  • This impairment in LDLR-mediated LDL uptake is observed in the liver but not in fibroblasts.

Purpose of the Study:

  • To investigate the physiological relevance of ARH protein interactions with the LDLR and endocytic machinery.
  • To determine the specific domains and interactions of ARH necessary for LDLR clustering and internalization.

Main Methods:

  • Utilized polarized hepatocytes (WIF-B) to study the effect of ARH mutations on LDLR localization and function.
  • Employed in vivo studies using Arh(-/-) mice and recombinant ARH to validate cell culture findings.

Main Results:

  • The integrity of the FDNPVY sequence in the LDLR cytoplasmic tail is crucial for ARH-associated LDLR clustering into clathrin-coated pits.
  • ARH's phosphotyrosine binding domain, along with its clathrin box or AP-2 binding region, is essential for LDLR clustering and internalization.
  • In vivo studies in mice confirmed the necessity of these ARH interactions for LDLR function.

Conclusions:

  • ARH protein acts as a critical adaptor, linking the LDLR to the clathrin-mediated endocytic pathway.
  • Successful LDL internalization requires ARH to bind the LDLR tail and interact with either clathrin or AP-2.

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