Hepatic proprotein convertases modulate HDL metabolism

Weijun Jin1, Xun Wang, John S Millar

  • 1Department of Pharmacology, Institute for Translational Medicine and Therapeutics, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA. weijun@mail.med.upenn.edu

Cell Metabolism
|August 8, 2007
PubMed

Insights

Inhibiting liver proprotein convertases (PCs) lowers high-density lipoprotein cholesterol (HDL-C) by increasing endothelial lipase (EL) activity. This uncovers a new pathway controlling cholesterol homeostasis.

Area of Science:

  • Biochemistry
  • Cardiovascular Biology
  • Metabolic Research

Background:

  • Atherosclerosis risk correlates inversely with high-density lipoprotein cholesterol (HDL-C) levels.
  • HDL metabolism is not fully understood, with limited strategies to modify HDL-C.
  • Effective modulation of HDL-C remains a significant challenge in cardiovascular disease prevention.

Purpose of the Study:

  • To investigate the role of hepatic proprotein convertases (PCs) in regulating HDL metabolism.
  • To elucidate the mechanism by which hepatic PCs influence plasma HDL-C levels.
  • To identify novel therapeutic targets for modulating HDL-C and cholesterol homeostasis.

Main Methods:

  • Inhibition of classical proprotein convertases (PCs) in the liver.
  • Assessment of plasma HDL-C levels following PC inhibition.
  • Analysis of the expression and activity of endothelial lipase (EL) and angiopoietin-like protein 3 (ANGPTL3).

Main Results:

  • Inhibition of hepatic classical PCs, but not atypical PCs (S1P, PCSK9), decreased plasma HDL-C.
  • This effect was dependent on endothelial lipase (EL) expression.
  • Hepatic PCs regulate EL activity via direct cleavage of EL and activating cleavage of ANGPTL3, an EL inhibitor, leading to reduced HDL-C and impaired reverse cholesterol transport.

Conclusions:

  • The hepatic PC-ANGPTL3-EL-HDL pathway represents a novel mechanism controlling HDL metabolism.
  • Targeting hepatic PCs offers a potential strategy for modulating HDL-C levels.
  • Understanding this pathway is crucial for advancing cholesterol homeostasis research and cardiovascular disease treatment.

Related Concept Videos

Cholesterol: Significance and Regulation01:29

Cholesterol: Significance and Regulation

Although not a source of energy, cholesterol plays a significant role as a foundational structure for bile salts, steroid hormones, and vitamin D, as well as being a crucial component of plasma membranes. Approximately 15% of blood cholesterol is derived from our diet, with the remainder synthesized from acetyl CoA by the liver and intestines. Cholesterol is eliminated from the body through its conversion into bile salts, which are eventually discarded in the feces.
Considering cholesterol and...
Lipid-Lowering Drugs: Statins and Miscellaneous Agents01:20

Lipid-Lowering Drugs: Statins and Miscellaneous Agents

Hyperlipidemia, a medical condition often referred to as high cholesterol, is characterized by abnormally elevated levels of lipids in the bloodstream. When present in excess, these lipids, specifically cholesterol and triglycerides, can lead to serious health complications, often involving cardiovascular diseases. Illnesses like atherosclerosis, heart attacks, and pancreatitis have all been linked to untreated hyperlipidemia. This means controlling and regulating cholesterol and triglyceride...
Liver Physiology01:30

Liver Physiology

The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of  70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can also...
Hepatic Drug Excretion: Influencing Factors01:16

Hepatic Drug Excretion: Influencing Factors

The biliary system of the liver, crucial for bile secretion and drug excretion, comprises intrahepatic bile ducts that merge to form the common hepatic duct. This duct, carrying hepatic bile, combines with the cystic duct, draining the gallbladder and forming the common bile duct, which empties into the duodenum. Bile, produced by hepatic cells lining the bile canaliculi, is composed primarily of water, bile salts, pigments, electrolytes, and lesser amounts of cholesterol and fatty acids. Bile...
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug binding...
Regulation of Nuclear Protein Sorting01:45

Regulation of Nuclear Protein Sorting

Nuclear protein sorting regulates nucleus composition and gene expression, crucial for determining the fate of a eukaryotic cell. Hence, the entry and exit of molecules across the nuclear envelope is a tightly controlled process. Nuclear protein sorting can be inhibited by one of the following ways: 1) masking cargo signal sequences, 2) modifying the nuclear receptor's affinity for cargo, 3) controlling the nuclear pore size, 4) retaining the cargo during its transit to the cytosol or the...