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Published on: November 17, 2018
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
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.
Abstract:
The risk of atherosclerosis is inversely associated with plasma levels of high-density lipoprotein cholesterol (HDL-C). However, HDL metabolism is incompletely understood, and there are few effective approaches to modulate HDL-C levels. Here we show that inhibition in the liver of the classical proprotein convertases (PCs), but not the atypical PCs S1P and PCSK9, decreases plasma HDL-C levels. This metabolic effect of hepatic PCs is critically dependent on expression of endothelial lipase (EL), an enzyme that directly hydrolyzes HDL phospholipids and promotes its catabolism. Hepatic PCs reduce EL function through direct inactivating cleavage of EL as well as through activating cleavage of angiopoietin-like protein 3 (ANGPTL3), an endogenous inhibitor of EL. Thus, inhibition of hepatic PCs results in increased EL activity, leading to reduced HDL-C as well as impaired reverse cholesterol transport. The hepatic PC-ANGPTL3-EL-HDL pathway is therefore a novel mechanism controlling HDL metabolism and cholesterol homeostasis.
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