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Updated: May 19, 2026

A High-Throughput Luciferase Assay to Evaluate Proteolysis of the Single-Turnover Protease PCSK9
Published on: August 28, 2018
Loss- and gain-of-function PCSK9 variants: cleavage specificity, dominant negative effects, and low density
Suzanne Benjannet1, Josée Hamelin, Michel Chrétien
1Laboratory of Biochemical Neuroendocrinology, University of Montreal, Montreal, Quebec, Canada.
Abstract:
The proprotein convertase PCSK9 is a major target in the treatment of hypercholesterolemia because of its ability bind the LDL receptor (LDLR) and enhance its degradation in endosomes/lysosomes. In the endoplasmic reticulum, the zymogen pro-PCSK9 is first autocatalytically cleaved at its internal Gln(152)↓, resulting in a secreted enzymatically inactive complex of PCSK9 with its inhibitory prosegment (prosegment·PCSK9), which is the active form of PCSK9 on the LDLR. We mutagenized the P1 cleavage site Gln(152) into all other residues except Cys and analyzed the expression and secretion of the resulting mutants. The data demonstrated the following. 1) The only P1 residues recognized by PCSK9 are Gln > Met > Ala > Ser > Thr ≈ Asn, revealing an unsuspected specificity. 2) All other mutations led to the formation of an unprocessed zymogen that acted as a dominant negative retaining the native protein in the endoplasmic reticulum. Analysis of a large panoply of known natural and artificial point mutants revealed that this general dominant negative observation applies to all PCSK9 mutations that result in the inability of the protein to exit the endoplasmic reticulum. Such a tight quality control property of the endoplasmic reticulum may lead to the development of specific PCSK9 small molecule inhibitors that block its autocatalytic processing. Finally, inspired by the most active gain-of-function mutant, D374Y, we evaluated the LDLR degradation activity of 18 Asp(374) variants of PCSK9. All Asp(374) mutations resulted in similar gain-of-function activity on the LDLR except that D374E was as active as native PCSK9, D374G was relatively less active, and D374N and D374P were completely inactive.
Insights
Proprotein convertase PCSK9 processing has specific P1 site requirements. Mutations preventing PCSK9 exit from the endoplasmic reticulum cause dominant negative effects, offering new therapeutic targets for hypercholesterolemia.
Area of Science:
- Biochemistry
- Molecular Biology
- Genetics
Background:
- Proprotein convertase PCSK9 (PCSK9) is a key regulator of LDL receptor (LDLR) levels, crucial for managing hypercholesterolemia.
- PCSK9 functions by binding to the LDLR and promoting its degradation, thereby increasing circulating cholesterol.
- Autocatalytic cleavage within the endoplasmic reticulum is essential for PCSK9 secretion and activity.
Purpose of the Study:
- To investigate the substrate specificity of the PCSK9 autocatalytic cleavage site.
- To characterize the cellular fate and functional consequences of PCSK9 mutants with altered cleavage.
- To explore the impact of mutations at residue 374 on PCSK9's LDLR degradation activity.
Main Methods:
- Site-directed mutagenesis of the PCSK9 P1 cleavage site (Gln152).
- Analysis of PCSK9 mutant expression, secretion, and intracellular localization using various assays.
- Evaluation of LDLR degradation activity for wild-type and mutant PCSK9 proteins, including gain-of-function variants.
Main Results:
- PCSK9 exhibits specific P1 residue recognition: Gln > Met > Ala > Ser > Thr ≈ Asn.
- Mutations at the P1 site, other than those recognized, result in unprocessed zymogen formation.
- Unprocessed PCSK9 mutants are retained in the endoplasmic reticulum, exhibiting dominant-negative effects on native PCSK9.
- Mutations at Asp374 generally enhance LDLR degradation, with notable exceptions like D374E, D374G, D374N, and D374P.
Conclusions:
- The endoplasmic reticulum possesses stringent quality control mechanisms for PCSK9 processing.
- PCSK9 autocatalytic cleavage specificity offers potential for developing targeted small molecule inhibitors.
- Understanding PCSK9 processing and gain-of-function mutations provides insights into hypercholesterolemia pathogenesis and therapeutic strategies.
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