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Updated: Apr 14, 2026

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Published on: August 21, 2017
Common Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Epitopes Mediate Multiple Routes for Internalization and
Rachel M DeVay1, Lynn Yamamoto1, David L Shelton1
1Rinat-Pfizer Inc., South San Francisco, California, United States of America.
Proprotein convertase subtilisin/kexin type 9 (PCSK9) interacts with amyloid precursor like protein 2 (APLP2) and low-density lipoprotein receptor (LDLR) to facilitate its own internalization. This clarifies PCSK9
Area of Science:
- Biochemistry
- Cell Biology
- Molecular Medicine
Background:
- Proprotein convertase subtilisin/kexin type 9 (PCSK9) is crucial for regulating low-density lipoprotein cholesterol (LDL-C) levels by targeting the low-density lipoprotein receptor (LDLR) for lysosomal degradation.
- The precise molecular mechanisms underlying PCSK9-mediated receptor internalization and degradation remain incompletely elucidated.
Purpose of the Study:
- To investigate the detailed mechanism by which PCSK9 mediates the internalization of LDLR and other receptors.
- To identify potential co-receptors or interacting proteins involved in PCSK9 endocytosis.
- To elucidate the broader role of identified interaction partners in PCSK9 function.
Main Methods:
- Cell-based assays using hepatocytes to study protein-protein interactions and endocytosis.
- Investigating PCSK9 interactions with LDLR and amyloid precursor like protein 2 (APLP2) at neutral pH.
- Assessing the role of LDL and APLP2 in PCSK9 endocytosis and APOER2 degradation.
Main Results:
- Low-density lipoprotein receptor (LDLR) facilitates PCSK9 interaction with amyloid precursor like protein 2 (APLP2), leading to PCSK9 internalization independently of direct PCSK9-LDLR binding.
- Binding to either APLP2 or LDLR is sufficient for PCSK9 endocytosis in hepatocytes.
- LDL competes with APLP2 for PCSK9 binding, indirectly mediating PCSK9 endocytosis.
- APLP2 and LDLR are essential for the degradation of another PCSK9 target, APOER2.
Conclusions:
- PCSK9 utilizes at least two distinct endocytic epitopes for internalization.
- LDLR and APLP2 play a general and critical role in mediating PCSK9 function and the degradation of its targets.
- These findings provide a refined understanding of how PCSK9 directs proteins to lysosomes, impacting LDL-C metabolism.
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