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Updated: Sep 19, 2025

In Vitro Analysis of E3 Ubiquitin Ligase Function
Published on: May 14, 2021
E3 ubiquitin ligase Listerin regulates macrophage cholesterol efflux and atherosclerosis by targeting ABCA1
Lei Cao1, Jie Zhang1, Liwen Yu1
1State Key Laboratory for Innovation and Transformation of Luobing Theory; Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, Department of Cardiology and.
Insights
Listerin E3 ubiquitin protein ligase 1 (Listerin) protects against atherosclerosis by stabilizing ABCA1, a key protein for cholesterol removal. This mechanism enhances macrophage cholesterol efflux and reduces plaque development, offering a new therapeutic target.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cellular Metabolism
Background:
- Atherosclerosis involves disrupted cholesterol metabolism and macrophage foam cell formation.
- Impaired cholesterol efflux from macrophages is a critical step in atherosclerosis progression.
Purpose of the Study:
- To identify novel regulators of macrophage cholesterol metabolism in atherosclerosis.
- To elucidate the role of Listerin E3 ubiquitin protein ligase 1 (Listerin) in atherosclerosis pathogenesis.
Main Methods:
- Single-cell and bulk RNA sequencing.
- Macrophage-specific knockout (KO) and overexpression mouse models.
- Analysis of ABCA1 ubiquitination and degradation pathways.
- In vitro studies using THP-1 cells.
Main Results:
- Listerin expression is upregulated during atherosclerosis progression.
- Listerin deficiency impairs cholesterol efflux, promotes foam cell formation, and exacerbates atherosclerotic plaque features.
- Listerin stabilizes ABCA1 through K63-linked polyubiquitination, preventing its lysosomal degradation.
- ABCA1 agonist treatment rescues cholesterol efflux in Listerin-deficient macrophages.
Conclusions:
- Listerin acts as a protective factor in atherosclerosis by stabilizing ABCA1.
- Targeting Listerin-mediated ABCA1 ubiquitination represents a potential therapeutic strategy for enhancing cholesterol efflux and treating atherosclerosis.
Abstract:
Atherosclerosis arises from disrupted cholesterol metabolism, notably impaired macrophage cholesterol efflux leading to foam cell formation. Through single-cell and bulk RNA-Seq, we identified Listerin E3 ubiquitin protein ligase 1 (Listerin) as a regulator of macrophage cholesterol metabolism. Listerin expression increased during atherosclerosis progression in humans and rodents. Its deficiency suppressed cholesterol efflux, promoted foam cell formation, and exacerbated plaque features (macrophage infiltration, lipid deposition, necrotic cores) in macrophage-specific KO mice. Conversely, Listerin overexpression attenuated these atherosclerotic manifestations. Mechanistically, Listerin stabilizes ABCA1, a key cholesterol efflux mediator, by catalyzing K63-linked polyubiquitination at residues K1884/K1957, countering ESCRT-mediated lysosomal degradation of ABCA1 induced by oxidized LDL (oxLDL). ABCA1 agonist erythrodiol restored cholesterol efflux in Listerin-deficient macrophages, while KO of ABCA1 abolished Listerin's effects in Tsuchiya human monocytic leukemia line (THP-1) cells. This study establishes Listerin as a protective factor in atherosclerosis via posttranslational stabilization of ABCA1, offering a potential therapeutic strategy targeting ABCA1 ubiquitination to enhance cholesterol efflux.
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