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Functional interrogation of candidate cis-regulatory elements at the LDLR locus
Kyle Leix1, Candilianne Serrano-Zayas1, Hitarthi S Vyas1
1Department of Internal Medicine, Division of Hospital Medicine, University of Michigan Medical School, Ann Arbor Michigan, United States of America.
Plos Genetics
|March 17, 2026
Summary
Researchers used CRISPR screening to identify 25 regions impacting LDLR gene expression, crucial for preventing heart attack and stroke. A key enhancer in the LDLR gene
Area of Science:
- Genetics
- Molecular Biology
- Cardiovascular Disease Research
Background:
- Low-density lipoprotein receptor (LDLR) gene expression is vital for preventing atherosclerotic diseases like heart attack and stroke.
- While sterol response elements are known regulators, other noncoding regions of the LDLR locus are poorly understood.
Purpose of the Study:
- To functionally interrogate candidate cis-regulatory elements (CREs) at the LDLR locus using a high-throughput CRISPR screen.
- To identify noncoding regions that significantly influence LDLR gene expression in its native genomic context.
Main Methods:
- High-throughput CRISPR screening to assess the function of candidate LDLR CREs.
- Reporter gene assays to validate enhancer activity.
- Massively parallel reporter assays (MPRA) for fine-mapping enhancer function.
Main Results:
- Identified 25 discrete genomic regions significantly impacting LDLR expression.
- Validated an intronic region as a functional enhancer that reduces LDLR expression upon disruption.
- Fine-mapped the enhancer to a conserved 129 bp interval containing transcription factor motifs and a GWAS-implicated variant (rs57217136).
Conclusions:
- CRISPR screening is a powerful tool for dissecting the functional landscape of noncoding sequences.
- Discovered novel CREs regulating LDLR, contributing to understanding atherosclerotic disease mechanisms.
- Identified a specific enhancer linked to human LDL cholesterol levels, offering potential therapeutic targets.
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