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LR11/SorLA and its role in cardiovascular disease
Meander Kloosterman1, Ranitha Vongpromek1, Edith C H Friesema1
1Department of Internal Medicine, Laboratory of Vascular Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands.
Insights
Low-density lipoprotein receptor 11 (LR11), also known as SorLA, is linked to cardiovascular diseases. Its shed form, sLR11, may serve as a biomarker and therapeutic target for atherosclerosis, obesity, and diabetes.
Area of Science:
- Cardiovascular biology
- Molecular mechanisms of disease
- Biomarker discovery
Background:
- Cardiovascular diseases (CVDs) are a leading cause of global morbidity.
- LR11 (SorLA), an LDL receptor family member, is implicated in Alzheimer's disease and increasingly linked to CVDs.
- The circulating isoform, sLR11, is associated with atherosclerosis, obesity, and diabetes.
Purpose of the Study:
- To review the role of LR11 and sLR11 in vascular remodeling and atherosclerosis.
- To explore the involvement of LR11 in obesity and diabetes.
- To discuss the potential of (s)LR11 as a biomarker and therapeutic target for CVDs.
Main Methods:
- Narrative review of existing literature.
- Analysis of mechanisms linking LR11 to vascular remodeling.
- Examination of LR11's role in metabolic diseases.
Main Results:
- Elevated plasma sLR11 levels correlate with vascular injury and subsequent remodeling.
- LR11 actively promotes vascular remodeling, contributing to atherosclerosis.
- LR11's mechanisms may be involved in the pathophysiology of obesity and diabetes.
Conclusions:
- LR11 and sLR11 play significant roles in vascular remodeling and atherosclerosis.
- LR11 is implicated in the pathogenesis of obesity and diabetes.
- (s)LR11 presents potential as a novel biomarker and therapeutic target for cardiovascular diseases.
Abstract:
Cardiovascular diseases account for the highest morbidity worldwide. LR11 (also called SorLA), an LDL receptor family member characterized as a sorting receptor, was initially identified in the brain and has a causative role in the development of Alzheimer's disease. However, LR11, and its circulating shed isoform, sLR11, are also associated to cardiovascular diseases and risk factors for atherosclerosis, such as obesity and diabetes. In the current narrative review, we discuss that elevation of plasma sLR11 levels can result from different forms of vascular injury, but also plays a role in subsequent vascular remodeling. We provide an overview of the mechanisms whereby LR11 promotes vascular remodeling and thereby atherosclerosis and how it could be involved in obesity and diabetes. Furthermore, we discuss the possibilities of (s)LR11 as a biomarker and therapeutic target for cardiovascular diseases.
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