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Insights into a PCSK9 structural groove: a harbinger of new drugs to reduce LDL-cholesterol

PCSK9 enhances LDL cholesterol (LDL-c) levels by escorting the liver LDL receptor (LDLR) to endosomes and lysosomes for degradation. PCSK9 monoclonal antibodies and RNA-antisense formulations are effective in reducing LDL cholesterol in patients. The recent structural identification of a novel pocket in PCSK9 paves the way to the future development of orally active small-molecule hypocholesterolemic drugs.

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Figure 1: Inhibition of the PCSK9-induced LDLR degradation.

References

  1. Goldstein, J.L. & Brown, M.S. Arterioscler. Thromb. Vasc. Biol. 29, 431–438 (2009).

    Article  CAS  Google Scholar 

  2. LaRosa, J.C. et al. N. Engl. J. Med. 352, 1425–1435 (2005).

    Article  CAS  Google Scholar 

  3. Besseling, J., van Capelleveen, J., Kastelein, J.J. & Hovingh, G.K. Drugs 73, 293–301 (2013).

    Article  CAS  Google Scholar 

  4. Seidah, N.G. et al. Proc. Natl. Acad. Sci. USA 100, 928–933 (2003).

    Article  CAS  Google Scholar 

  5. Seidah, N.G. & Prat, A. Nat. Rev. Drug Discov. 11, 367–383 (2012).

    Article  CAS  Google Scholar 

  6. Abifadel, M. et al. Nat. Genet. 34, 154–156 (2003).

    Article  CAS  Google Scholar 

  7. Cohen, J.C., Boerwinkle, E., Mosley, T.H. Jr. & Hobbs, H.H. N. Engl. J. Med. 354, 1264–1272 (2006).

    Article  CAS  Google Scholar 

  8. Maxwell, K.N. & Breslow, J.L. Proc. Natl. Acad. Sci. USA 101, 7100–7105 (2004).

    Article  CAS  Google Scholar 

  9. Zhang, D.W. et al. J. Biol. Chem. 282, 18602–18612 (2007).

    Article  CAS  Google Scholar 

  10. Cunningham, D. et al. Nat. Struct. Mol. Biol. 14, 413–419 (2007).

    Article  CAS  Google Scholar 

  11. Lo Surdo, P. et al. EMBO Rep. 12, 1300–1305 (2011).

    Article  CAS  Google Scholar 

  12. Zhang, D.W., Garuti, R., Tang, W.J., Cohen, J.C. & Hobbs, H.H. Proc. Natl. Acad. Sci. USA 105, 13045–13050 (2008).

    Article  CAS  Google Scholar 

  13. Seidah, N.G., Abifadel, M., Prost, S., Boileau, C. & Prat, A. Pharmacol. Rev. 69, 33–52 (2017).

    Article  CAS  Google Scholar 

  14. Stein, E.A. et al. Eur. Heart J. 35, 2249–2259 (2014).

    Article  CAS  Google Scholar 

  15. Stein, E.A. Curr. Opin. Endocrinol. Diabetes Obes. 23, 97–105 (2016).

    Article  CAS  Google Scholar 

  16. Sabatine, M.S. et al. N. Engl. J. Med. 376, 1713–1722 (2017).

    Article  CAS  Google Scholar 

  17. Fitzgerald, K. et al. Lancet 383, 60–68 (2014).

    Article  CAS  Google Scholar 

  18. Fitzgerald, K. et al. N. Engl. J. Med. 376, 41–51 (2017).

    Article  CAS  Google Scholar 

  19. Kwon, H.J., Lagace, T.A., McNutt, M.C., Horton, J.D. & Deisenhofer, J. Proc. Natl. Acad. Sci. USA 105, 1820–1825 (2008).

    Article  CAS  Google Scholar 

  20. Zhang, Y. et al. Nat. Struct. Mol. Biol. 24, 848–856 (2017).

    Article  CAS  Google Scholar 

  21. Zhang, Y. et al. J. Biol. Chem. 289, 942–955 (2014).

    Article  CAS  Google Scholar 

  22. Cameron, J. et al. Hum. Mol. Genet. 15, 1551–1558 (2006).

    Article  CAS  Google Scholar 

  23. Benjannet, S., Rhainds, D., Hamelin, J., Nassoury, N. & Seidah, N.G. J. Biol. Chem. 281, 30561–30572 (2006).

    Article  CAS  Google Scholar 

  24. Schroeder, K.M. et al. J. Lipid Res. 56, 2124–2132 (2015).

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was supported by the CIHR grants Foundation Scheme #148363, a Canada Research Chair #231335, and a Fondation Leducq grant #13CVD03. The author acknowledges the expert contribution of E. Girard.

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Correspondence to Nabil G Seidah.

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Seidah, N. Insights into a PCSK9 structural groove: a harbinger of new drugs to reduce LDL-cholesterol. Nat Struct Mol Biol 24, 785–786 (2017). https://doi.org/10.1038/nsmb.3471

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