Cited by 115Cholesterol and Lipid MetabolismLipoproteins and Cardiovascular HealthLipid metabolism and disorders

The DOI matches its Crossref record; 44 of the 45 references it cites were found in a registry or an index; 27 of the 45 sources its claims cite were checked for support.

GPR146 Deficiency Protects against Hypercholesterolemia and Atherosclerosis

Open access

Abstract

Although human genetic studies have implicated many susceptible genes associated with plasma lipid levels, their physiological and molecular functions are not fully characterized. Here we demonstrate that orphan G protein-coupled receptor 146 (GPR146) promotes activity of hepatic sterol regulatory element binding protein 2 (SREBP2) through activation of the extracellular signal-regulated kinase (ERK) signaling pathway, thereby regulating hepatic very low-density lipoprotein (VLDL) secretion, and subsequently circulating low-density lipoprotein cholesterol (LDL-C) and triglycerides (TG) levels. Remarkably, GPR146 deficiency reduces plasma cholesterol levels substantially in both wild-type and LDL receptor (LDLR)-deficient mice. Finally, aortic atherosclerotic lesions are reduced by 90% and 70%, respectively, in male and female LDLR-deficient mice upon GPR146 depletion. Taken together, these findings outline a regulatory role for the GPR146/ERK axis in systemic cholesterol metabolism and suggest that GPR146 inhibition could be an effective strategy to reduce plasma cholesterol levels and atherosclerosis.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

GPR146 deficiency lowers plasma cholesterol and triglycerides by reducing hepatic ERK1/2–SREBP2 signaling and VLDL secretion, and this lipid-lowering effect does not require LDL receptor activity. In LDLR-deficient mice, GPR146 depletion markedly reduces atherosclerotic lesions, by ~90% in males and ~70% in females on western diet.

Key findings

  • GPR146 depletion reduced plasma total cholesterol by 20% in male and 25% in female chow-fed mice; FPLC showed HDL-C, LDL-C, and VLDL-C reductions of ~15%, ~35%, and ~25%, respectively, with plasma TG also reduced.
  • Hepatocyte-specific GPR146 depletion reduced plasma TC by ~20%, and GPR146 loss reduced hepatic VLDL secretion; in Huh7 cells, CRISPR depletion of GPR146 led to 30% less secreted APOB100.
  • GPR146 deficiency decreased hepatic pERK1/2 and mature SREBP2 upon feeding or 6-hour fasting; the MEK inhibitor PD0325901 reduced plasma TC by ~22% in wild-type mice but had no additional effect in Gpr146−/− mice.
  • In Ldlr−/− mice, GPR146 depletion reduced plasma TC by ~30% on chow in both sexes, by ~60% in males and ~35% in females on western diet, and reduced aortic atherosclerotic lesion area by ~90% in males and ~70% in females after 16 weeks of western diet.

Methods

  • Human genetic evidence used eQTL analysis of rs1997243 and GPR146 expression in 2,116 BIOS blood samples; mouse models included CRISPR/Cas9-generated whole-body and floxed Gpr146 alleles, liver- and adipocyte-specific knockouts, and crosses to Ldlr−/− mice.
  • In vivo analyses included plasma lipid assays, FPLC, Poloxamer-407 hepatic VLDL secretion assays, fecal and hepatic lipid measurements, and en face Oil Red O quantification of aortic atherosclerotic lesions; acute hepatic GPR146 knockdown used AAV8-shRNA in adult Ldlr−/− mice.
  • In vitro work used Huh7, HepG2, AML12, and HEK293T cells with CRISPR knockout, overexpression, APOB100 ELISA, LDL uptake, immunoblotting, qPCR, and microarray/GSEA (GEO: GSE139082); statistics used t tests or one-way ANOVA with Tukey post hoc, p < 0.05.

Limitations

  • The paper states that the detailed signaling cascade by which GPR146 regulates ERK1/2 remains under investigation, the natural ligand is unknown, and GPR146 may act directly or indirectly through other growth factor/hormone pathways.
  • The paper notes that other GPR146 downstream pathways may modulate plasma TC during prolonged 16-hour fasting, when ERK1/2 and SREBP2 activities were unchanged.
  • Evident from the text: human evidence is limited to genetic association/eQTL data, with no human intervention; mechanistic and atherosclerosis findings rely on mouse models and cell lines, and some supporting EGR gene expression data are described as “data not shown.”

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1016/j.cell.2019.10.034

Cites

44 of 44 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

27 of 45 cited sources checked · 5 supported · 0 flagged · accuracy not yet measured

Show all 127 claims

  • Probably not a substantial claim. 26
  • It may state two separate claims as one. 16
36 of 36
  • The paper relies on this without support.

    The molecular functions of the over 300 lipid-associated loci are not fully characterized.

    “However, their molecular functions are not fully characterized.”
  • The paper relies on this without support.

    The in vivo physiological function of ERK1/2 signaling in regulation of hepatic cholesterol metabolism is unknown.

    “However, the in vivo physiological function of ERK1/2 signaling in regulation of hepatic cholesterol metabolism is unknown.”
  • The paper relies on this without support.

    The Ldlr−/− mouse lipid profile more closely resembles that of dyslipidemic humans.

    “the lipid profile of which more closely resembles that of dyslipidemic humans (the predominant lipoprotein is the APOB100-containing LDL)”
  • The paper relies on this without support.

    GPR146 has a natural ligand.

    “This also suggests that the amount of natural ligand for GPR146 might be upregulated upon feeding, or GPR146 might cross-talk with other signaling pathways that are activated upon feeding to regulate hepatic ERK1/2 activities.”
4 of 4

Citations

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Metadata

Authors
Yu, H., Rimbert, A., Palmer, A. E., Toyohara, T., Xia, Y., Xia, F., Ferreira, L. M. R., Chen, Z., Chen, T., Loaiza, N., Horwitz, N. B., Kacergis, M. C., Zhao, L., Soukas, A. A., Kuivenhoven, J. A., Kathiresan, S., & Cowan, C. A.
Affiliations
  • Beth Israel Deaconess Medical Center (US)
  • Centre National de la Recherche Scientifique (FR)
  • Harvard University (US)
  • University Medical Center Groningen (NL)
  • Massachusetts General Hospital (US)
  • Broad Institute (US)
Corresponding author
  • Yu, Haojie
  • Cowan, Chad A.
Venue
Cell
Publisher
Elsevier BV
Published
2019-11
Volume
179
Issue
6
Pages
1276-1288.e14
ISSN
0092-8674 (ISSN-L)
OpenAlex
W2990248610
Cited by
113
References
45
Citations by year
2026: 17 · 2025: 16 · 2024: 30 · 2023: 13 · 2022: 17 · 2021: 10 · 2020: 7 · 2019: 2
FWCI
3.81
Type
journal article
Language
en
Open access
Locations
  • Cell (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
  • PubMed Central (acceptedVersion)
  • HAL (submittedVersion, other-oa)
Funders
  • National Institutes of Health (NHLBI/R33HL120781, NIDDK/R01DK097768)
  • Nutrition Obesity Research Center of Harvard (P30DK040561)
  • Netherlands CardioVascular Research Initiative
  • Established Investigator of the Netherlands Heart Foundation (CVON2017-2020, 2015T068)
  • Institut de France-Fondation Lefoulon-Delalande Postdoctoral Fellowship
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
Keywords
GPR146, orphan G protein-coupled receptor, SREBP2, ERK signaling, hepatic VLDL secretion, LDL cholesterol, triglycerides, hypercholesterolemia, atherosclerosis, LDL receptor deficiency, cholesterol metabolism, plasma lipids
MeSH terms
Dependovirus, Animals, Base Sequence, Cholesterol, Fasting, Female, Humans, Hypercholesterolemia, Lipoproteins, VLDL, Liver, Mice, Inbred C57BL, Receptors, LDL, Triglycerides, Signal Transduction, Up-Regulation, Hepatocytes, RNA, Small Interfering, Receptors, G-Protein-Coupled, Extracellular Signal-Regulated MAP Kinases, Atherosclerosis, Mice, Sterol Regulatory Element Binding Protein 2

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