Cited by 88Cholesterol and Lipid MetabolismLipoproteins and Cardiovascular HealthLipid metabolism and disorders

The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index; 6 of the 19 sources its claims cite were checked for support.

GRP94 Regulates Circulating Cholesterol Levels through Blockade of PCSK9-Induced LDLR Degradation

Open access
Poirier, Steve, Mamarbachi, Maya, Chen, Wan-Ting, Lee, Amy S., Mayer, Gaetan·2015·Cell Reports

Abstract

Clearance of circulating low-density lipoprotein cholesterol (LDLc) by hepatic LDL receptors (LDLR) is central for vascular health. Secreted by hepatocytes, PCSK9 induces the degradation of LDLR, resulting in higher plasma LDLc levels. Still, it remains unknown why LDLR and PCSK9 co-exist within the secretory pathway of hepatocytes without leading to complete degradation of LDLR. Herein, we identified the ER-resident GRP94, and more precisely its client-binding C-terminal domain, as a PCSK9-LDLR inhibitory binding protein. Depletion of GRP94 did not affect calcium homeostasis, induce ER stress, nor did it alter PCSK9 processing or its secretion but greatly increased its capacity to induce LDLR degradation. Accordingly, we found that hepatocyte-specific Grp94-deficient mice have higher plasma LDLc levels correlated with ∼ 80% reduction in hepatic LDLR protein levels. Thus, we provide evidence that, in physiological conditions, binding of PCSK9 to GRP94 protects LDLR from degradation likely by preventing early binding of PCSK9 to LDLR within the ER.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This study identifies the ER-resident chaperone GRP94 as an endogenous PCSK9-binding protein that shields hepatic LDLR from PCSK9-induced degradation, thereby limiting circulating LDL cholesterol. Hepatocyte-specific Grp94 deletion in mice raises plasma PCSK9 and LDLc while nearly abolishing hepatic LDLR protein, and the GRP94 C-terminal client-binding domain (CBD-CT) is sufficient to block PCSK9–LDLR interaction.

Key findings

  • PCSK9 co-immunoprecipitated with GRP94 (and, upon GRP94 knockdown, GRP78) from HepG2/Huh-7 cells and co-localized with GRP94 but not LDLR in Huh-7 cells and normal human hepatocytes; interaction mapped to the GRP94 CBD-CT domain (aa 652–678), with CBD mutations abolishing PCSK9 binding.
  • GRP94 is not an obligatory PCSK9 chaperone: geldanamycin treatment or GRP94 knockdown did not alter proPCSK9 autocatalytic cleavage, furin processing, or secretion, and conditioned media retained full capacity to degrade LDLR in naive HepG2 cells.
  • Hepatocyte-specific Grp94-deficient mice (cGrp94f/f) showed elevated circulating PCSK9 and a 14-fold increase in circulating LDLc, with LDLR protein levels severely decreased in liver (abstract reports ∼80% reduction) while Ldlr mRNA and other surface proteins (P-cadherin, CD36) were unchanged.
  • GRP94 knockdown rendered LDLR more sensitive to PCSK9-induced degradation (not blocked by MG132), and recombinant GRP94 or CBD-CT reversed PCSK9-induced LDLR degradation dose-dependently and reduced PCSK9 endocytosis; HepG2 cells secrete ~5 nM endogenous GRP94.

Methods

  • Biochemical interaction mapping: immunoprecipitation of PCSK9 from HepG2/Huh-7 cells under physiological and overexpression conditions, silver staining, and mass spectrometry; coIP with GRP94/GRP78 knockdown; confocal co-localization in Huh-7 cells and human hepatocytes.
  • Cell-based functional assays: geldanamycin inhibition and siRNA knockdown of GRP94 in HepG2/HEK293 cells, PCSK9 (WT and D374Y) processing/secretion and media-swap LDLR degradation assays, LDLR-EGFP/PCSK9-mCherry imaging, thapsigargin ER-stress and ER Ca2+ measurements, and recombinant GRP94/CBD-CT competition assays including a solid-phase PCSK9-LDLR(EGF-AB) binding assay.
  • In vivo: hepatocyte-specific Grp94 knockout mice generated by crossing Alb-Cre with Grp94f/f mice (Chen et al., 2014), with Alb-Cre-negative littermates as WT controls; plasma PCSK9 and LDLc measured and liver LDLR protein assessed by western blot. Data presented as mean ± SD, representative of at least three independent experiments in duplicate; Student's t test, p < 0.05.

Limitations

  • The paper states no explicit limitations section; the text notes that detailed methods are in Supplemental Experimental Procedures and that some data (e.g., LDLR mRNA) are "not shown."
  • Evident from the text: the in vivo evidence rests on a single hepatocyte-specific knockout model with no rescue or PCSK9-loss-of-function cross, so causality of the PCSK9–GRP94 axis for the LDLc phenotype is inferred rather than directly tested; the therapeutic proposal for GRP94/CBD-CT fragments is presented as a perspective without in vivo administration data.

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

Integrity signals

Registry

Crossref · 10.1016/j.celrep.2015.11.006

Cites

31 of 31 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

6 of 19 cited sources checked · 3 supported · 0 flagged · accuracy not yet measured

  • Findingown data
    § Results and Discussion

    No activation of ER stress was observed in livers of cGrp94f/f mice.

    “no activation of ER stress were observed in livers of cGrp94f/f”
    Quote in the paperSubstantial claim
  • Findingown data
    § Results and Discussion

    The GRP94 N-terminal domain is not involved in PCSK9 interaction and subsequent inhibition of LDLR degradation.

    “Molecular characterization revealed that GRP94 is not an obligatory chaperone for PCSK9 and that, unlike CBD domain, the GRP94 N-terminal domain, important for folding of its client proteins, is not involved in PCSK9 interaction and subsequent inhibition of LDLR degradation.”
    Quote in the paperSubstantial claim
  • Findingown data
    § Results and Discussion

    LDLR protein levels were severely decreased in livers of cGrp94f/f mice.

    “LDLR protein levels were severely decreased in livers of cGrp94f/f mice”
    Quote in the paperSubstantial claim
  • Findingown data
    § Results and Discussion

    There was a 14-fold increase in circulating LDLc in cGrp94f/f mice.

    “we also observed a 14-fold increase in circulating LDLc in cGrp94f/f mice”
    Quote in the paperSubstantial claim
  • Findingown data
    § Results and Discussion

    Knockdown of GRP94 rendered LDLR much more sensitive to PCSK9-induced degradation.

    “Interestingly, KD of GRP94 rendered LDLR much more sensitive to PCSK9-induced degradation (Figure 3I, lane 5 and right top panel).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. 12
  • It may state two separate claims as one. 16
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation
    § Introduction

    GRP94 is a highly abundant ER-resident protein recognized primarily as a luminal molecular chaperone but also as a potent calcium- and peptide-binding protein.

    “GRP94, also known as gp96, is a highly abundant ER-resident protein recognized primarily as a luminal molecular chaperone but also as a potent calcium- and peptide-binding protein”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Lee, 2014 source

      The Introduction identifies GRP94 as gp96, describes GRPs as ER chaperones with calcium-binding functions, and discusses their traditional residence in the ER lumen. The Vaccination strategies section describes a GRP94–peptide complex, supporting peptide binding. Our copy does not establish that GRP94 is highly abundant or characterize its calcium- and peptide-binding as potent. (LLM, conf=0.78)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation
    § Introduction

    Folding and secretion of a very restrictive number of client proteins are solely dependent on GRP94.

    “folding and secretion of a very restrictive number of client proteins were solely dependent on GRP94”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Marzec et al., 2012 source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation
    § Introduction

    Annexin A2 is an endogenous PCSK9-binding protein and extrahepatic inhibitor of PCSK9-enhanced LDLR degradation.

    “annexin A2 as an endogenous PCSK9-binding protein and extrahepatic inhibitor of PCSK9-enhanced LDLR degradation”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites Mayer et al., 2008 source
    • cites Seidah et al., 2012 source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation
    § Introduction

    PCSK9 is a sterol-regulated gene mainly expressed in liver and to a lesser extent in kidney and intestine.

    “PCSK9 is a sterol-regulated gene mainly expressed in liver and to a lesser extent in kidney and intestine”
    Quote in the paperNot a substantial claim2 of 2 sources checked
    • cites Maxwell et al., 2003 source

      The passage labeled Abstract reports that mouse Pcsk9 expression was strongly downregulated by dietary cholesterol and upregulated in SREBP transgenic mice, supporting sterol regulation in liver. The paper’s liver measurements do not establish that PCSK9 is expressed mainly in liver or at lower levels in kidney and intestine; searches for tissue expression and those organs found no supporting passage. No page number is available in our copy. (LLM, conf=0.84)

      Experimental — accuracy not yet measured
    • cites Seidah et al., 2003 source

      The Results report NARC-1 expression in adult rat liver and small intestine, and to a lesser extent in kidney; the Discussion also identifies liver and intestinal tissue as major expression sites. Our copy does not establish that intestinal expression is lower than liver expression, and the passages on regulation concern liver regeneration, not sterols. The tissue-expression part is supported, but the sterol-regulation and relative-intestinal-expression parts are not. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingcitation
    § Results and Discussion

    HepG2 cells secrete a small amount of endogenous GRP94 (∼5 nM).

    “Although HepG2 cells secrete a small amount of endogenous GRP94 (∼5 nM; Figure 4E, lane 1; Mangrum et al., 2015”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Mangrum et al., 2015 source
  • It may state two separate claims as one.

    Findingown data
    § Results and Discussion

    Knockdown of GRP94 did not alter PCSK9 protein levels, autocatalytic cleavage, or furin-regulated processing.

    “KD of GRP94 did not alter PCSK9 protein levels, autocatalytic cleavage, furin-regulated processing”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data
    § Results and Discussion

    GRP94 is an ER-resident PCSK9-interacting protein and inhibitor of PCSK9-LDLR complex formation.

    “In the present study, we identified GRP94 as an ER-resident PCSK9-interacting protein (Figures 1A, 1G, and 1H) and inhibitor of PCSK9-LDLR complex formation (Figure 4I).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data
    § Results and Discussion

    PCSK9 and CBD-CT were completely co-localized in a diffuse structure reminiscent of the ER and in the perinuclear Golgi-like compartment, whereas PCSK9 and FL GRP94 mainly co-localized in the ER-like compartment.

    “PCSK9 and CBD-CT were completely co-localized in a diffuse structure reminiscent of the ER (Figure 4F, solid arrows) and in the perinuclear Golgi-like compartment (Figure 4F, dashed arrows), whereas PCSK9 and FL GRP94 mainly co-localized in the ER-like compartment.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingown data
    § Results and Discussion

    A slight interaction between GRP94 and GRP78 was observed.

    “we observed a slight interaction between GRP94 and GRP78”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Findingown data
    § Results and Discussion

    Mutations within the CBD domain (AA1 or AA2) abrogated binding to PCSK9, although expressed at similar levels to WT.

    “Although expressed at similar levels to WT, mutations within CBD domain (AA1 or AA2) abrogated binding to PCSK9 (Figure 4B).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim.

    Premisecitation
    § Introduction

    Patients harboring gain-of-function mutations in PCSK9 have high levels of circulating LDLc.

    “patients harboring gain-of-function mutations have high levels of circulating LDLc”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Abifadel et al., 2003 source
  • It may state two separate claims as one.

    Premisecitation
    § Results and Discussion

    Hepatocytes regulate clearance of plasma LDLc via cell surface LDLR and are the main cell type expressing PCSK9.

    “Hepatocytes regulate clearance of plasma LDLc via cell surface LDLR in addition to being the main cell type expressing PCSK9”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Goldstein and Brown, 1987 source
    • cites Seidah et al., 2003 source
  • It may state two separate claims as one.

    Premisecitation
    § 3 ∙ Gaetan Mayer

    Secreted by hepatocytes, PCSK9 induces the degradation of LDLR, resulting in higher plasma LDLc levels.

    “Secreted by hepatocytes, PCSK9 induces the degradation of LDLR, resulting in higher plasma LDLc levels.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites Maxwell and Breslow, 2004 source
    • cites Abifadel et al., 2003 source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation
    § Results and Discussion

    The CBD and CT domains of GRP94 are sufficient for interaction with client proteins.

    “resulting in a small secretable ∼20-kDa protein encoding the CBD and CT domains sufficient for interaction with client proteins (Wu et al., 2012”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wu et al., 2012

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • It may state two separate claims as one.

    Interpretationown data
    § Results and Discussion

    GRP94 regulates circulating LDLc and sustains LDLR protein levels likely by preventing PCSK9-LDLR binding in the ER of hepatocytes.

    “As a physiological mechanism, we propose that GRP94 regulates circulating LDLc and sustains LDLR protein levels likely by preventing PCSK9-LDLR binding in the ER of hepatocytes.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Premisecitation
    § Results and Discussion

    Deletion or alanine-scan mutations in the CBD of GRP94 did not alter its overall structure or its ATPase activity.

    “Deletion or alanine-scan mutations in the CBD of GRP94 did not alter its overall structure or its ATPase activity but prevented interaction with its client proteins (Wu et al., 2012”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wu et al., 2012

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • It may state two separate claims as one.

    Interpretationown data
    § Results and Discussion

    These data imply a direct involvement of PCSK9 rather than chaperoning or calcium-buffering effects of GRP94 on LDLR.

    “these data imply a direct involvement of PCSK9 rather than chaperoning or calcium-buffering effects of GRP94 on LDLR”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Study design and conductnone given
    § Results and Discussion

    All data are presented as mean ± SD and are representative of at least three independent experiments analyzed in duplicate.

    “All data are presented as mean ± SD and are representative of at least three independent experiments analyzed in duplicate.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation
    § Results and Discussion

    The absence of GRP94 did not affect cell viability or the general expression of surface protein in isolated mammalian cells.

    “the absence of GRP94 did not affect cell viability or the general expression of surface protein in isolated mammalian cells”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Randow and Seed, 2001 source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation
    § Results and Discussion

    A 27-aa C-terminal hydrophobic loop structure within the GRP94 client-binding domain (CBD) (aa 652-678) is important for folding and interaction with Toll-like receptors and integrins.

    “It was reported that a 27-aa C-terminal hydrophobic loop structure within the GRP94 client-binding domain (CBD) (aa 652–678; Figure 4A) is important for folding and interaction with Toll-like receptors and integrins (Wu et al., 2012”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Wu et al., 2012

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation
    § Results and Discussion

    Annexin A2 is an endogenous PCSK9-CTD-binding protein and potent extrahepatic inhibitor of PCSK9-mediated LDLR degradation.

    “We previously identified annexin A2 as an endogenous PCSK9-CTD-binding protein and potent extrahepatic inhibitor of PCSK9-mediated LDLR degradation (Mayer et al., 2008; Seidah et al., 2012”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Mayer et al., 2008; Seidah et al., 2012

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • It may state two separate claims as one.

    Interpretationown data
    § Results and Discussion

    GRP94 could prevent PCSK9 binding to LDLR and thus limit its subsequent degradation.

    “Therefore, GRP94 could prevent PCSK9 binding to LDLR and thus limit its subsequent degradation.”
    Quote in the paperSubstantial claim
22 of 22
  • The paper relies on this without support.

    It remains unknown why LDLR and PCSK9 co-exist within the secretory pathway of hepatocytes without leading to complete degradation of LDLR.

    “Still, it remains unknown why LDLR and PCSK9 co-exist within the secretory pathway of hepatocytes without leading to complete degradation of LDLR.”
  • The paper relies on this without support.

    No other endogenous PCSK9 inhibitor has been identified at the cell surface or within the secretory pathway of hepatocytes.

    “So far, no other such endogenous PCSK9 inhibitor has been identified at the cell surface or within the secretory pathway of hepatocytes.”
  • The paper relies on this without support.

    Hepatic LDLR remains abundant and not completely degraded by PCSK9.

    “Whereas the liver is by far the richest source of PCSK9, it remains intriguing why hepatic LDLR remains abundant and not completely degraded by PCSK9.”
3 of 3

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Metadata

Authors
Poirier, S., Mamarbachi, M., Chen, W.-T., Lee, A. S., & Mayer, G.
Affiliations
  • Montreal Heart Institute (CA)
  • University of Southern California (US)
Venue
Cell Reports
Publisher
Elsevier BV
Published
2015-12
Volume
13
Issue
10
Pages
2064-2071
ISSN
2211-1247 (ISSN-L)
OpenAlex
W2174098513
Cited by
86
References
31
Citations by year
2026: 2 · 2025: 4 · 2024: 13 · 2023: 6 · 2022: 8 · 2021: 11 · 2020: 10 · 2019: 5 · 2018: 8 · 2017: 10 · 2016: 9
FWCI
3.96
Type
journal article
Language
en
Open access
Locations
  • Cell Reports (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
  • Heart and Stroke Foundation of Canada
  • National Institutes of Health (CA-027607)
  • Fondation Institut de Cardiologie de Montréal
  • Canadian Institutes of Health Research (MOP133598)
  • Fonds de Recherche du Québec - Santé
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
GRP94, PCSK9, LDL receptor, LDL cholesterol, LDL receptor degradation, endoplasmic reticulum, hepatocytes, secretory pathway, cholesterol homeostasis, protein-protein binding, LDL clearance
MeSH terms
Proprotein Convertase 9, Animals, Cholesterol, Chromatography, Gel, Male, Membrane Glycoproteins, Receptors, LDL, Serine Endopeptidases, Mass Spectrometry, Transfection, Blotting, Western, Mice, Knockout, Hepatocytes, Proprotein Convertases, Immunoprecipitation, Mice

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