The DOI matches its Crossref record; 65 of the 65 references it cites were found in a registry or an index; 57 of the 90 sources its claims cite were checked for support.
Post-translational regulation of the low-density lipoprotein receptor provides new targets for cholesterol regulation
Open accessAbstract
The amount of the low-density lipoprotein receptor (LDLR) on the surface of hepatocytes is the primary determinant of plasma low-density lipoprotein (LDL)-cholesterol level. Although the synthesis and cellular trafficking of the LDLR have been well-documented, there is growing evidence of additional post-translational mechanisms that regulate or fine tune the surface availability of the LDLR, thus modulating its ability to bind and internalise LDL-cholesterol. Proprotein convertase subtilisin/kexin type 9 and the asialoglycoprotein receptor 1 both independently interact with the LDLR and direct it towards the lysosome for degradation. While ubiquitination by the E3 ligase inducible degrader of the LDLR also targets the receptor for lysosomal degradation, ubiquitination of the LDLR by a different E3 ligase, RNF130, redistributes the receptor away from the plasma membrane. The activity of the LDLR is also regulated by proteolysis. Proteolytic cleavage of the transmembrane region of the LDLR by γ-secretase destabilises the receptor, directing it to the lysosome for degradation. Shedding of the extracellular domain of the receptor by membrane-type 1 matrix metalloprotease and cleavage of the receptor in its LDL-binding domain by bone morphogenetic protein-1 reduces the ability of the LDLR to bind and internalise LDL-cholesterol at the cell surface. A better understanding of how the activity of the LDLR is regulated will not only unravel the complex biological mechanisms controlling LDL-cholesterol metabolism but also could help inform the development of alternative pharmacological intervention strategies for the treatment of hypercholesterolaemia.
Overview
AI snapshot
Written from the paper’s full text.
TL;DR
This review argues that beyond well-documented synthesis and trafficking, the low-density lipoprotein receptor (LDLR) is controlled by a growing set of post-translational mechanisms that determine its surface availability, and that these mechanisms offer new pharmacological targets for lowering plasma LDL-cholesterol. It catalogues PCSK9, ASGR1, IDOL, RNF130, γ-secretase, MT1-MMP and BMP1 as regulators of LDLR, and discusses the therapeutic promise and pitfalls of targeting each.
Key findings
- PCSK9 binds the LDLR EGF-like domain, prevents the endosomal conformational change needed for recycling, and directs the receptor to the lysosome; it can also bind newly synthesised LDLR at the trans-Golgi network and route it to the lysosome before it reaches the plasma membrane, giving two distinct degradative routes.
- ASGR1 negatively regulates LDLR: knockdown increased total cellular LDLR and LDL uptake; loss-of-function ASGR1 mutations are associated with decreased non-HDL cholesterol and triglycerides and reduced atherosclerosis/CVD risk, and ASGR1 knockout had the same effect.
- IDOL polyubiquitinates the LDLR cytosolic tail (recruited to the NPxY motif via its FERM domain, with UBE2D) to target it for lysosomal degradation; its expression is controlled by LxR/oxysterol rather than SREBP2, and the LxR–IDOL axis differentially regulates plasma LDL in primates versus mice (LxR activation in monkeys induced hepatic IDOL, reduced LDLR and raised plasma LDL, but did not change plasma LDL in mice).
- RNF130 (GOLIATH) polyubiquitinates the LDLR but mainly redistributes it away from the cell surface as a reversible regulatory mechanism; antisense oligonucleotide disruption of *Rnf130* in mice increased hepatic LDLR abundance and decreased plasma LDL-cholesterol.
- γ-secretase cleaves the LDLR transmembrane region, releasing a cytosolic domain degraded by the proteasome and destabilising the remaining receptor for lysosomal degradation; liver-selective γ-secretase inhibition ameliorated diet-induced dyslipidaemia in mice.
- MT1-MMP cleaves the LDLR adjacent to the plasma membrane, releasing soluble sLDLR that retains the ligand-binding domain and can sequester LDL; hepatic MT1-MMP knockout increased cellular LDLR and reduced plasma cholesterol, while overexpression decreased LDLR, raised plasma cholesterol and increased atherosclerotic lesions.
- BMP1 cleaves the LDLR within the ligand-binding domain between LA repeats 4 and 5 (between Gly192 and Asp193 in human LDLR), releasing a 36–40 kDa N-terminal fragment and retaining a 120 kDa C-terminal fragment at the plasma membrane; this reduces LDL binding affinity. The 120 kDa species was long misattributed to an immature LDLR form. Murine LDLR has Val in place of the critical Asp and is not cleaved by BMP1.
Methods
- Narrative review article; no primary experimental data are reported. The authors synthesise published literature on transcriptional, post-transcriptional and post-translational regulation of the LDLR, with emphasis on post-translational mechanisms.
- Evidence cited is drawn from cell, animal and human studies, including knockdown/knockout and overexpression experiments in mice and pigs, human primary hepatocytes, human liver and adrenal samples, human urine, and genetic association studies (e.g. ASGR1 variants, CCDC93 variant).
- Two schematic figures summarise the mechanisms: Figure 1 depicts the post-translational regulatory pathways (A–I), and Figure 2 maps binding and cleavage sites on the LDLR domain structure.
Limitations
- Stated by the paper: many proteins acting on the LDLR are promiscuous, with multiple other substrates, which "may pose difficulties for selective drug development"; and regulation of LDLR activity differs between primates and rodents, since IDOL and BMP1 act only on primate LDLR, so mouse studies using wild-type LDLR would not reveal BMP1's impact on LDL-cholesterol metabolism.
- Stated by the paper: the exact γ-secretase cleavage site in the LDLR has yet to be experimentally confirmed, and the mechanics of the IDOL–USP8 ubiquitination system remain unclear, with contradictory evidence on whether USP8 promotes or prevents IDOL-mediated LDLR degradation.
- Evident from the text: the review is largely descriptive and synthesises findings from heterogeneous model systems (cell lines, mice, monkeys, human samples) without a systematic search or quantitative synthesis, so the relative contribution of each mechanism to human LDL-cholesterol regulation is not established.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
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Cites
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Verification
Claims the paper makes
57 of 90 cited sources checked · 33 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Glycosylation within the LDLR ligand binding domain enhances the ligand binding affinity of the LDLR.
“Glycosylation (both N-linked and O-linked) within the ligand binding domain has been shown to enhance the ligand binding affinity of the LDLR [19–21].”
Quote in the paperNot a substantial claim2 of 3 sources checked- cites [19] 2018, Site-specific O-glycosylation of members of the low-density lipoprotein receptor superfamily enhances ligand interactions, J. Biol. Chem. source
The title in the Additions and Corrections item (p. 8349) states that site-specific O-glycosylation of LDL receptor superfamily members enhances ligand interactions. The available text does not establish that glycosylation occurs within LDLR’s ligand-binding domain or that both N-linked and O-linked glycosylation increase LDLR ligand-binding affinity. (LLM, conf=0.78)
Experimental — accuracy not yet measured - cites [20] 2014, Low density lipoprotein receptor class A repeats are O-glycosylated in linker regions, J. Biol. Chem. source
The Abstract reports O-glycosylation in linker regions of the LDLR ligand-binding domain, and the Results identify potential N-glycosylation sites in the same region. The paper does not show that either type enhances ligand-binding affinity; it says the functional role of the O-glycans remains unclear. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [21] 1989, Effect of inhibiting N-glycosylation on the stability and binding activity of the low density lipoprotein receptor, J. Biol. Chem. source
- Premisecitation
The released intracellular cytosolic domain of LDLR is degraded by the proteasome.
“The released intracellular cytosolic domain of LDLR is degraded by the proteasome (Figure 1G).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [52] 2018, γ-Secretase inhibition lowers plasma triglyceride-rich lipoproteins by stabilizing the LDL receptor, Cell Metab. source
- Premisecitation
Two zinc metalloproteases, MT1-MMP and BMP1, also cleave the LDLR.
“In addition to the proteolytic cleavage of the LDLR by γ-secretase, two zinc metalloproteases also cleave the receptor, MT1-MMP and BMP1.”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [56] 2022, Identification of amino acid residues in the MT-loop of MT1-MMP critical for its ability to cleave low-density lipoprotein receptor, Front. Cardiovasc. Med. source
The Introduction and Results identify MT1-MMP as a zinc-dependent metalloproteinase that cleaves LDLR. Our copy does not identify BMP1 as another LDLR-cleaving protease, so it supports only the MT1-MMP part of the claim. (LLM, conf=0.87)
Experimental — accuracy not yet measured - cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
The Results section, “The zinc metalloprotease BMP1 cleaves the LDLR in its ligand binding domain” (page unavailable), confirms that BMP1 cleaves human LDLR. The Introduction also mentions γ-secretase-mediated cleavage, but the passages found in our copy do not identify MT1-MMP as an LDLR-cleaving protease (searched: MT1-MMP and membrane type 1 matrix metalloproteinase). (LLM, conf=0.88)
Experimental — accuracy not yet measured
- Premisecitation
In some patients, current treatments can cause a rebound in plasma cholesterol following withdrawal to higher than before treatment.
“In addition, in some patients, these treatments can cause a rebound in plasma cholesterol following the withdrawal of the drug(s) to higher than that before treatment [13]”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [13] 2018, Discovery of a potent HMG-CoA reductase degrader that eliminates statin-induced reductase accumulation and lowers cholesterol, Nat. Commun. source
The Introduction (page unavailable) says that stopping statins after long-term use may contribute to rebound effects in certain patients. It does not establish that plasma cholesterol rises above its pretreatment level, and it presents the rebound as a possibility rather than an observed result. (LLM, conf=0.86)
Experimental — accuracy not yet measured
- Premisecitation
Targeted lysosomal degradation of the LDLR in hepatocytes has been observed following proteolytic cleavage of the receptor by γ-secretase.
“Targeted lysosomal degradation of the LDLR in hepatocytes has also been observed following proteolytic cleavage of the receptor by γ-secretase [52] (Figure 1G).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [52] 2018, γ-Secretase inhibition lowers plasma triglyceride-rich lipoproteins by stabilizing the LDL receptor, Cell Metab. source
- Premisecitation
The LxR-IDOL axis differentially regulates plasma LDL levels in primates and mice.
“Interestingly, the LxR–IDOL axis differentially regulates plasma LDL levels in primates and mice [50].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [50] 2014, The LXR-Idol axis differentially regulates plasma LDL levels in primates and mice, Cell Metab. source
- Interpretationcitation
Targeting the γ-secretase cleavage of the LDLR could provide an alternative therapeutic approach to treat hypercholesterolemia.
“indicating that targeting the γ-secretase cleavage of the LDLR could provide an alternative therapeutic approach to treat hypercholesterolemia.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [55] 2020, Liver-selective γ-secretase inhibition ameliorates diet-induced hepatic steatosis, dyslipidemia and atherosclerosis, Biochem. Biophys. Res. Commun. source
- Premisecitation
Ubiquitination of the LDLR by IDOL targets the receptor to the lysosome for degradation.
“While ubiquitination by the E3 ligase inducible degrader of the LDLR also targets the receptor for lysosomal degradation, ubiquitination of the LDLR by a different E3 ligase, RNF130, redistributes the receptor away from the plasma membrane.”
- Also stated in: § IDOL · plain
“Ubiquitination of the LDLR by the inducible degrader of the LDLR (IDOL) also targets the receptor to the lysosome for degradation (Figure 1E).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [45] 2011, The IDOL-UBE2D complex mediates sterol-dependent degradation of the LDL receptor, Genes Dev. source
- Also stated in: § IDOL · plain
- Premisecitation
PCSK9 interacts with the LDLR and directs it towards the lysosome for degradation.
“Proprotein convertase subtilisin/kexin type 9 and the asialoglycoprotein receptor 1 both independently interact with the LDLR and direct it towards the lysosome for degradation.”
- Also stated in: § PCSK9 · plain
“A major mechanism that modulates the cell surface level of the LDLR is its targeted lysosomal degradation by PCSK9.”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [38] 2007, Binding of proprotein convertase subtilisin/kexin type 9 to epidermal growth factor-like repeat A of low density lipoprotein receptor decreases receptor recycling and increases degradation, J. Biol. Chem. source
- cites [39] 2014, PCSK9 and LDLR degradation: regulatory mechanisms in circulation and in cells, Curr. Opin. Lipidol. source
- Also stated in: § PCSK9 · plain
- Premisecitation
Ubiquitination of the LDLR by RNF130 redistributes the receptor away from the plasma membrane.
“ubiquitination of the LDLR by a different E3 ligase, RNF130, redistributes the receptor away from the plasma membrane.”
- Also stated in: § RNF130 · plain
“Polyubiquitination of the LDLR by RNF130 primarily functions to redistribute the receptor away from the cell surface, reducing the ability of the receptor to internalise LDL and providing a reversible mechanism for the regulation of LDLR activity [51].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [51] 2023, RNF130 regulates LDLR availability and plasma LDL cholesterol levels, Circ. Res. source
- Also stated in: § RNF130 · plain
- Premisecitation
Liver-selective γ-secretase inhibition ameliorated diet-induced dyslipidaemia in mice.
“Liver-selective γ-secretase inhibition ameliorated diet-induced dyslipidaemia in mice [55]”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [55] 2020, Liver-selective γ-secretase inhibition ameliorates diet-induced hepatic steatosis, dyslipidemia and atherosclerosis, Biochem. Biophys. Res. Commun. source
- Premisecitation
Binding of RAP to the LDLR can block LDLR proteolytic cleavage by BMP1.
“In addition, the binding of RAP to the LDLR can influence the activity of other processing mechanisms that regulate the LDLR, such as blocking LDLR proteolytic cleavage by bone morphogenetic protein-1 (BMP1) [37] (see below).”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
- Premisecitation
MT1-MMP cleaves the LDLR adjacent to the plasma membrane.
“MT1-MMP cleaves the LDLR adjacent to the plasma membrane (Figures 1H and 2) [56].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [56] 2022, Identification of amino acid residues in the MT-loop of MT1-MMP critical for its ability to cleave low-density lipoprotein receptor, Front. Cardiovasc. Med. source
The Introduction reports that MT1-MMP promotes shedding of the LDLR ectodomain. In Results, the authors examine a predicted cleavage site near the outer layer of the plasma membrane, but MT1-MMP still reduces LDLR when that site is mutated; the paper does not establish that cleavage occurs adjacent to the membrane. Page numbers are unavailable in our copy. (LLM, conf=0.87)
Experimental — accuracy not yet measured
- Premisecitation
IDOL is an E3 ubiquitin ligase that polyubiquitinates LDLR in complex with the E2 ubiquitin-conjugating enzyme UBE2D.
“IDOL is an E3 ubiquitin ligase that polyubiquitinates LDLR in complex with the E2 ubiquitin-conjugating enzyme UBE2D [45].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [45] 2011, The IDOL-UBE2D complex mediates sterol-dependent degradation of the LDL receptor, Genes Dev. source
- Premisecitation
In the low pH environment of the endosome, the LDLR undergoes a conformational change whereby its EGF-like repeat domains bind to the ligand binding domain, displacing LDL from the receptor.
“In the low pH environment of the endosome, the LDLR undergoes a conformational change whereby its epidermal growth factor (EGF)-like repeat domains bind to the ligand binding domain, displacing the LDL from the receptor [23].”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [23] 2002, Structure of the LDL receptor extracellular domain at endosomal pH, Science source
The opening summary and Monomer description (page unavailable) show that LDLR folds into a compact shape at endosomal pH and propose that an intramolecular interaction promotes lipoprotein release. But the ligand-binding modules R4 and R5 bind the β propeller, not the EGF-like repeats; the paper also presents displacement as a proposed mechanism rather than a demonstrated event. (LLM, conf=0.90)
Experimental — accuracy not yet measured
- Premisecitation
BMP1 cleavage within the ligand binding domain of LDLR significantly reduces the affinity of the receptor for LDL, decreasing the ability of the LDLR to bind and internalise LDL.
“BMP1 cleavage within the ligand binding domain of the LDLR significantly reduces the affinity of the receptor for LDL, decreasing the ability of the LDLR to bind and internalise LDL [37].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
The Results sections report that BMP1 cleaves LDLR in its ligand-binding domain and that the resulting fragment shows significantly reduced LDL binding and cellular uptake. The paper does not report a direct measurement of receptor–LDL affinity, so that more specific part of the claim is not established. (LLM, conf=0.82)
Experimental — accuracy not yet measured
- Premisecitation
MT1-MMP regulates LDLR cell surface availability.
“Recent research has identified MT1-MMP as a regulator of LDLR cell surface availability, with knockout of hepatic MT1-MMP leading to an increase in cellular LDLR levels and a reduction in plasma cholesterol, and overexpression of MT1-MMP decreasing total LDLR levels, increasing plasma cholesterol levels and increasing atherosclerotic lesions [58].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [58] 2021, Membrane type 1 matrix metalloproteinase promotes LDL receptor shedding and accelerates the development of atherosclerosis, Nat. Commun. source
- Premisecitation
sLDLR retains the complete ligand binding domain.
“The sLDLR retains the complete ligand binding domain and is still able to bind lipoprotein particles, potentially preventing their binding to the intact cell surface form of the receptor [58].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [58] 2021, Membrane type 1 matrix metalloproteinase promotes LDL receptor shedding and accelerates the development of atherosclerosis, Nat. Commun. source
In Results (‘sLDLR and plasma lipoproteins’), the authors say the main form of sLDLR ‘should consist of’ the entire ligand-binding domain. That supports the proposed structure, but the citing claim states it as established for sLDLR generally, rather than as an inference about its main detected form. (LLM, conf=0.86)
Experimental — accuracy not yet measured
- Premisecitation
In murine LDLR, the Asp residue is replaced with a Val.
“In murine LDLR, this Asp residue is replaced with a Val and murine LDLR is not cleaved by BMP1 [37], so studies in mice expressing wild-type LDLR would not reveal whether cleavage of the receptor by BMP1 has any impact on LDL-cholesterol metabolism.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
- Interpretationcitation
sLDLR potentially prevents lipoprotein binding to the intact cell surface form of the receptor.
“The sLDLR retains the complete ligand binding domain and is still able to bind lipoprotein particles, potentially preventing their binding to the intact cell surface form of the receptor [58].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [58] 2021, Membrane type 1 matrix metalloproteinase promotes LDL receptor shedding and accelerates the development of atherosclerosis, Nat. Commun. source
The Results section (‘sLDLR and plasma lipoproteins’; page unavailable) says sLDLR likely retains the entire ligand-binding domain and reports evidence that it associates with lipoproteins. The Discussion raises whether sLDLR-bound LDL is taken up by cell-surface LDLR as efficiently as unbound LDL, but does not establish that sLDLR prevents lipoproteins from binding that receptor. (LLM, conf=0.85)
Experimental — accuracy not yet measured
- Premisecitation
Murine LDLR is not cleaved by BMP1.
“In murine LDLR, this Asp residue is replaced with a Val and murine LDLR is not cleaved by BMP1 [37], so studies in mice expressing wild-type LDLR would not reveal whether cleavage of the receptor by BMP1 has any impact on LDL-cholesterol metabolism.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
- Premisecitation
Extracellular cleavage of the LDLR catalysed by MT1-MMP releases almost the entire ectodomain intact into the extracellular space as a soluble form of the receptor (sLDLR).
“The extracellular cleavage of the LDLR catalysed by MT1-MMP releases almost the entire ectodomain intact into the extracellular space as a soluble form of the receptor (sLDLR) (Figure 1H).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [58] 2021, Membrane type 1 matrix metalloproteinase promotes LDL receptor shedding and accelerates the development of atherosclerosis, Nat. Commun. source
The Results section (‘MT1-MMP promotes ectodomain cleavage of LDLR’; page unavailable) reports that MT1-MMP increases a cleaved LDLR ectodomain and sLDLR in culture medium. It identifies a roughly 100–120 kDa fragment, but does not establish that almost the entire ectodomain is released intact. (LLM, conf=0.82)
Experimental — accuracy not yet measured
- Premisecitation
Polyubiquitination targets the LDLR to the lysosome via selective sorting into multivesicular bodies, requiring proteins from the epsin-family and ESCRT complexes.
“This polyubiquitination targets the LDLR to the lysosome via selective sorting into multivesicular bodies that are transported to, and fuse with, the lysosome. This protein sorting and lysosomal targeting requires proteins from the epsin-family and ESCRT complexes [47].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [47] 2013, The LXR-IDOL axis defines a clathrin-, caveolae-, and dynamin-independent endocytic route for LDLR internalization and lysosomal degradation, J. Lipid Res. source
Checked before — its earlier verdict is held back until a new check runs.
- Premisecitation
Current hypercholesterolaemia treatments can be insufficient in restoring plasma cholesterol levels to within a normal physiological range.
“Despite their clinical success in the majority of individuals, these treatments can be insufficient in restoring plasma cholesterol levels to within a normal physiological range [12].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [12] 2010, Evaluation of cholesterol lowering treatment of patients with familial hypercholesterolemia: a large cross-sectional study in The Netherlands, Atherosclerosis source
- Premisecitation
The amount of LDLR on the surface of hepatocytes is the primary determinant of plasma LDL-cholesterol level.
“The amount of the low-density lipoprotein receptor (LDLR) on the surface of hepatocytes is the primary determinant of plasma low-density lipoprotein (LDL)-cholesterol level.”
- Also stated in: § Introduction · plain
“The LDLR is the primary regulator of plasma LDL-cholesterol levels, with the majority of this regulation (∼70%) occurring at the liver, although the LDLR is ubiquitously expressed in all tissues [15].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [15] 2014, Reducing elevated plasma LDL cholesterol: the central role of the LDL receptor, Clin. Pharmacol. Ther. source
- Also stated in: § Introduction · plain
- Premisecitation
Current treatments can increase the risk of developing other conditions such as type 2 diabetes.
“or increase the risk of developing other conditions such as type 2 diabetes [14].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [14] 2011, Risk of incident diabetes with intensive-dose compared with moderate-dose statin therapy: a meta-analysis, J. Am. Med. Assoc. source
- Premisecitation
γ-secretase-mediated cleavage of the LDLR occurs on the uncleaved full-length receptor.
“However, γ-secretase-mediated cleavage of the LDLR has been shown to occur on the uncleaved full-length receptor, although there is the possibility that the receptor may be cleaved extracellularly prior to γ-secretase cleavage [52]”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [52] 2018, γ-Secretase inhibition lowers plasma triglyceride-rich lipoproteins by stabilizing the LDL receptor, Cell Metab. source
- Interpretationreasoning
IDOL inhibition is a potential strategy for lowering LDL-cholesterol in humans.
“supporting IDOL inhibition as a potential strategy for lowering LDL-cholesterol in humans.”
Quote in the paperSubstantial claim - Interpretationcitation
The RNF130-LDLR pathway could be targeted to enhance plasma LDL-cholesterol clearance.
“indicating that the RNF130-LDLR pathway could be targeted to enhance plasma LDL-cholesterol clearance.”
Quote in the paperSubstantial claim - Premisenone given
Shedding of the LDLR extracellular domain by MT1-MMP reduces the ability of the LDLR to bind and internalise LDL-cholesterol at the cell surface.
“Shedding of the extracellular domain of the receptor by membrane-type 1 matrix metalloprotease and cleavage of the receptor in its LDL-binding domain by bone morphogenetic protein-1 reduces the ability of the LDLR to bind and internalise LDL-cholesterol at the cell surface.”
Quote in the paperSubstantial claim - Interpretationcitation
Endosomal trafficking and/or recycling of the LDLR could be a target for pharmaceutical intervention.
“suggesting that endosomal trafficking and/or recycling of the LDLR could be a target for pharmaceutical intervention.”
Quote in the paperSubstantial claim - Premisecitation
Cleavage of the LDLR in its LDL-binding domain by BMP1 reduces the ability of the LDLR to bind and internalise LDL-cholesterol at the cell surface.
“Shedding of the extracellular domain of the receptor by membrane-type 1 matrix metalloprotease and cleavage of the receptor in its LDL-binding domain by bone morphogenetic protein-1 reduces the ability of the LDLR to bind and internalise LDL-cholesterol at the cell surface.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
- Premisecitation
Knockout of ASGR1 had the same effect as ASGR1 loss-of-function mutations.
“Knockout of ASGR1 had the same effect [44].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [44] 2021, Deficiency of ASGR1 in pigs recapitulates reduced risk factor for cardiovascular disease in humans, PLoS Genet. source
- Premisecitation
Efficient LDLR recycling requires the WASH and CCC complex.
“Efficient LDLR recycling requires the Wiskott–Aldrich syndrome protein and SCAR homologue (WASH) and the COMMD/CCDC22/CCDC93 (CCC) complex (Figure 1B) [25].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [25] 2016, CCC- and WASH-mediated endosomal sorting of LDLR is required for normal clearance of circulating LDL, Nat. Commun. source
- Premisenone given
There is growing evidence of multiple post-transcriptional and post-translational mechanisms that regulate or fine tune the cell surface availability of the LDLR, modulating its ability to bind and internalise LDL-cholesterol.
“Although the synthesis and cellular trafficking of the LDLR have been well-documented, there is growing evidence of multiple post-transcriptional and post-translational mechanisms that regulate or fine tune the cell surface availability of the receptor, thus modulating its ability to bind and internalise LDL-cholesterol.”
Quote in the paperSubstantial claim - Interpretationreasoning
The extensive array of post-translational processing mechanisms that regulate the availability of the LDLR at the hepatocyte plasma membrane provides multiple potential points for pharmacological intervention.
“The extensive array of post-translational processing mechanisms that regulate the availability of the LDLR at the hepatocyte plasma membrane provides multiple potential points for pharmacological intervention.”
Quote in the paperSubstantial claim - Interpretationcitation
Blocking the action of BMP1 on LDLR could represent a novel approach to reducing plasma LDL-cholesterol.
“Both 14-mer synthetic peptides and antibodies directed against the linker region between LA repeats 4 and 5 prevented cleavage of LDLR by BMP1, providing proof of principle that blocking the action of BMP1 on LDLR could represent a novel approach to reducing plasma LDL-cholesterol [64].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [64] 2019, Strategies to prevent cleavage of the linker region between ligand-binding repeats 4 and 5 of the LDL receptor, Hum. Mol. Genet. source
- Interpretationcitation
Studies in mice expressing wild-type LDLR would not reveal whether cleavage of the receptor by BMP1 has any impact on LDL-cholesterol metabolism.
“In murine LDLR, this Asp residue is replaced with a Val and murine LDLR is not cleaved by BMP1 [37], so studies in mice expressing wild-type LDLR would not reveal whether cleavage of the receptor by BMP1 has any impact on LDL-cholesterol metabolism.”
Quote in the paperSubstantial claim - Premisecitation
BMP1 cleaves the LDLR within the ligand binding domain, between LA repeats 4 and 5.
“BMP1 cleaves the LDLR within the ligand binding domain (Figure 2), between LA repeats 4 and 5 where the linker between the repeats is slightly larger, at 12 amino acids rather than 4–5 amino acids as in the linkers between the other LA repeats [37].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
- Premisecitation
The linker between LA repeats 4 and 5 is 12 amino acids, rather than 4-5 amino acids as in linkers between other LA repeats.
“BMP1 cleaves the LDLR within the ligand binding domain (Figure 2), between LA repeats 4 and 5 where the linker between the repeats is slightly larger, at 12 amino acids rather than 4–5 amino acids as in the linkers between the other LA repeats [37].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
- Premisecitation
sLDLR is still able to bind lipoprotein particles.
“The sLDLR retains the complete ligand binding domain and is still able to bind lipoprotein particles, potentially preventing their binding to the intact cell surface form of the receptor [58].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [58] 2021, Membrane type 1 matrix metalloproteinase promotes LDL receptor shedding and accelerates the development of atherosclerosis, Nat. Commun. source
- Premisecitation
Both 14-mer synthetic peptides and antibodies directed against the linker region between LA repeats 4 and 5 prevented cleavage of LDLR by BMP1.
“Both 14-mer synthetic peptides and antibodies directed against the linker region between LA repeats 4 and 5 prevented cleavage of LDLR by BMP1, providing proof of principle that blocking the action of BMP1 on LDLR could represent a novel approach to reducing plasma LDL-cholesterol [64].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [64] 2019, Strategies to prevent cleavage of the linker region between ligand-binding repeats 4 and 5 of the LDL receptor, Hum. Mol. Genet. source
- Premisecitation
BMP1 regulates LDLR surface availability via proteolysis.
“Another example of the regulation of LDLR surface availability via proteolysis is through the action of BMP1.”
Quote in the paperSubstantial claim
- It may state two separate claims as one. 42
- Probably not a substantial claim. 17
It may state two separate claims as one.
PremisecitationIn mice, an LxR agonist induced Idol transcript levels in peripheral tissues but not in the liver and did not change plasma LDL levels.
“In mice, an LxR agonist induced Idol transcript levels in peripheral tissues but not in the liver and did not change plasma LDL levels.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [50] 2014, The LXR-Idol axis differentially regulates plasma LDL levels in primates and mice, Cell Metab. source
The Results section on tissue-specific regulation in mice reports that LXR agonist treatment did not change plasma LDL levels and altered LDLR protein in peripheral tissues but not the liver. The Results passages do not establish the claimed pattern of Idol transcript induction in peripheral tissues but not liver; the hepatocyte experiment reports induction in cultured mouse hepatocytes, a different condition. (LLM, conf=0.82)
Experimental — accuracy not yet measured
It may state two separate claims as one.
PremisecitationRNF130 decreases total LDLR levels, showing its polyubiquitination promotes targeted degradation of the receptor, but the more significant effect of RNF130 activity against the LDLR is subcellular redistribution of the receptor.
“Although RNF130 decreases total LDLR levels showing its polyubiquitination promotes targeted degradation of the receptor, the more significant effect of RNF130 activity against the LDLR is the subcellular redistribution of the receptor (Figure 1F).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [51] 2023, RNF130 regulates LDLR availability and plasma LDL cholesterol levels, Circ. Res. source
The Results (Fig. 2A, 2D–F) show that RNF130 ubiquitinates LDLR, reduces its total level, and has a proportionally greater effect at the cell surface, redistributing LDLR into intracellular compartments. The paper does not specify polyubiquitination, and it describes increased LDLR degradation as possible rather than establishing it as the mechanism of the reduction. (LLM, conf=0.87)
Experimental — accuracy not yet measured
It may state two separate claims as one.
PremisecitationElevated blood LDL-cholesterol is a major risk factor for cardiovascular disease because LDL-cholesterol promotes atherosclerotic plaque formation.
“elevated blood LDL-cholesterol (hypercholesterolaemia) is a major risk factor for this because LDL-cholesterol promotes the formation of atherosclerotic plaques on the walls of blood vessels, narrowing and eventually completely occluding blood flow [7].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [7] 2006, Pathogenesis of atherosclerosis, J. Am. Coll. Cardiol. source
The Atherogenic Stimuli section identifies elevated plasma cholesterol as a major driver of atherosclerosis and LDL as an atherogenic lipoprotein. The Cellular Components section says persistent atherogenic stimuli can narrow the lumen and reduce blood flow. The citing sentence’s further claim that plaque formation eventually completely occludes flow is not supported: the paper describes thrombosis superimposed on plaques as the cause of the most severe acute consequences. (LLM, conf=0.84)
Experimental — accuracy not yet measured
It may state two separate claims as one.
PremisecitationASGR1 interacts with the LDLR and directs it towards the lysosome for degradation.
“Proprotein convertase subtilisin/kexin type 9 and the asialoglycoprotein receptor 1 both independently interact with the LDLR and direct it towards the lysosome for degradation.”
- Also stated in: § ASGR1 · plain
“As a glycoprotein also highly expressed in hepatocytes, the LDLR is targeted by ASGR1 (Figure 1D).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [42] 2021, Asialoglycoprotein receptor 1 is a novel PCSK9-independent ligand of liver LDLR cleaved by furin, J. Biol. Chem. source
The Results report that ASGR1 forms a complex with LDLR independently of PCSK9, and the Discussion describes ASGR1-induced LDLR degradation (pages not available). The Discussion specifies endosomal/lysosomal degradation for PCSK9, but does not establish that ASGR1 directs LDLR to lysosomes. (LLM, conf=0.87)
Experimental — accuracy not yet measured
- Also stated in: § ASGR1 · plain
It may state two separate claims as one.
PremisecitationIn monkeys, LxR activation induced hepatic IDOL expression, reduced LDLR levels and raised plasma LDL.
“Whereas LxR activation in monkeys induced hepatic IDOL expression, reduced LDLR levels and raised plasma LDL, supporting IDOL inhibition as a potential strategy for lowering LDL-cholesterol in humans.”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [50] 2014, The LXR-Idol axis differentially regulates plasma LDL levels in primates and mice, Cell Metab. source
It may state two separate claims as one.
PremisecitationSecreted PCSK9 binds the EGF-like domain in the extracellular region of the LDLR and promotes internalisation of the receptor via clathrin-mediated endocytosis.
“The secreted PCSK9 binds the EGF-like domain in the extracellular region of the LDLR (Figure 2) and promotes the internalisation of the receptor via clathrin-mediated endocytosis [38] (Figure 1C).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [38] 2007, Binding of proprotein convertase subtilisin/kexin type 9 to epidermal growth factor-like repeat A of low density lipoprotein receptor decreases receptor recycling and increases degradation, J. Biol. Chem. source
The Discussion reports that PCSK9 binds LDLR at EGF-A and that adding PCSK9 redistributes the receptor from the cell surface to endosomes and lysosomes. The paper says LDLR clusters in clathrin-coated pits, but it does not show that PCSK9 promotes clathrin-mediated internalisation; the Discussion instead describes PCSK9 as altering receptor trafficking after internalisation. (LLM, conf=0.87)
Experimental — accuracy not yet measured
It may state two separate claims as one.
PremisecitationWhen cellular cholesterol and oxysterol levels are elevated, oxysterol binds LxRs, causing a conformational change that promotes exchange of corepressor for co-activator and facilitates transcriptional activation of target genes such as IDOL.
“When cellular cholesterol levels, and therefore oxysterol levels, are elevated, the oxysterol binds the LxRs, causing a conformational change that promotes the exchange of the corepressor for a co-activator, facilitating the transcriptional activation of target genes such as IDOL [49].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [49] 2009, LXR regulates cholesterol uptake through Idol-dependent ubiquitination of the LDL receptor, Science source
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
It may state two separate claims as one.
PremisecitationProteolytic cleavage of the LDLR transmembrane region by γ-secretase destabilises the receptor and directs it to the lysosome for degradation.
“Proteolytic cleavage of the transmembrane region of the LDLR by γ-secretase destabilises the receptor, directing it to the lysosome for degradation.”
- Also stated in: § γ-secretase · plain
“The lack of its cytosolic domain destabilises the LDLR and targets what is left of the receptor to the lysosome for degradation [52].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [52] 2018, γ-Secretase inhibition lowers plasma triglyceride-rich lipoproteins by stabilizing the LDL receptor, Cell Metab. source
- Also stated in: § γ-secretase · plain
It may state two separate claims as one.
PremisecitationLDLR mRNA is regulated via multiple microRNAs, alternative splicing to produce non-functional LDLR protein, and regulation of LDLR mRNA decay.
“At the post-transcriptional level, LDLR mRNA is regulated via several mechanisms including multiple microRNAs [30], alternative splicing to produce non-functional LDLR protein [31], and regulation of LDLR mRNA decay [32].”
Quote in the paperNot a substantial claim3 of 3 sources checked- cites [30] 2016, miRNA regulation of LDL-cholesterol metabolism, Biochim. Biophys. Acta source
- cites [31] 2022, Posttranscriptional regulation of the human LDL receptor by the U2-Spliceosome, Circ. Res. source
The Discussion (page unavailable) reports that intron 3 retention produces a truncated LDLR receptor, supporting the alternative-splicing mechanism attributed to citation [31]. It describes that receptor as “most probably non-functional,” whereas the citing sentence states non-functionality without qualification. The microRNA and mRNA-decay clauses have separate citations and are not judged here. (LLM, conf=0.83)
Experimental — accuracy not yet measured - cites [32] 2022, Cold shock domain-containing protein E1 is a posttranscriptional regulator of the LDL receptor, Sci. Transl. Med. source
It may state two separate claims as one.
PremisecitationRNF130, also known as GOLIATH, is an E3 ligase that has recently been implicated in LDLR regulation.
“RNF130, also known as GOLIATH, another E3 ligase, has recently been implicated in LDLR regulation [51].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [51] 2023, RNF130 regulates LDLR availability and plasma LDL cholesterol levels, Circ. Res. source
It may state two separate claims as one.
PremisecitationIn the low pH endosome, PCSK9 remains bound to the LDLR, preventing the conformational change required for recycling, so the PCSK9-LDLR complex is directed to the lysosome where both proteins are degraded.
“By remaining bound to the LDLR, PCSK9 prevents the conformational change of the LDLR that is required for its recycling back to the plasma membrane, therefore, inhibiting this recycling [38]. Instead, the PCSK9–LDLR complex is directed to the lysosome where both proteins are degraded (Figure 1C), thereby reducing the amount of LDLR in the cell [39].”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [38] 2007, Binding of proprotein convertase subtilisin/kexin type 9 to epidermal growth factor-like repeat A of low density lipoprotein receptor decreases receptor recycling and increases degradation, J. Biol. Chem. source
The citation [39] is attached to the lysosomal-degradation sentence. The Abstract reports that LDLR is rerouted from the endosome to the lysosome and degraded, but the Discussion says the authors could not determine whether PCSK9 accompanies the receptor after cell entry. The claim that both proteins are degraded is therefore not supported by this paper. (LLM, conf=0.89)
Experimental — accuracy not yet measured - cites [39] 2014, PCSK9 and LDLR degradation: regulatory mechanisms in circulation and in cells, Curr. Opin. Lipidol. source
It may state two separate claims as one.
PremisecitationThe lack of its cytosolic domain destabilises the LDLR and targets what is left of the receptor to the lysosome for degradation.
“The lack of its cytosolic domain destabilises the LDLR and targets what is left of the receptor to the lysosome for degradation [52].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [52] 2018, γ-Secretase inhibition lowers plasma triglyceride-rich lipoproteins by stabilizing the LDL receptor, Cell Metab. source
It may state two separate claims as one.
PremisecitationA coding variant in CCDC93 increases the stability of the protein and is associated with lower LDL-cholesterol, lower risk of myocardial infarction and of CVD mortality.
“A coding variant in CCDC93 increases the stability of the protein and is associated with lower LDL-cholesterol, lower risk of myocardial infarction and of CVD mortality [26]”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [26] 2020, A common variant in CCDC93 protects against myocardial infarction and cardiovascular mortality by regulating endosomal trafficking of low-density lipoprotein receptor, Eur. Heart J. source
It may state two separate claims as one.
PremisecitationLoss-of-function mutations in ASGR1 are associated with decreased levels of non-high-density lipoprotein cholesterol and triglycerides in blood plasma, resulting in a reduction in the risk of atherosclerosis and CVD.
“Loss-of-function mutations in the ASGR1 gene are associated with decreased levels of non-high-density lipoprotein cholesterol and triglycerides in the blood plasma, resulting in a reduction in the risk of atherosclerosis and CVD [43].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [43] 2016, Variant ASGR1 associated with a reduced risk of coronary artery disease, N. Engl. J. Med. source
Table 1 (Association of Sequence Variants with Non-HDL Cholesterol, p. 2134) reports lower non-HDL cholesterol and triglycerides in carriers of the ASGR1 del12 variant. The Abstract reports a lower risk of coronary artery disease, and the Discussion describes a possible atheroprotective effect. The paper does not establish that the lipid changes cause the risk reduction or measure a reduction in risk across CVD generally. (LLM, conf=0.87)
Experimental — accuracy not yet measured
It may state two separate claims as one.
PremisecitationDisruption of Rnf130 using antisense oligonucleotides in vivo in mice resulted in increased hepatic LDLR abundance and availability and decreased plasma LDL-cholesterol levels.
“Disruption of Rnf130 using antisense oligonucleotides in vivo in mice resulted in increased hepatic LDLR abundance and availability and decreased plasma LDL-cholesterol levels [51]”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [51] 2023, RNF130 regulates LDLR availability and plasma LDL cholesterol levels, Circ. Res. source
Probably not a substantial claim. The paper’s conclusions may not depend on it.
PremisecitationBMP1 is a metalloprotease with major roles in remodelling extracellular matrix proteins.
“Like MT1-MMP, BMP1 is a metalloprotease with major roles in remodelling of extracellular matrix proteins, but BMP1 is a secreted protease rather than transmembrane [60].”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [60] 2015, BMP-1/tolloid-like proteinases synchronize matrix assembly with growth factor activation to promote morphogenesis and tissue remodeling, Matrix Biol. source
It may state two separate claims as one.
PremisecitationBMP1 is involved in cleaving the LDLR in human primary hepatocytes and in human liver and adrenal samples.
“However, there is evidence that BMP1 is involved in cleaving the LDLR in human primary hepatocytes and in human liver and adrenal samples [37,61,63], and the 36–40 kDa N-terminal fragment is present in human urine, likely due to clearance from the blood plasma by the kidneys [61].”
Quote in the paperSubstantial claim2 of 3 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
The Results (no page given) report a cleaved LDLR fragment in human liver samples, and the Discussion says human LDLR is likely cleaved there by BMP1. But the Methods identify the studied liver-derived and adrenal cells as HepG2 and SW13 carcinoma cell lines, not primary human hepatocytes or human adrenal tissue samples. (LLM, conf=0.89)
Experimental — accuracy not yet measured - cites [61] 2020, Bone morphogenetic protein 1 cleaves the linker region between ligand-binding repeats 4 and 5 of the LDL receptor and makes the LDL receptor non-functional, Hum. Mol. Genet. source
- cites [63] 2023, Proteolysis of the low-density lipoprotein receptor in hepatocytes is mediated by BMP1 but not by other astacin proteases, FEBS Lett. source
It may state two separate claims as one.
PremisecitationThe site of cleavage in human LDLR by BMP1 is highly specific, between residues Gly192 and Asp193, with the Asp residue being crucial for cleavage.
“The site of cleavage in human LDLR by BMP1 is highly specific, between residues Gly192 and Asp193, with the Asp residue being crucial for cleavage [37,61,63].”
Quote in the paperSubstantial claim2 of 3 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
The Results section, “The zinc metalloprotease BMP1 cleaves the LDLR in its ligand binding domain” (page unavailable), identifies the human LDLR cleavage bond as Gly171–Asp172, not Gly192–Asp193. The Results section, “Human but not murine LDLR is proteolytically cleaved by BMP1 in vivo” (page unavailable), supports the Asp-residue claim: replacing Asp172 with Val prevented cleavage. (LLM, conf=0.90)
Experimental — accuracy not yet measured - cites [61] 2020, Bone morphogenetic protein 1 cleaves the linker region between ligand-binding repeats 4 and 5 of the LDL receptor and makes the LDL receptor non-functional, Hum. Mol. Genet. source
- cites [63] 2023, Proteolysis of the low-density lipoprotein receptor in hepatocytes is mediated by BMP1 but not by other astacin proteases, FEBS Lett. source
Probably not a substantial claim. The paper’s conclusions may not depend on it.
PremisecitationBMP1 is a secreted protease rather than transmembrane.
“Like MT1-MMP, BMP1 is a metalloprotease with major roles in remodelling of extracellular matrix proteins, but BMP1 is a secreted protease rather than transmembrane [60].”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [60] 2015, BMP-1/tolloid-like proteinases synchronize matrix assembly with growth factor activation to promote morphogenesis and tissue remodeling, Matrix Biol. source
It may state two separate claims as one.
PremisecitationBMP1-mediated cleavage of LDLR releases a small N-terminal fragment of 36-40 kDa and retains a C-terminal fragment of 120 kDa in the plasma membrane.
“The BMP1-mediated cleavage of LDLR releases a small N-terminal fragment of 36–40 kDa and retains a C-terminal fragment of 120 kDa in the plasma membrane (Figure 1I) [37,61].”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [37] 2019, Proteolysis of the low density lipoprotein receptor by bone morphogenetic protein-1 regulates cellular cholesterol uptake, Sci. Rep. source
- cites [61] 2020, Bone morphogenetic protein 1 cleaves the linker region between ligand-binding repeats 4 and 5 of the LDL receptor and makes the LDL receptor non-functional, Hum. Mol. Genet. source
It may state two separate claims as one.
InterpretationcitationInhibition of MT1-MMP is a promising therapeutic target to increase hepatic LDLR levels, lower plasma LDL-cholesterol, and reduce the risk of cancer metastasis and invasion.
“Thus, inhibition of MT1-MMP is a promising therapeutic target to not only increase hepatic LDLR levels and lower plasma LDL-cholesterol, but also to reduce the risk of cancer metastasis and invasion [58].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [58] 2021, Membrane type 1 matrix metalloproteinase promotes LDL receptor shedding and accelerates the development of atherosclerosis, Nat. Commun. source
It may state two separate claims as one.
PremisecitationMT1-MMP is highly expressed in various types of cancer cells and promotes cancer metastasis and angiogenesis.
“MT1-MMP is highly expressed in various types of cancer cells and promotes cancer metastasis and angiogenesis [57,59].”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [57] 2015, Membrane-type matrix metalloproteinases: their functions and regulations, Matrix Biol. source
- cites [59] 2017, Matrix metalloproteinase collagenolysis in health and disease, Biochim. Biophys. Acta Mol. Cell Res. source
Section 5, “The role of collagen catabolism in disease” (page unavailable), says MT1-MMP appears to play a significant role in tumor metastasis and reports a correlation between its collagenolysis and metastasis in vivo. It does not say MT1-MMP is highly expressed across various cancer-cell types or that it promotes angiogenesis; its discussion of endothelial-cell migration does not establish the latter claim. (LLM, conf=0.88)
Experimental — accuracy not yet measured
It may state two separate claims as one.
PremisecitationKnockout of hepatic MT1-MMP leads to an increase in cellular LDLR levels and a reduction in plasma cholesterol.
“Recent research has identified MT1-MMP as a regulator of LDLR cell surface availability, with knockout of hepatic MT1-MMP leading to an increase in cellular LDLR levels and a reduction in plasma cholesterol, and overexpression of MT1-MMP decreasing total LDLR levels, increasing plasma cholesterol levels and increasing atherosclerotic lesions [58].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [58] 2021, Membrane type 1 matrix metalloproteinase promotes LDL receptor shedding and accelerates the development of atherosclerosis, Nat. Commun. source
It may state two separate claims as one.
PremisecitationThe 120 kDa LDLR species is primarily a BMP1 cleavage product present at the cell surface and not an intracellular immature form of the receptor.
“However, recent research has shown that this 120 kDa species is in fact primarily a BMP1 cleavage product present at the cell surface and not an intracellular immature form of the receptor [63].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [63] 2023, Proteolysis of the low-density lipoprotein receptor in hepatocytes is mediated by BMP1 but not by other astacin proteases, FEBS Lett. source
The Results section reports that the 130 kDa band in primary hepatocytes is predominantly a BMP1-cleaved LDLR fragment at the cell surface, rather than an intracellular precursor. The paper also describes a 120 kDa BMP1-generated fragment, but the experiment distinguishing a cell-surface cleavage product from an immature receptor specifically concerns the 130 kDa band. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Probably not a substantial claim. The paper’s conclusions may not depend on it.
PremisecitationMT1-MMP is a transmembrane protease with major and well-established functions in remodelling extracellular matrix proteins.
“MT1-MMP is a transmembrane protease that has major and well-established functions in the remodelling of extracellular matrix proteins [57].”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [57] 2015, Membrane-type matrix metalloproteinases: their functions and regulations, Matrix Biol. source
It may state two separate claims as one.
PremisecitationOverexpression of MT1-MMP decreases total LDLR levels, increases plasma cholesterol levels, and increases atherosclerotic lesions.
“Recent research has identified MT1-MMP as a regulator of LDLR cell surface availability, with knockout of hepatic MT1-MMP leading to an increase in cellular LDLR levels and a reduction in plasma cholesterol, and overexpression of MT1-MMP decreasing total LDLR levels, increasing plasma cholesterol levels and increasing atherosclerotic lesions [58].”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [58] 2021, Membrane type 1 matrix metalloproteinase promotes LDL receptor shedding and accelerates the development of atherosclerosis, Nat. Commun. source
Probably not a substantial claim. It may be too vague to check against evidence.
InterpretationreasoningThere is still a need to develop alternative drugs to reduce LDL-cholesterol.
“Thus, there is still a need to develop alternative drugs to reduce LDL-cholesterol.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
PremisecitationPCSK9 is under the regulation of SREBP2 and its expression is responsive to the cellular cholesterol level.
“Like the LDLR, PCSK9 is under the regulation of SREBP2 and its expression is, therefore, also responsive to the cellular cholesterol level [27].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [27] 2002, SREBPs: activators of the complete program of cholesterol and fatty acid synthesis in the liver, J. Clin. Invest. source
It may state two separate claims as one.
PremisereasoningIDOL expression is sensitive to the cholesterol status of the cell and is regulated by LxRs, not via SREBP2.
“Like the expression of the LDLR and PCSK9, the expression of IDOL is also sensitive to the cholesterol status of the cell, although not via SREBP2. Instead, IDOL expression is regulated by the liver x receptor nuclear receptor family of proteins (LxRs).”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
PremisecitationThe LDLR ligand binding domain recognises apolipoprotein B100 and, to a lower affinity, apolipoprotein E.
“This ligand binding domain recognises the protein component of LDL particles, apolipoprotein B100, and, to a lower affinity, apolipoprotein E which is present in very low-density lipoprotein particles and chylomicrons [17,18].”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
PremisereasoningTo remove autoinhibition, most γ-secretase substrates are cleaved extracellularly, leaving a short extracellular tail on the transmembrane region which nicastrin binds to and which then exposes the γ-secretase active site.
“To remove this autoinhibition, most substrates are cleaved extracellularly, leaving a short extracellular tail on the transmembrane region which nicastrin binds to and which then exposes the γ-secretase active site, such as”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
PremisereasoningIDOL decreases the surface levels of the LDLR, thereby decreasing cellular uptake of LDL-cholesterol.
“but what is clear is that IDOL decreases the surface levels of the LDLR, thereby decreasing cellular uptake of LDL-cholesterol.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
PremisecitationThe LDLR binds LDL via an extracellular ligand binding domain composed of 7 cysteine-rich LDLR type A repeats.
“The LDLR binds LDL via an extracellular ligand binding domain composed of 7 cysteine-rich LDLR type A (LA) repeats, each separated by a short linker of a few amino acids [16] (Figure 2).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [16] 1999, Structural independence of ligand-binding modules five and six of the LDL receptor, Biochemistry source
It may state two separate claims as one.
PremisecitationKnockdown of ASGR1 increased the total amount of LDLR in the cell and increased LDL uptake, showing that ASGR1 normally negatively regulates LDLR availability and LDL uptake.
“Knockdown of ASGR1 increased the total amount of LDLR in the cell and increased the uptake of LDL, showing that ASGR1 normally negatively regulates LDLR availability and, as a result, LDL uptake [42].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [42] 2021, Asialoglycoprotein receptor 1 is a novel PCSK9-independent ligand of liver LDLR cleaved by furin, J. Biol. Chem. source
It may state two separate claims as one.
PremisecitationWhen cellular cholesterol is depleted, the SCAP-SREBP2 complex is transported to the Golgi where SREBP2 is activated and released into the cytosol, translocates to the nucleus and up-regulates target genes including LDLR.
“When cellular cholesterol is depleted, the SCAP–SREBP2 complex is transported to the Golgi where SREBP2 is activated and released into the cytosol from where it translocates to the nucleus and up-regulates the expression of target genes, including LDLR.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
InterpretationreasoningSilencing of ASGR1 may provide a novel approach to reduce plasma LDL-cholesterol levels and protect against atherosclerosis.
“Together, this shows the role of ASGR1 in the post-translational regulation of the LDLR, and suggests that silencing of ASGR1 may provide a novel approach to reduce plasma LDL-cholesterol levels and thus protect against the formation and progression of atherosclerosis.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
PremisecitationLDLR expression is under the control of SREBP2, which is regulated by cellular cholesterol status via interaction with SCAP.
“The expression of the LDLR is under the control of the transcription factor sterol response element binding protein 2 (SREBP2), which is regulated by cellular cholesterol status via interaction with a cholesterol-sensing protein, SREBP cleavage-activating protein (SCAP) [27].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [27] 2002, SREBPs: activators of the complete program of cholesterol and fatty acid synthesis in the liver, J. Clin. Invest. source
Probably not a substantial claim. It may be too vague to check against evidence.
InterpretationreasoningA better understanding of how LDLR activity is regulated could help inform the development of alternative pharmacological intervention strategies for hypercholesterolaemia.
“A better understanding of how the activity of the LDLR is regulated will not only unravel the complex biological mechanisms controlling LDL-cholesterol metabolism but also could help inform the development of alternative pharmacological intervention strategies for the treatment of hypercholesterolaemia.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
PremisecitationRAP binds to the LDLR ligand binding domain in the ER to promote transport along the secretory pathway towards the plasma membrane, and this association reduces the affinity of the receptor for LDL.
“RAP binds to the ligand binding domain of the LDLR (Figure 2) in the ER [35] to promote transport along the secretory pathway towards the plasma membrane (Figure 1A), with this association between RAP and the LDLR also reducing the affinity of the receptor for LDL [36].”
Quote in the paperSubstantial claim0 of 2 sources checkedProbably not a substantial claim. The paper’s conclusions may not depend on it.
Premisenone givenNormally, the γ-secretase complex is autoinhibited by the nicastrin subunit, where nicastrin binds and blocks the active site of the catalytic presenilin subunit.
“Normally, the γ-secretase complex is autoinhibited by the nicastrin subunit, where nicastrin binds and blocks the active site of the catalytic presenilin subunit, inhibiting its activity.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
PremisecitationContradictory evidence suggests that USP8 may prevent IDOL-mediated LDLR degradation, with co-expression of IDOL and USP8 increasing total cellular LDLR.
“However, there is also contradictory evidence suggesting that the action of USP8 may prevent IDOL-mediated LDLR degradation, with co-expression of IDOL and USP8 resulting in an increase in total cellular LDLR [47].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [47] 2013, The LXR-IDOL axis defines a clathrin-, caveolae-, and dynamin-independent endocytic route for LDLR internalization and lysosomal degradation, J. Lipid Res. source
Checked before — its earlier verdict is held back until a new check runs.
It may state two separate claims as one.
PremisecitationPCSK9 can bind newly synthesised LDLR at the trans-Golgi network and target it directly to the lysosome before it reaches the plasma membrane; disruption of this intracellular transport increases cell surface LDLR.
“In addition, PCSK9 can bind newly synthesised LDLR at the trans-Golgi network and target it directly to the lysosome before it has reached the plasma membrane (Figure 1C), with disruption of this intracellular transport between the trans-Golgi network and lysosome resulting in an increase in cell surface LDLR [40].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [40] 2009, Dissection of the endogenous cellular pathways of PCSK9-induced low density lipoprotein receptor degradation: evidence for an intracellular route, J. Biol. Chem. source
It may state two separate claims as one.
PremisecitationThe nicastrin subunit of γ-secretase binds to the LDLR and recruits the rest of the γ-secretase complex, resulting in cleavage of the LDLR.
“The nicastrin subunit of γ-secretase binds to the LDLR and recruits the rest of the γ-secretase complex, resulting in the cleavage of the LDLR”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [52] 2018, γ-Secretase inhibition lowers plasma triglyceride-rich lipoproteins by stabilizing the LDL receptor, Cell Metab. source
Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.
Interpretationcitationγ-secretase normally cleaves substrates within its transmembrane domain, so this is likely also the case for the LDLR, though the exact cleavage site has yet to be experimentally confirmed.
“γ-secretase normally cleaves substrates within its transmembrane domain so this is likely also the case for the LDLR (Figure 2), though the exact cleavage site has yet to be experimentally confirmed”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [53] 2003, Aph-1, Pen-2, and Nicastrin with Presenilin generate an active gamma-Secretase complex, Neuron source
It may state two separate claims as one.
PremisecitationWhen cellular cholesterol is elevated, the SCAP-SREBP2 complex cannot be transported to the Golgi and SREBP2 is sequestered at the ER membrane as an inactive precursor.
“When cellular cholesterol is elevated, the SCAP–SREBP2 complex cannot be transported to the Golgi and so SREBP2 is sequestered at the membrane of the endoplasmic reticulum (ER) as an inactive precursor [28,29].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [28] 2004, Direct binding of cholesterol to the purified membrane region of SCAP: mechanism for a sterol-sensing domain, Mol. Cell source
Checked before — its earlier verdict is held back until a new check runs.
- cites [29] 2005, Insig required for sterol-mediated inhibition of Scap/SREBP binding to COPII proteins in vitro, J. Biol. Chem. source
Checked before — its earlier verdict is held back until a new check runs.
It may state two separate claims as one.
PremisecitationIDOL is recruited to the NPxY motif in the LDLR intracellular domain via its FERM domain and catalyses polyubiquitination of the LDLR cytosolic tail.
“IDOL is recruited to the NPxY motif in the intracellular domain of the LDLR (Figure 2) via its FERM domain and catalyses polyubiquitination of the LDLR cytosolic tail [46].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [46] 2011, FERM-dependent E3 ligase recognition is a conserved mechanism for targeted degradation of lipoprotein receptors, Proc. Natl Acad. Sci. U.S.A. source
It may state two separate claims as one.
PremisecitationThe 36-40 kDa N-terminal fragment is present in human urine, likely due to clearance from the blood plasma by the kidneys.
“However, there is evidence that BMP1 is involved in cleaving the LDLR in human primary hepatocytes and in human liver and adrenal samples [37,61,63], and the 36–40 kDa N-terminal fragment is present in human urine, likely due to clearance from the blood plasma by the kidneys [61].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [61] 2020, Bone morphogenetic protein 1 cleaves the linker region between ligand-binding repeats 4 and 5 of the LDL receptor and makes the LDL receptor non-functional, Hum. Mol. Genet. source
Probably not a substantial claim. The paper may give no reason why it holds. It may state two separate claims as one.
Premisenone givenRegulation of LDLR activity differs between primates and rodents, with IDOL and BMP1 only acting on primate LDLR.
“Also, regulation of LDLR activity differs between primates and rodents (IDOL and BMP1 only act on primate LDLR).”
Quote in the paperNot a substantial claimProbably not a substantial claim. It may be too vague to check against evidence.
InterpretationreasoningMany proteins involved in post-translational processing of the LDLR could be utilised to develop new, additional therapeutics for the treatment of cholesterol dysregulation.
“Indeed, as mentioned above, there are already drugs developed that target the PCSK9-mediated degradation of the LDLR, but this is just one of many proteins that are involved in the post-translational processing of the receptor that could be utilised to develop new, additional therapeutics for the treatment of cholesterol dysregulation.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper’s conclusions may not depend on it.
Premisenone givenDrugs have been developed that target the PCSK9-mediated degradation of the LDLR.
“Indeed, as mentioned above, there are already drugs developed that target the PCSK9-mediated degradation of the LDLR, but this is just one of many proteins that are involved in the post-translational processing of the receptor that could be utilised to develop new, additional therapeutics for the treatment of cholesterol dysregulation.”
Quote in the paperNot a substantial claimIt may state two separate claims as one.
InterpretationreasoningMT1-MMP mediated cleavage of the LDLR provides a two-fold regulatory mechanism: reducing full-length LDLR at the cell surface and generating a soluble receptor that can sequester LDL in the extracellular space, preventing its interaction with uncleaved receptor on the cell surface.
“Therefore, the MT1-MMP mediated cleavage of the LDLR provides a two-fold regulatory mechanism; reducing the amount of full-length LDLR at the cell surface, and generating a soluble form of the receptor that can sequester the LDL in the extracellular space, preventing its interaction with any uncleaved receptor on the cell surface.”
Quote in the paperSubstantial claimProbably not a substantial claim. The paper may give no reason why it holds.
Premisenone givenThe LDLR is a major point of regulation in cholesterol homeostasis.
“The LDLR is a major point of regulation in cholesterol homeostasis.”
Quote in the paperNot a substantial claimProbably not a substantial claim. The paper may give no reason why it holds.
Interpretationnone givenMany of the proteins that act on the LDLR are promiscuous, having multiple other substrates that may pose difficulties for selective drug development.
“Many of the proteins that act on the LDLR are promiscuous, having multiple other substrates that may pose difficulties for selective drug development.”
Quote in the paperNot a substantial claim
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Trans-Golgi PCSK9 route is assigned the wrong figure panel
MinorThe text cites Figure 1C for PCSK9 targeting newly synthesised LDLR from the trans-Golgi to the lysosome, but the figure legend assigns that route to panel C'. Panel C describes extracellular PCSK9 binding.
“In addition, PCSK9 can bind newly synthesised LDLR at the trans-Golgi network and target it directly to the lysosome before it has reached the plasma membrane (Figure 1C)”
“(C) Extracellular binding of PCSK9 to the LDLR and subsequent targeting to the lysosome for degradation. (C’) Targeting of the LDLR to the lysosome by PSCK9 at the trans-Golgi.”
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Metadata
- Authors
- Aldworth, H., & Hooper, N. M.
- Affiliations
- University of Manchester (GB)
- Corresponding author
- Hooper, Nigel M.
- ORCID
- Hooper, Nigel M.
- Venue
- Biochemical Society Transactions
- Publisher
- Portland Press Ltd.
- Published
- 2024-02-08
- Volume
- 52
- Issue
- 1
- Pages
- 431-440
- ISSN
- 0300-5127 (ISSN-L)
- 1470-8752
- PMC
- PMC10903450
- OpenAlex
- W4391653796
- Cited by
- 11
- References
- 65
- Citations by year
- 2026: 5 · 2025: 6
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Biochemical Society Transactions (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion, cc-by)
- Funders
- Directorate for Biological Sciences
- 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
- LDL receptor, post-translational regulation, LDL cholesterol metabolism, hypercholesterolemia, PCSK9, ASGR1, ubiquitination, E3 ubiquitin ligase, gamma-secretase, MT1-MMP, BMP1, receptor proteolysis, receptor internalization, lysosomal degradation, hepatocytes
- MeSH terms
- Cholesterol, Cholesterol, LDL, Receptors, LDL, Hepatocytes, Ubiquitin-Protein Ligases, Proteolysis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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