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Cold shock domain-containing protein E1 is a posttranscriptional regulator of the LDL receptor

Smith, Geoffrey A., Padmanabhan, Arun, Lau, Bryan H., Pampana, Akhil, Li, Li, Lee, Clara Y., Pelonero, Angelo, Nishino, Tomohiro, Sadagopan, Nandhini, Xia, Vivian Q., Jain, Rajan, Natarajan, Pradeep, Wu, Roland S., Black, Brian L., Srivastava, Deepak, Shokat, Kevan M., Chorba, John S.·2022·Science Translational Medicine

Published version of a preprint

Abstract

The low-density lipoprotein receptor (LDLR) controls cellular delivery of cholesterol and clears LDL from the bloodstream, protecting against atherosclerotic heart disease, the leading cause of death in the United States. We therefore sought to identify regulators of the LDLR beyond the targets of current therapies and known causes of familial hypercholesterolemia. We found that cold shock domain–containing protein E1 (CSDE1) enhanced hepatic LDLR messenger RNA (mRNA) decay via its 3′ untranslated region and regulated atherogenic lipoproteins in vivo. Using parallel phenotypic genome-wide CRISPR interference screens in a tissue culture model, we identified 40 specific regulators of the LDLR that were not previously identified by observational human genetic studies. Among these, we demonstrated that, in HepG2 cells, CSDE1 regulated the LDLR at least as strongly as statins and proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors. In addition, we showed that hepatic gene silencing of Csde1 treated diet-induced dyslipidemia in mice to a similar degree as Pcsk9 silencing. These results suggest the therapeutic potential of targeting CSDE1 to manipulate the posttranscriptional regulation of the LDLR mRNA for the prevention of cardiovascular disease. Our approach of modeling a clinically relevant phenotype in a forward genetic screen, followed by mechanistic pharmacologic dissection and in vivo validation, may serve as a generalizable template for the identification of therapeutic targets in other human disease states.

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  • CSDE1, hnRNPD, hnRNPI, KSRP, ZFP36L1, and ZFP36L2 bind to AREs in the 3′UTR and lead to degradation of LDLR mRNA, decreasing LDLR.

    “CSDE1, hnRNPD, hnRNPI, KSRP, ZFP36L1, ZFP36L2 Bind to AREs in the 3′UTR and lead to degradation of LDLR mRNA ↓ [29-31]”

    From The low-density lipoprotein receptor: Emerging post-transcriptional regulatory mechanisms (2025) · cites this paper as [31]

    The Results section reports that CSDE1 promotes LDLR mRNA decay through its 3′UTR and that an ARE is required for its full effect. The Discussion says CSDE1 was found to bind LDLR 3′UTR transcripts, but the paper does not establish that it binds the ARE itself or substantiate the same mechanism for all six listed proteins. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Individual cells with disrupted PCSK9 will remain sensitive to the extracellular PCSK9 secreted by neighboring cells, precluding their development of a LDLR-mediated phenotype in this study and in prior pooled CRISPR screens.

    “For example, individual cells with disrupted PCSK9 will remain sensitive to the extracellular PCSK9 secreted by neighboring cells, precluding their development of a LDLR-mediated phenotype in this study and in prior pooled CRISPR screens for LDL uptake or LDLR abundance56,80,93.”

    From Functional interrogation of cellular Lp(a) uptake by genome-scale CRISPR screening (2025) · cites this paper as [80]

    The Results sections describe a pooled CRISPRi screen for surface LDLR abundance and state that PCSK9 acts extracellularly in LDLR regulation. They do not say that PCSK9-disrupted cells remained sensitive to PCSK9 from neighboring cells, or that this prevented an LDLR phenotype in this or prior pooled screens. (LLM, conf=0.78)

    Experimental — accuracy not yet measured
  • LDLR 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].”
  • Experimental evidence has recapitulated key modulators of cellular LDL uptake, as well as posttranscriptional and posttranslational regulators of LDLR.

    “Moreover, experimental evidence has recapitulated key modulators of cellular LDL uptake, as well as posttranscriptional and posttranslational regulators of LDLR79–82.”
  • A whole-genome CRISPR-Cas9 screen identified CSDE1 as an RBP that enhances LDLR mRNA decay, confirmed in HepG2 cells, zebrafish, and mice.

    “More recently, the application of a whole-genome CRISPR-Cas9 screen further identified CSDE1 as another RBP that enhances LDLR mRNA decay, an effect confirmed in various models including HepG2 cells, zebrafish, and mice [31].”

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Metadata

Authors
Smith, G. A., Padmanabhan, A., Lau, B. H., Pampana, A., Li, L., Lee, C. Y., Pelonero, A., Nishino, T., Sadagopan, N., Xia, V. Q., Jain, R., Natarajan, P., Wu, R. S., Black, B. L., Srivastava, D., Shokat, K. M., & Chorba, J. S.
Affiliations
  • Department of Cellular and Molecular Pharmacology, University of California, San Francisco, San Francisco, CA 94158, USA.
  • Division of Cardiology, UCSF Health, San Francisco, CA 94143, USA.
  • Cardiovascular Research Institute, University of California, San Francisco, San Francisco, CA 94158, USA.
  • Cardiovascular Research Center, Massachusetts General Hospital, Boston, MA 02114, USA.
  • Department of Medicine and Penn Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA 19104, USA.
  • Gladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA.
  • Department of Medicine, University of California, San Francisco, San Francisco, CA 94143, USA.
Venue
Science Translational Medicine
Published
2022-09-14
Volume
14
Issue
662
ISSN
  • 1946-6234
  • 1946-6242
Cited by
23
References
17
Language
en

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