Cited by 48Cholesterol and Lipid MetabolismCancer, Lipids, and MetabolismUbiquitin and proteasome pathways

The DOI matches its Crossref record; 45 of the 45 references it cites were found in a registry or an index; 2 of the 28 sources its claims cite were checked for support.

A MARCH6 and IDOL E3 Ubiquitin Ligase Circuit Uncouples Cholesterol Synthesis from Lipoprotein Uptake in Hepatocytes

Open access

Abstract

Cholesterol synthesis and lipoprotein uptake are tightly coordinated to ensure that the cellular level of cholesterol is adequately maintained. Hepatic dysregulation of these processes is associated with pathological conditions, most notably cardiovascular disease. Using a genetic approach, we have recently identified the E3 ubiquitin ligase MARCH6 as a regulator of cholesterol biosynthesis, owing to its ability to promote degradation of the rate-limiting enzymes 3-hydroxy-3-methyl-glutaryl coenzyme A reductase (HMGCR) and squalene epoxidase (SQLE). Here, we present evidence for MARCH6 playing a multifaceted role in the control of cholesterol homeostasis in hepatocytes. We identify MARCH6 as an endogenous inhibitor of the sterol regulatory element binding protein (SREBP) transcriptional program. Accordingly, loss of MARCH6 increases expression of SREBP-regulated genes involved in cholesterol biosynthesis and lipoprotein uptake. Unexpectedly, this is associated with a decrease in cellular lipoprotein uptake, induced by enhanced lysosomal degradation of the low-density lipoprotein receptor (LDLR). Finally, we provide evidence that induction of the E3 ubiquitin ligase IDOL represents the molecular mechanism underlying this MARCH6-induced phenotype. Our study thus highlights a MARCH6-dependent mechanism to direct cellular cholesterol accretion that relies on uncoupling of cholesterol synthesis from lipoprotein uptake.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

MARCH6 acts as an endogenous inhibitor of SREBP-driven cholesterol synthesis genes and also suppresses IDOL; loss of MARCH6 increases SREBP and LXR target expression but reduces LDLR protein and LDL uptake via IDOL-mediated lysosomal degradation. This identifies a MARCH6-IDOL E3 circuit that uncouples cholesterol synthesis from lipoprotein uptake in hepatocytes.

Key findings

  • Silencing MARCH6 increased SREBP-driven reporters 8- to 10-fold in HepG2 cells; mutation of the SRE in the LDLR proximal promoter prevented this regulation, and MARCH6 loss increased SREBP2 target mRNAs in HepG2 and more prominently in IHH cells.
  • Despite increased LDLR mRNA, MARCH6 silencing decreased DyLight 488-labeled LDL uptake in HepG2 and Huh7 cells and reduced LDLR protein in HepG2, Huh7, and IHH cells; LDLR-GFP expressed from a constitutive promoter was also reduced, indicating a posttranscriptional mechanism.
  • Bafilomycin A1, but not MG132, rescued LDLR levels after MARCH6 silencing; a PCSK9-blocking antibody up to 100 µg/ml did not reverse the LDLR reduction, whereas IDOL knockout or cosilencing prevented it. MARCH6 silencing also induced IDOL mRNA and other LXR target genes and reduced VLDLR.
  • The authors conclude that MARCH6 loss increases IDOL expression, which promotes lysosomal degradation of LDLR, thereby uncoupling increased cholesterol synthesis from lipoprotein uptake.

Methods

  • Cultured human hepatocyte-like cell lines HepG2, Huh7, and IHH, plus HEK293T and SNB19 cells, were used with siRNA knockdown, CRISPR/Cas9-generated IDOL knockout HepG2 cells, and plasmid transfections.
  • Assays included SREBP luciferase reporters, qPCR, immunoblotting, immunoprecipitation, DyLight 488-labeled LDL uptake with confocal microscopy and fluorescence quantification, PCSK9 ELISA, and PCSK9-blocking antibody treatment.
  • Statistical analysis used t tests for two groups or one-way ANOVA for grouped analysis, with error bars indicating standard deviations.

Limitations

  • Stated: the SREBP transcriptional effect of MARCH6 was limited to hepatic-origin cells and not apparent in nonhepatic cell lines, with the responsible hepatocyte-specific factor unknown; no changes in SREBP2 precursor or processing were detected by immunoblotting (data not shown); intracellular PCSK9 levels in HepG2 and Huh7 cells were insufficient to critically evaluate processing/secretion; IDOL regulation by LXR is species-specific, so the MARCH6-IDOL network is anticipated to be predominantly active in human hepatocytes; no MARCH6 association with plasma LDL cholesterol has yet been reported in genome-wide association studies.
  • Evident from the text: the work relies on cultured cell lines and knockdown/knockout approaches without in vivo animal or human validation; activation of LXR by mevalonate pathway intermediates is explicitly speculative; some immunoblots are representative of limited independent experiments (e.g., LDLR-GFP immunoblots from two independent experiments in triplicate).

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

Integrity signals

Registry

Crossref · 10.1128/mcb.00890-15

Cites

45 of 45 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

2 of 28 cited sources checked · 2 supported · 0 flagged

  • Premisecitation

    Hepatic regulation of IDOL transcription by LXRs displays a species-specific divergence.

    “Hepatic regulation of IDOL transcription by LXRs displays a species-specific divergence (42).”
    Quote in the paperSubstantial claim1 of 1 sources checked
  • Findingown data

    Silencing of MARCH6 robustly increased the expression of IDOL.

    “It was therefore unexpected to find that silencing of MARCH6 also robustly increased the expression of IDOL.”
    Quote in the paperSubstantial claim
  • Findingown data

    MARCH6 knockdown increases SRE-Luc reporter activity in Huh7 cells.

    “was also apparent in Huh7 cells, another hepatocyte-like cell line (see Fig. S1B).”
    Quote in the paperSubstantial claim
  • Findingown data

    The increase in IDOL mRNA following MARCH6 silencing is not due to increased mRNA stability, as it is sensitive to actinomycin D.

    “This was not a result of increased mRNA stability since the increase in IDOL mRNA was sensitive to the transcription inhibitor actinomycin D (see Fig. S4B).”
    Quote in the paperNot a substantial claim
  • Findingown data

    Independent single siRNAs targeting MARCH6 also increase the SRE-Luc reporter in HepG2 and Huh7 cells.

    “we confirmed that independent single siRNAs targeting MARCH6 expression also increased the SRE-Luc reporter in HepG2 (Fig. 1C) and Huh7 hepatocytes (see Fig. S1B).”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim. 12
  • The quote only partly states this claim. 3
  • It may state two separate claims as one. 18
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    The SREBP pathway is activated when cellular cholesterol levels decline as a means to increase cholesterol synthesis and uptake.

    “The SREBP pathway is activated when cellular cholesterol levels decline as a means to increase cholesterol synthesis and uptake (4).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
  • The quote only partly states this claim.

    Findingown data

    Silencing MARCH6 increases expression of SREBP2 target genes in HepG2 and IHH cells under both complete and sterol-depleted conditions.

    “This also resulted in increased expression of a panel of studied SREBP2 targets in HepG2 cells (Fig. 2), more prominently evident in IHH cells, which is consistent with them being more metabolically responsive (20).”
    • Also stated in: § RESULTS · plain
      “Notably, the increase was apparent when cells were cultured in both complete medium and under sterol depletion conditions.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The hepatocyte-like cell lines HepG2, Huh7, and IHH are adequate models of hepatocyte cholesterol metabolism for the conclusions.
  • It may state two separate claims as one.

    Findingown data

    In control cells, silencing MARCH6 increases SQLE protein and decreases LDLR.

    “In control cells, silencing MARCH6 increased SQLE protein and decreased the level of the LDLR (Fig. 8B).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    Silencing MARCH6 reduces MARCH6 mRNA and increases SQLE protein in hepatic cell lines.

    “Silencing MARCH6 in hepatic cell lines reduced its mRNA levels and increased the protein level of its degradation target, SQLE (see Fig. S2B and C).”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Findingown data

    No changes in the levels of the SREBP2 precursor protein or in SREBP2 processing were detected by immunoblotting in the studied cells.

    “However, we think that this is unlikely as we were unable to detect changes in the levels of the SREBP2 precursor protein and in SREBP2 processing by immunoblotting in the studied cells (data not shown).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Findingcitation

    IDOL expression decreases in hepatic cells cultured in sterol depletion medium.

    “As previously reported, we found that IDOL expression decreased in hepatic cells cultured in sterol depletion medium (Fig. 8A) (10).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [10] source
  • It may state two separate claims as one.

    Findingown data

    LDLR protein is dramatically reduced following MARCH6 silencing in HepG2, Huh7, and IHH cells, and this reduction is not overcome by sterol depletion.

    “we found that LDLR protein was dramatically reduced following silencing of MARCH6, a reduction that could not be overcome by forced activation of the SREBP transcriptional program via sterol depletion (Fig. 4).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The hepatocyte-like cell lines HepG2, Huh7, and IHH are adequate models of hepatocyte cholesterol metabolism for the conclusions.
  • It may state two separate claims as one. The quote only partly states this claim.

    Findingown data

    MARCH6 silencing specifically reduces LDLR without affecting transferrin receptor, while increasing SQLE.

    “the effect of MARCH6 silencing was specific, as abundance of the transferrin receptor remained largely unchanged and that of SQLE increased, as expected.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper may give no reason why it holds.

    Study design and conductnone given

    The PCSK9 neutralizing antibody effectively blocks PCSK9-induced degradation of the LDLR.

    “However, inhibition of PCSK9-induced degradation of the LDLR using an effective blocking antibody failed to reverse the LDL phenotype.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Study design and conductown data

    In IDOL KO cells, LDLR protein is elevated and GW3695 is unable to promote LDLR degradation, confirming IDOL activity is lost.

    “In IDOL KO cells, LDLR protein is elevated, and the synthetic LXR ligand GW3695 is unable to promote degradation of the LDLR, confirming that IDOL activity is lost (see Fig. S5A in the supplemental material).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. It may state two separate claims as one.

    Premisecitation

    SREBPs induce genes for cholesterol biosynthesis and LDLR.

    “This results in induction of the full set of genes required for de novo biosynthesis of cholesterol via the mevalonate pathway and of the low-density lipoprotein receptor (LDLR) that is required for uptake of LDL-derived cholesterol (7,8).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [7] source
    • cites [8] source
  • Probably not a substantial claim.

    Premisecitation

    The SREBP and LXR pathways typically display reciprocal regulation reflecting their opposing action in cellular cholesterol homeostasis.

    “Typically, the SREBP and LXR pathways display reciprocal regulation reflecting their opposing action in cellular cholesterol homeostasis (6,37).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [6] source
    • cites [37] source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Premisecitation

    The only transcriptional pathway reported to date to regulate the basal and inducible level of IDOL is that controlled by the sterol-sensing LXRs.

    “The only transcriptional pathway reported to date to regulate the basal and inducible level of IDOL is that controlled by the sterol-sensing LXRs (10).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [10] source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    Activation of SREBPs initiates in the ER and requires two-step cleavage of SREBP in the Golgi compartment to release the mature, transcriptionally active SREBP fragment.

    “Activation of SREBPs is a complex process that initiates in the ER and requires the subsequent twostep cleavage of SREBP in the Golgi compartment to release the mature, transcriptionally active, SREBP fragment (7).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [7] source
  • It may state two separate claims as one.

    Interpretationreasoning

    The MARCH6-mediated network uncouples cholesterol synthesis from lipoprotein uptake, sparing cholesterol synthesis while favoring more cholesterol uptake via the LDL receptor.

    “Our newly identified MARCH6-mediated network uncouples these two modes of cellular cholesterol accretion, sparing cholesterol synthesis while favoring more cholesterol uptake via the LDL receptor (graphically summarized in Fig. 10).”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Making cholesterol de novo is energetically expensive, and the cheapest option for the cell is to derive premade cholesterol by taking up circulating lipoproteins.
  • It may state two separate claims as one.

    Interpretationown data

    MARCH6 is an endogenous inhibitor and negative transcriptional regulator of the SREBP transcriptional program in hepatocyte-like cells.

    “We identify MARCH6 as an endogenous inhibitor of the sterol regulatory element binding protein (SREBP) transcriptional program.”
    • Also stated in: § Abstract · plain
      “We identify MARCH6 as a negative regulator of SREBP2-mediated transcription and describe an unexpected E3 circuit functionally linking MARCH6 and IDOL to limit uptake of LDL via the LDLR pathway.”
    • Also stated in: § RESULTS · hedged
      “In aggregate, these results suggest that MARCH6 is a negative transcriptional regulator of the SREBP pathway in these cells.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The hepatocyte-like cell lines HepG2, Huh7, and IHH are adequate models of hepatocyte cholesterol metabolism for the conclusions.
  • Probably not a substantial claim. The paper’s conclusions may not depend on it. It may state two separate claims as one.

    Premisecitation

    PCSK9 binds LDLR ectodomain and directs lysosomal degradation by preventing recycling.

    “The secreted protein PCSK9 binds the ectodomain of the LDLR, and by a mechanism not yet fully elucidated directs the receptor toward lysosomal degradation by preventing its recycling to the plasma membrane (29).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [29] source
  • It may state two separate claims as one.

    Premisecitation

    MARCH6 can also regulate the level of HMGCR, positioning it as an important regulator of flux through the mevalonate pathway.

    “In our previous study, we reported that in addition to controlling the levels of SQLE, MARCH6 could also regulate the level of HMGCR, thereby positioning it as an important regulator of flux through the mevalonate pathway (16).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [16] source
  • Probably not a substantial claim.

    Premisecitation

    IDOL is implicated in lysosomal targeting and degradation of LDLR.

    “the E3 ligase IDOL, which has also been implicated in lysosomal targeting and degradation of the LDLR (28,33,34).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [28] source
    • cites [33] source
    • cites [34] source
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductnone given

    Immunoblots are representative of three independent experiments.

    “Immunoblots are representative of three independent experiments.”
    Quote in the paperNot a substantial claim
  • It may state two separate claims as one.

    Premisecitation

    In human and primate hepatocytes, IDOL is robustly regulated by LXR activation, yet this does not occur in rodent hepatocytes.

    “In human and primate hepatocytes, IDOL is robustly regulated by LXR activation, yet this does not occur in rodent hepatocytes for reasons presently unclear.”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [42] source
  • Probably not a substantial claim.

    Premisecitation

    MARCH6 controls stability of SQLE, a rate-limiting enzyme in cholesterol synthesis, in a cholesterol-dependent manner.

    “We have recently reported that MARCH6, an ERAD-associated E3 (36), controls stability of SQLE, a rate-limiting enzyme in cholesterol synthesis, in a cholesterol-dependent manner (16).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [16] source
  • It may state two separate claims as one.

    Interpretationreasoning

    Loss of MARCH6 in hepatocytes induces a complex cholesterol phenotype in which both the SREBP and LXR pathways are activated.

    “Thus, loss of MARCH6 in hepatocytes induces a complex cholesterol phenotype in which both the SREBP and LXR pathways are activated.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim. The paper’s conclusions may not depend on it.

    Study design and conductown data

    Results represent the mean ± SD from four (Huh7) or eight (HepG2) experiments.

    “Results represent the mean Ϯ SD from four (Huh7) or eight (HepG2) experiments.”
    Quote in the paperNot a substantial claim
  • The quote only partly states this claim.

    Premisecitation

    Silencing MARCH6 elevates basal levels of HMGCR.

    “we also found that the silencing of MARCH6 regulates the basal levels of HMGCR, comparable to what was shown for the E3 HRD1 (16,19).”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [16] source
    • cites [19] source
  • It may state two separate claims as one.

    Interpretationreasoning

    Increased IDOL-mediated degradation of the LDLR likely explains why secreted PCSK9 accumulates in MARCH6-silenced cells; decreased LDLR prevents clearance of PCSK9 via the LDLR pathway.

    “Increased IDOL-mediated degradation of the LDLR also likely explains why secreted PCSK9 accumulates in MARCH6-silenced cells; decreased LDLR prevents clearance of PCSK9 via the LDLR pathway, as also suggested previously (41).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [41] source
  • It may state two separate claims as one.

    Premisecitation

    LXRs induce cholesterol efflux and limit LDL uptake by inducing IDOL.

    “LXRs induce cholesterol efflux pathways (e.g., via the transporters ABCA1 and ABCG1) and limit LDL uptake by inducing expression of the E3 ubiquitin ligase (E3)-inducible degrader of the LDLR (IDOL) (6,9,10).”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [6] source
    • cites [9] source
    • cites [10] source
  • It may state two separate claims as one.

    Interpretationreasoning

    MARCH6 decreases production of sterol agonists for LXR and downregulates gene expression of IDOL.

    “However, (step 3) this decreases production of sterol agonists for LXR and downregulates gene expression of IDOL.”
    Quote in the paperSubstantial claim
  • It may state two separate claims as one.

    Interpretationreasoning

    MARCH6 decreases cholesterol synthesis by targeting the key enzymes HMGCR and SQLE and by reducing SREBP-mediated transcriptional activation of cholesterol synthesis genes and the LDLR.

    “MARCH6 decreases cholesterol synthesis by (step 1) targeting the key enzymes, HMGCR and SQLE, while also (step 2) reducing SREBP-mediated transcriptional activation of cholesterol synthesis genes and the LDLR.”
    Quote in the paperSubstantial claim
29 of 29
  • The paper relies on this without support.

    The hepatocyte-like cell lines HepG2, Huh7, and IHH are adequate models of hepatocyte cholesterol metabolism for the conclusions.

    “we determined the mRNA expression levels of a panel of established SREBP2-regulated genes in hepatocytes.”
  • The paper relies on this without support.

    Making cholesterol de novo is energetically expensive, and the cheapest option for the cell is to derive premade cholesterol by taking up circulating lipoproteins.

    “We reason that as making cholesterol de novo is energetically expensive, the cheapest option for the cell is to derive premade cholesterol by taking up circulating lipoproteins.”
2 of 2

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Each is checked against this paper’s own text: does it say what the citing paper says it does?

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.

  • NHMRC grant number differs between sections

    Minor

    The acknowledgements give A.J.B.'s NHMRC grant number as 1060515, while the funding information gives Andrew John Brown's NHMRC grant number as 10605151.

  • Fig. 5 immunoblots have fewer experiments than the stated minimum

    Minor

    The methods say all immunoblots shown represent at least three independent experiments, but the Fig. 5 legend says its immunoblots represent two.

  • PCSK9 supernatant collection duration differs

    Minor

    The methods specify 24 hours in Opti-MEM before collecting medium for PCSK9 detection, whereas the Fig. 7 procedure specifies 16 hours.

3 of 3

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Metadata

Authors
Loregger, A., Cook, E. C. L., Nelson, J. K., Moeton, M., Sharpe, L. J., Engberg, S., Karimova, M., Lambert, G., Brown, A. J., & Zelcer, N.
Affiliations
  • Amsterdam UMC Location University of Amsterdam (NL)
  • Department of Medical Biochemistry, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
  • UNSW Sydney (AU)
  • AstraZeneca R&D, Gothenburg, Sweden
  • Inserm (FR)
Venue
Molecular and Cellular Biology
Published
2016-01-01
Volume
36
Issue
2
Pages
285-294
ISSN
  • 0270-7306 (ISSN-L)
  • 1098-5549
OpenAlex
W2175246669
Cited by
48
References
45
Citations by year
2026: 7 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 7 · 2020: 9 · 2019: 4 · 2018: 7 · 2017: 4 · 2016: 2
FWCI
1.91
Type
journal article
Language
en
Open access
Locations
  • Molecular and Cellular Biology (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (acceptedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Funders
  • EC | European Research Council (617376)
  • Department of Health, Australian Government | National Health and Medical Research Council (10605151)
  • Hartstichting (2013T111)
  • Nederlandse Organisatie voor Wetenschappelijk Onderzoek (17.106.355)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Cholesterol and Lipid Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ubiquitin and proteasome pathways
Keywords
idols, E3 ubiquitin ligase, cholesterol biosynthesis, lipoprotein uptake, cholesterol homeostasis, hepatocytes, SREBP, HMGCR, squalene epoxidase, LDL receptor, lysosomal degradation, cardiovascular disease
MeSH terms
Cell Line, Cholesterol, Humans, Lipoproteins, Membrane Proteins, Receptors, LDL, Gene Silencing, Hepatocytes, Ubiquitin-Protein Ligases, Biosynthetic Pathways, Hep G2 Cells

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