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Associations Between Soluble LDLR and Lipoproteins in a White Cohort and the Effect of PCSK9 Loss-of-Function

Mayne, Janice, Ooi, Teik Chye, Tepliakova, Lioudmila, Seebun, Deeptee, Walker, Krystal, Mohottalage, Dhanuddara, Ning, Zhibin, Abujrad, Hussein, Mbikay, Majambu, Wassef, Hanny, Chrétien, Michel, Figeys, Daniel·2018·The Journal of Clinical Endocrinology & Metabolism

Abstract

Context Elevated circulating cholesterol-rich low-density lipoprotein (LDL) particles increase coronary artery disease risk. Cell-surface hepatic LDL receptors (LDLRs) clear 70% of these particles from circulation. The ectodomain of LDLR is shed into circulation, preventing it from removing LDL particles. The role that LDLR ectodomain shedding plays as a regulatory mechanism is unknown. Objective We describe LDLR shedding via the relationships between circulating soluble LDLRs (sLDLRs) and serum lipoproteins, serum proprotein convertase subtilin/kexin type 9 (PCSK9; a negative regulator of LDLR), and clinical parameters in a white Canadian population. Design Population-based, cross-sectional study. Settings Clinical Research Center, The Ottawa Hospital, and Faculty of Medicine, University of Ottawa. Participants Two hundred seventy-three white Canadians. Intervention None. Main outcome measures sLDLR measured by ELISA; serum lipids and PCSK9, PCSK9 genotypes, and clinical parameters from previous analyses. Results sLDLRs correlated strongly with triglycerides (TG; r = 0.624, P 50th or LDL cholesterol >75th percentiles. Conclusions Serum sLDLR levels correlate with several lipoprotein parameters, especially TG, and the presence of PCSK9 loss-of-function variants alters sLDLR levels and correlations, except for TG. Ectodomain LDLR shedding has a role in LDL metabolism, distinct from PCSK9, with interplay between these two pathways that regulate cell-surface LDLRs. Findings sugg…

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Crossref · 10.1210/jc.2018-00777

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Research works printed but not linked: 23

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Metadata

Authors
Mayne, J., Ooi, T. C., Tepliakova, L., Seebun, D., Walker, K., Mohottalage, D., Ning, Z., Abujrad, H., Mbikay, M., Wassef, H., Chrétien, M., & Figeys, D.
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2018-06-21
Volume
103
Issue
9
Pages
3486-3495
ISSN
  • 0021-972X
  • 1945-7197
Cited by
24
References
0
Language
en
Funders
  • Heart and Stroke Foundation of Canada (G-16-00014693, NA-7278)
  • La Foundation J-Louis Lévesque

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