Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic Subject

Familial hypercholesterolaemia (FH) is an autosomal dominant dyslipidaemia, characterised by elevated LDL cholesterol (LDL-C) levels in the blood. Three main genes are involved in FH diagnosis: LDL receptor (LDLr), Apolipoprotein B (APOB) and Protein convertase subtilisin/kexin type 9 (PCSK9) with g...

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Main Authors: Asier Larrea-Sebal, Chiara Trenti, Shifa Jebari-Benslaiman, Stefano Bertolini, Sebastiano Calandra, Emanuele A. Negri, Efrem Bonelli, Asier Benito-Vicente, Leire Uraga-Gracianteparaluceta, César Martín, Tommaso Fasano
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:International Journal of Molecular Sciences
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Online Access:https://www.mdpi.com/1422-0067/24/4/3330
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author Asier Larrea-Sebal
Chiara Trenti
Shifa Jebari-Benslaiman
Stefano Bertolini
Sebastiano Calandra
Emanuele A. Negri
Efrem Bonelli
Asier Benito-Vicente
Leire Uraga-Gracianteparaluceta
César Martín
Tommaso Fasano
author_facet Asier Larrea-Sebal
Chiara Trenti
Shifa Jebari-Benslaiman
Stefano Bertolini
Sebastiano Calandra
Emanuele A. Negri
Efrem Bonelli
Asier Benito-Vicente
Leire Uraga-Gracianteparaluceta
César Martín
Tommaso Fasano
author_sort Asier Larrea-Sebal
collection DOAJ
description Familial hypercholesterolaemia (FH) is an autosomal dominant dyslipidaemia, characterised by elevated LDL cholesterol (LDL-C) levels in the blood. Three main genes are involved in FH diagnosis: LDL receptor (LDLr), Apolipoprotein B (APOB) and Protein convertase subtilisin/kexin type 9 (PCSK9) with genetic mutations that led to reduced plasma LDL-C clearance. To date, several PCSK9 gain-of-function (GOF) variants causing FH have been described based on their increased ability to degrade LDLr. On the other hand, mutations that reduce the activity of PCSK9 on LDLr degradation have been described as loss-of-function (LOF) variants. It is therefore important to functionally characterise PCSK9 variants in order to support the genetic diagnosis of FH. The aim of this work is to functionally characterise the p.(Arg160Gln) PCSK9 variant found in a subject suspected to have FH. Different techniques have been combined to determine efficiency of the autocatalytic cleavage, protein expression, effect of the variant on LDLr activity and affinity of the PCSK9 variant for the LDLr. Expression and processing of the p.(Arg160Gln) variant had a result similar to that of WT PCSK9. The effect of p.(Arg160Gln) PCSK9 on LDLr activity is lower than WT PCSK9, with higher values of LDL internalisation (13%) and p.(Arg160Gln) PCSK9 affinity for the LDLr is lower than WT, EC50 8.6 ± 0.8 and 25.9 ± 0.7, respectively. The p.(Arg160Gln) PCSK9 variant is a LOF PCSK9 whose loss of activity is caused by a displacement of the PCSK9 P’ helix, which reduces the stability of the LDLr-PCSK9 complex.
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spelling doaj.art-83ca415e3111468c8d3293155e4527402023-11-16T20:58:28ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-02-01244333010.3390/ijms24043330Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic SubjectAsier Larrea-Sebal0Chiara Trenti1Shifa Jebari-Benslaiman2Stefano Bertolini3Sebastiano Calandra4Emanuele A. Negri5Efrem Bonelli6Asier Benito-Vicente7Leire Uraga-Gracianteparaluceta8César Martín9Tommaso Fasano10Department of Biochemistry and Molecular Biology, Universidad del País Vasco UPV/EHU, 48080 Bilbao, SpainDepartment of Internal Medicine Unit, Azienda USL—IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyDepartment of Biochemistry and Molecular Biology, Universidad del País Vasco UPV/EHU, 48080 Bilbao, SpainDepartment of Internal Medicine, University of Genova, 16132 Genova, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalyDepartment of Internal Medicine Unit, Azienda USL—IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyDepartment of Internal Medicine Unit, Azienda USL—IRCCS di Reggio Emilia, 42122 Reggio Emilia, ItalyDepartment of Biochemistry and Molecular Biology, Universidad del País Vasco UPV/EHU, 48080 Bilbao, SpainDepartment of Biochemistry and Molecular Biology, Universidad del País Vasco UPV/EHU, 48080 Bilbao, SpainDepartment of Biochemistry and Molecular Biology, Universidad del País Vasco UPV/EHU, 48080 Bilbao, SpainClinical Pathology Unit, AUSL Romagna, 47521 Cesena, ItalyFamilial hypercholesterolaemia (FH) is an autosomal dominant dyslipidaemia, characterised by elevated LDL cholesterol (LDL-C) levels in the blood. Three main genes are involved in FH diagnosis: LDL receptor (LDLr), Apolipoprotein B (APOB) and Protein convertase subtilisin/kexin type 9 (PCSK9) with genetic mutations that led to reduced plasma LDL-C clearance. To date, several PCSK9 gain-of-function (GOF) variants causing FH have been described based on their increased ability to degrade LDLr. On the other hand, mutations that reduce the activity of PCSK9 on LDLr degradation have been described as loss-of-function (LOF) variants. It is therefore important to functionally characterise PCSK9 variants in order to support the genetic diagnosis of FH. The aim of this work is to functionally characterise the p.(Arg160Gln) PCSK9 variant found in a subject suspected to have FH. Different techniques have been combined to determine efficiency of the autocatalytic cleavage, protein expression, effect of the variant on LDLr activity and affinity of the PCSK9 variant for the LDLr. Expression and processing of the p.(Arg160Gln) variant had a result similar to that of WT PCSK9. The effect of p.(Arg160Gln) PCSK9 on LDLr activity is lower than WT PCSK9, with higher values of LDL internalisation (13%) and p.(Arg160Gln) PCSK9 affinity for the LDLr is lower than WT, EC50 8.6 ± 0.8 and 25.9 ± 0.7, respectively. The p.(Arg160Gln) PCSK9 variant is a LOF PCSK9 whose loss of activity is caused by a displacement of the PCSK9 P’ helix, which reduces the stability of the LDLr-PCSK9 complex.https://www.mdpi.com/1422-0067/24/4/3330familial hypercholesterolemiaPCSK9GOFLOFcharacterisationactivity
spellingShingle Asier Larrea-Sebal
Chiara Trenti
Shifa Jebari-Benslaiman
Stefano Bertolini
Sebastiano Calandra
Emanuele A. Negri
Efrem Bonelli
Asier Benito-Vicente
Leire Uraga-Gracianteparaluceta
César Martín
Tommaso Fasano
Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic Subject
International Journal of Molecular Sciences
familial hypercholesterolemia
PCSK9
GOF
LOF
characterisation
activity
title Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic Subject
title_full Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic Subject
title_fullStr Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic Subject
title_full_unstemmed Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic Subject
title_short Functional Characterization of p.(Arg160Gln) PCSK9 Variant Accidentally Found in a Hypercholesterolemic Subject
title_sort functional characterization of p arg160gln pcsk9 variant accidentally found in a hypercholesterolemic subject
topic familial hypercholesterolemia
PCSK9
GOF
LOF
characterisation
activity
url https://www.mdpi.com/1422-0067/24/4/3330
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