Dual mechanisms for the fibrate-mediated repression of proprotein convertase subtilisin/kexin type 9

Proprotein convertase subtilisin/kexin type 9 (PCSK9) is associated with familial autosomal dominant hypercholesterolemia and is a natural inhibitor of the LDL receptor (LDLr). PCSK9 is degraded by other proprotein convertases: PC5/6A and furin. Both PCSK9 and the LDLr are up-regulated by the hypocholesterolemic statins. Thus, inhibitors or repressors of PCSK9 should amplify their beneficial effects. In the present study, we showed that PPARalpha activation counteracts PCSK9 induction by statins by repressing PCSK9 promoter activity and by increasing PC5/6A and furin expression. Quantification of mRNA and protein levels showed that various fibrates decreased PCSK9 and increased PC5/6A and furin expression. Fenofibric acid (FA) reduced PCSK9 protein content in immortalized human hepatocytes (IHH) as well as its cellular secretion. FA suppressed PCSK9 induction by statins or by the liver X receptor agonist TO901317. PCSK9 repression is occurring at the promoter level. We showed that PC5/6A and furin fibrate-mediated up-regulation is PPARalpha-dependent. As a functional test, we observed that FA increased by 30% the effect of pravastatin on the LDLr activity in vitro. In conclusion, fibrates simultaneously decreased PCSK9 expression while increasing PC5/6A and furin expression, indicating a broad action of PPARalpha activation in proprotein convertase-mediated lipid homeostasis. Moreover, this study validates the functional relevance of a combined therapy associating PCSK9 repressors and statins.

Medienart:

E-Artikel

Erscheinungsjahr:

2008

Erschienen:

2008

Enthalten in:

Zur Gesamtaufnahme - volume:283

Enthalten in:

The Journal of biological chemistry - 283(2008), 15 vom: 11. Apr., Seite 9666-73

Sprache:

Englisch

Beteiligte Personen:

Kourimate, Sanae [VerfasserIn]
Le May, Cédric [VerfasserIn]
Langhi, Cédric [VerfasserIn]
Jarnoux, Anne Laure [VerfasserIn]
Ouguerram, Khadija [VerfasserIn]
Zaïr, Yassine [VerfasserIn]
Nguyen, Patrick [VerfasserIn]
Krempf, Michel [VerfasserIn]
Cariou, Bertrand [VerfasserIn]
Costet, Philippe [VerfasserIn]

Links:

Volltext

Themen:

53PF01Q249
Anticholesteremic Agents
BGF9MN2HU1
Clofibric Acid
DNA-Binding Proteins
EC 3.4.21.-
EC 3.4.21.75
FURIN protein, human
Fenofibrate
Fenofibric acid
Furin
Hydrocarbons, Fluorinated
Journal Article
KXO2KT9N0G
Liver X Receptors
Orphan Nuclear Receptors
PCSK9 protein, human
PPAR alpha
Pravastatin
Proprotein Convertase 5
Proprotein Convertase 9
Proprotein Convertases
Receptors, Cytoplasmic and Nuclear
Receptors, LDL
Research Support, Non-U.S. Gov't
Serine Endopeptidases
Sulfonamides
T0901317
U202363UOS

Anmerkungen:

Date Completed 28.05.2008

Date Revised 22.06.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1074/jbc.M705831200

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM177340894