Major Facilitator Superfamily Domain Containing 5 Inhibition Reduces Lipoprotein(a) Uptake and Calcification in Valvular Heart Disease

BACKGROUND: High circulating levels of Lp(a) (lipoprotein[a]) increase the risk of atherosclerosis and calcific aortic valve disease, affecting millions of patients worldwide. Although atherosclerosis is commonly treated with low-density lipoprotein-targeting therapies, these do not reduce Lp(a) or risk of calcific aortic valve disease, which has no available drug therapies. Targeting Lp(a) production and catabolism may provide therapeutic benefit, but little is known about Lp(a) cellular uptake.

METHODS: Here, unbiased ligand-receptor capture mass spectrometry was used to identify MFSD5 (major facilitator superfamily domain containing 5) as a novel receptor/cofactor involved in Lp(a) uptake.

RESULTS: Reducing MFSD5 expression by a computationally identified small molecule or small interfering RNA suppressed Lp(a) uptake and calcification in primary human valvular endothelial and interstitial cells. MFSD5 variants were associated with aortic stenosis (P=0.027 after multiple hypothesis testing) with evidence suggestive of an interaction with plasma Lp(a) levels.

CONCLUSIONS: MFSD5 knockdown suppressing human valvular cell Lp(a) uptake and calcification, along with meta-analysis of MFSD5 variants associating with aortic stenosis, supports further preclinical assessment of MFSD5 in cardiovascular diseases, the leading cause of death worldwide.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:149

Enthalten in:

Circulation - 149(2024), 5 vom: 30. Jan., Seite 391-401

Sprache:

Englisch

Beteiligte Personen:

Rogers, Maximillian A [VerfasserIn]
Bartoli-Leonard, Francesca [VerfasserIn]
Zheng, Kang H [VerfasserIn]
Small, Aeron M [VerfasserIn]
Chen, Hao Yu [VerfasserIn]
Clift, Cassandra L [VerfasserIn]
Asano, Takaharu [VerfasserIn]
Kuraoka, Shiori [VerfasserIn]
Blaser, Mark C [VerfasserIn]
Perez, Katelyn A [VerfasserIn]
Natarajan, Pradeep [VerfasserIn]
Yeang, Calvin [VerfasserIn]
Stroes, Erik S G [VerfasserIn]
Tsimikas, Sotirios [VerfasserIn]
Engert, James C [VerfasserIn]
Thanassoulis, George [VerfasserIn]
O'Donnell, Christopher J [VerfasserIn]
Aikawa, Masanori [VerfasserIn]
Singh, Sasha A [VerfasserIn]
Aikawa, Elena [VerfasserIn]

Links:

Volltext

Themen:

Aortic valve stenosis
Journal Article
LPA protein, human
Lipoprotein(a)
Meta-Analysis
Mfsd5 protein, human
Receptors, lipoprotein
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Vascular calcification

Anmerkungen:

Date Completed 07.02.2024

Date Revised 03.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1161/CIRCULATIONAHA.123.066822

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364292172