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Journal of Lipid Research, Vol. 50, S172-S177, April 2009
PCSK9: a convertase that coordinates LDL catabolism
* Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390-9046 Published, JLR Papers in Press, November 19, 2008.
1 To whom correspondence should be addressed. e-mail: jay.horton{at}utsouthwestern.edu (J.D.H); helen.hobbs{at}utsouthwestern.edu (H.H.H.)
The identification and characterization of proprotein convertase subtilisin-like/kexin type 9 (PCSK9) have provided new insights into LDL metabolism and the causal role of LDL in coronary heart disease (CHD). PCSK9 is a secreted protease that mediates degradation of the LDL receptor by interacting with the extracellular domain and targeting the receptor for degradation. Individuals with loss-of-function mutations in PCSK9 have reduced plasma levels of LDL cholesterol and are protected from CHD; these observations have validated PCSK9 as a therapeutic target and suggested new approaches for the treatment and prevention of CHD.
Supplementary key words low density lipoprotein receptor proprotein convertase subtilisin-like/kexin type 9 low density lipoprotein hypercholesterolemia Abbreviations: CHD, coronary heart disease; EGF, epidermal growth factor; ER, endoplasmic reticulum; FH, familial hypercholesterolemia; LDL-C, LDL cholesterol; LDLR, LDL receptor; PCSK9, proprotein convertase subtilisin-like/kexin type 9; SREBP, sterol regulatory element binding protein
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