LR11/SorLA links triglyceride-rich lipoproteins to risk of developing cardiovascular disease in FH patients

  • Ranitha Vongpromek
  • , Hideaki Bujo
  • , Menno Hoekstra
  • , Wolfgang J. Schneider
  • , Leonie van der Zee
  • , Arend F.L. Schinkel
  • , Suzanne J Korporaal
  • , Willem A. Dik
  • , Hiroyuki Ebinuma
  • , Meizi Jiang
  • , Adrie J.M. Verhoeven
  • , Eric J. G. Sijbrands
  • , Monique T. Mulder*
  • *Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    1 Citation (Scopus)

    Abstract

    Objective: Familial Hypercholesterolemia (FH) is associated with an increased risk of cardiovascular disease (CVD). However, whether an individual heterozygous FH patient will develop CVD depends on other genetic- and environmental risk factors as well. LDL receptor-related protein with 11 ligand binding repeat (LR11) and its soluble form (sLR11) play a role in the progression of atherosclerosis. We investigated the involvement of LR11 and sLR11 in CVD development in FH patients and in LDLR deficient (Ldlr-/-) mice.

    Approach and results: In statin-treated asymptomatic male heterozygous FH subjects, plasma sLR11 levels correlated with carotid intima-media thickness. Increased plasma sLR11 levels were found in Ldlr-/- and also in wild-type mice exclusively after high-fat feeding. Hepatic LR11 mRNA levels, however, were higher in chow-fed Ldlr-/- in comparison with wild-type mice and were further increased after a high fat diet. Similar results were obtained with Apoe-/- mice, but not with wild-type mice. LR11 mRNA and protein levels and release of sLR11 from cultured HepG2 and aortic smooth muscle cells were upregulated by postprandial triglyceride-rich lipoproteins (TGRL). Overexpression of human LR11 in CHO cells resulted in increased binding and association of 12I-labeled TGRL, but not of 12I-labeled LDL.

    Conclusion: Our data strongly suggest an involvement of LR11 in mediating the harmful effects of a high-fat diet on CVD progression. Elevated sLR11 levels may increase the CVD risk especially in subjects with delayed clearance of triglyceride-rich remnants, such as in FH patients.
    Original languageEnglish
    Pages (from-to)429-437
    Number of pages9
    JournalAtherosclerosis
    Volume243
    Issue number2
    DOIs
    Publication statusPublished - 1 Dec 2015

    Keywords

    • LR11
    • TGRL
    • FAMILIAL HYPERCHOLESTEROLEMIA
    • HFD

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