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Originally published In Press as doi:10.1074/jbc.M010869200 on January 24, 2001

J. Biol. Chem., Vol. 276, Issue 17, 14420-14425, April 27, 2001
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Internalization of Transthyretin
EVIDENCE OF A NOVEL YET UNIDENTIFIED RECEPTOR-ASSOCIATED PROTEIN (RAP)-SENSITIVE RECEPTOR*

Mónica Mendes SousaDagger § and Maria João SaraivaDagger ||

From the Dagger  Amyloid Unit, Instituto de Biologia Molecular e Celular and the  Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, 4150 Porto, Portugal

Transthyretin (TTR) is a plasma carrier of thyroxine and retinol-binding protein (RBP). Though the liver is the major site of TTR degradation, its cellular uptake is poorly understood. We explored TTR uptake using hepatomas and primary hepatocytes and showed internalization by a specific receptor. RBP complexed with TTR led to a 70% decrease of TTR internalization, whereas TTR bound to thyroxine led to a 20% increase. Different TTR mutants showed differences in uptake, suggesting receptor recognition dependent on the structure of TTR. Cross-linking studies using hepatomas and 125I-TTR revealed a ~90-kDa complex corresponding to 125I-TTR bound to its receptor. Given previous evidence that a fraction of TTR is associated with high-density lipoproteins (HDL) and that in the kidney, megalin, a member of the low-density lipoprotein receptor family (LDLr) internalizes TTR, we hypothesized that TTR and lipoproteins could share related degradation pathways. Using lipid-deficient serum in uptake assays, no significant changes were observed showing that TTR uptake is not lipoprotein-dependent or due to TTR-lipoprotein complexes. However, competition studies showed that lipoproteins inhibit TTR internalization. The scavenger receptor SR-BI, a HDL receptor, and known LDLr family hepatic receptors did not mediate TTR uptake as assessed using different cellular systems. Interestingly, the receptor-associated protein (RAP), a ligand for all members of the LDLr, was able to inhibit TTR internalization. Moreover, the ~90-kDa TTR-receptor complex obtained by cross-linking was sensitive to the presence of RAP. To confirm that RAP sensitivity observed in hepatomas did not represent a mechanism absent in normal cells, primary hepatocytes were tested, and similar results were obtained. The RAP-sensitive TTR internalization together with displacement of TTR uptake by lipoproteins, further suggests that a common pathway might exist between TTR and lipoprotein metabolism and that an as yet unidentified RAP-sensitive receptor mediates TTR uptake.


* This work was supported by Grant 2/2.1/BIA/459/94 from PRAXIS XXI in Portugal. Part of this work was presented as an oral communication at the VIII International Symposium on Amyloidosis; de Sousa, M., and Saraiva, M. J. Characterization of Receptor-mediated Internalization of Transthyretin, Mayo Clinic, August, 1998.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§ Recipient of Postdoctoral Fellowship PRAXIS XXI/BPD/22027/99 from Fundação para a Ciência e Tecnologia from Portugal.

|| To whom correspondence should be addressed: Amyloid Unit-IBMC, R. Campo Alegre, 823 4150 Porto, Portugal. Tel.: 351-22-6074900; Fax: 351-22-6099157; mjsaraiv@ibmc.up.pt.


Copyright © 2001 by The American Society for Biochemistry and Molecular Biology, Inc.
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