Introduction
The low-density lipoprotein receptor (LDLR)
3The abbreviations used are: LDLR
low-density lipoprotein receptor
SC
SimpleCells
GalNAc-T
UDP-GalNAc:polypeptide N-acetylgalactosaminyltransferase
VLDLR
very low-density lipoprotein receptor
LRP
LDLR-related protein
LA
LDLR class A repeats
Jacalin
jackfruit agglutinin
CV
column volume(s)
GWAS
genome-wide association studies
Lpr
lipophorin receptor
RAP
receptor-associated protein
CHO
Chinese hamster ovary
sLDLR
shed recombinant LDLR
HA
hemagglutinin
PNA
peanut agglutinin
LPDS
lipoprotein-deficient serum
XIC
extracted ion chromatograph
DiI
1,19-dioctadecyl-3,3,3,3-tetramethyl-indocarbocyanine perchlorate.
and related receptors are membrane-bound cell surface receptors with important endocytic functions for lipoproteins and a variety of diverse extracellular ligands (
1- Dieckmann M.
- Dietrich M.F.
- Herz J.
Lipoprotein receptors: an evolutionarily ancient multifunctional receptor family.
). The founding member LDLR is important for maintaining cholesterol homeostasis, and deleterious mutations in LDLR lead to decreased LDL catabolism and elevated levels of plasma LDL-cholesterol (
2Structure and physiologic function of the low-density lipoprotein receptor.
). The LDLR superfamily includes the VLDL receptor (VLDLR), LDLR-related protein 1 (LRP1), LDLR-related protein 1B (LRP1B), LDLR-related protein 2 (LRP2 or megalin), and LDLR-related protein 8 (LRP8 or ApoER2), as well as more distantly related receptors such as the sortilin-related receptor (
1- Dieckmann M.
- Dietrich M.F.
- Herz J.
Lipoprotein receptors: an evolutionarily ancient multifunctional receptor family.
). These members also have important roles in cardiovascular diseases, as well as neurodegenerative and proteinuric renal diseases (
3- Zlokovic B.V.
- Deane R.
- Sagare A.P.
- Bell R.D.
- Winkler E.A.
Low-density lipoprotein receptor-related protein-1: a serial clearance homeostatic mechanism controlling Alzheimer's amyloid β-peptide elimination from the brain.
,
4- Nielsen R.
- Christensen E.I.
- Birn H.
Megalin and cubilin in proximal tubule protein reabsorption: from experimental models to human disease.
). The ectodomains of LDLR-related proteins share characteristic structural features including LDLR-type A repeats (LA) (complement-like cysteine-rich ligand binding repeats), epidermal growth factor-like repeats, and Tyr–Trp–Thr–Asp β-propeller domains (
1- Dieckmann M.
- Dietrich M.F.
- Herz J.
Lipoprotein receptors: an evolutionarily ancient multifunctional receptor family.
).
The LA modules consist of ∼40 amino acids each with three disulfide bridges (Cys
1–3, Cys
2–5, and Cys
4–6). They are found as clusters of seven repeats in LDLR, eight in VLDLR, and multiple clusters in LRP1 and LRP2, and they constitute the dominant ligand-binding region of these receptors (see
Fig. 1) (
5Versatility in ligand recognition by LDL receptor family proteins: advances and frontiers.
). The functional structure of the LA module requires a calcium ion coordinated by conserved acidic residues found between Cys
4 and Cys
6 in the LA sequence, and binding to different ligands appears to require different subsets of LA modules (
6- Russell D.W.
- Brown M.S.
- Goldstein J.L.
Different combinations of cysteine-rich repeats mediate binding of low density lipoprotein receptor to two different proteins.
7- Daly N.L.
- Scanlon M.J.
- Djordjevic J.T.
- Kroon P.A.
- Smith R.
Three-dimensional structure of a cysteine-rich repeat from the low-density lipoprotein receptor.
,
8- Rudenko G.
- Henry L.
- Henderson K.
- Ichtchenko K.
- Brown M.S.
- Goldstein J.L.
- Deisenhofer J.
Structure of the LDL receptor extracellular domain at endosomal pH.
9- Fisher C.
- Beglova N.
- Blacklow S.C.
Structure of an LDLR–RAP complex reveals a general mode for ligand recognition by lipoprotein receptors.
). The LA modules are bound by the ER-resident receptor-associated protein (RAP) early in the secretory pathway, and this interaction, believed to prevent premature intracellular binding to ligands, is lost at lower pH such as in later Golgi compartments (
5Versatility in ligand recognition by LDL receptor family proteins: advances and frontiers.
,
9- Fisher C.
- Beglova N.
- Blacklow S.C.
Structure of an LDLR–RAP complex reveals a general mode for ligand recognition by lipoprotein receptors.
,
10The LDL receptor: how acid pulls the trigger.
). The LA modules are interspaced by a short linker sequence mostly formed by four residues ending in Thr with the sequence motif
XXC
6XXTC
1XX, although some linkers are longer. Recently we demonstrated that the evolutionary conserved Thr residues in these linkers of all LDLR-related proteins carry
O-glycans (
11- Pedersen N.B.
- Wang S.
- Narimatsu Y.
- Yang Z.
- Halim A.
- Schjoldager K.T.
- Madsen T.D.
- Seidah N.G.
- Bennett E.P.
- Levery S.B.
- Clausen H.
Low density lipoprotein receptor class A repeats are O-glycosylated in linker regions.
). Moreover, we found that only one of the many polypeptide GalNAc-transferase (GalNAc-T) isoenzymes, GalNAc-T11, which initiates
O-glycosylation of proteins, was responsible for introducing
O-glycans at the Thr in the
XXC
6XXTC
1XX motif of linkers in LDLR and presumably other receptors with this motif.
Both
N- and
O-glycosylation of LDLR have been reported previously (
7- Daly N.L.
- Scanlon M.J.
- Djordjevic J.T.
- Kroon P.A.
- Smith R.
Three-dimensional structure of a cysteine-rich repeat from the low-density lipoprotein receptor.
,
12- Kingsley D.M.
- Kozarsky K.F.
- Hobbie L.
- Krieger M.
Reversible defects in O-linked glycosylation and LDL receptor expression in a UDP-Gal/UDP-GalNAc 4-epimerase–deficient mutant.
).
O-Glycosylation in the stem region is important for cell-surface expression and stability of this receptor as demonstrated with the CHO ldlD cell line deficient in the UDP-Glc/GlcNAc C4-epimerase (
12- Kingsley D.M.
- Kozarsky K.F.
- Hobbie L.
- Krieger M.
Reversible defects in O-linked glycosylation and LDL receptor expression in a UDP-Gal/UDP-GalNAc 4-epimerase–deficient mutant.
). Previous studies have also suggested that
O-glycosylation of LDLR in the N-terminal domain may be important for LDL binding and uptake; however, the nature and positions of these
O-glycans were not identified (
13- Yoshimura A.
- Yoshida T.
- Seguchi T.
- Waki M.
- Ono M.
- Kuwano M.
Low binding capacity and altered O-linked glycosylation of low density lipoprotein receptor in a monensin-resistant mutant of Chinese hamster ovary cells.
,
14- Seguchi T.
- Merkle R.K.
- Ono M.
- Kuwano M.
- Cummings R.D.
The dysfunctional LDL receptor in a monensin-resistant mutant of Chinese hamster ovary cells lacks selected O-linked oligosaccharides.
). In the present study, we explored the functional role of the identified
O-glycans in the short linker regions between LA modules (
11- Pedersen N.B.
- Wang S.
- Narimatsu Y.
- Yang Z.
- Halim A.
- Schjoldager K.T.
- Madsen T.D.
- Seidah N.G.
- Bennett E.P.
- Levery S.B.
- Clausen H.
Low density lipoprotein receptor class A repeats are O-glycosylated in linker regions.
). We took advantage of the finding that these
O-glycans are specifically generated by GalNAc-T11, whereas the
O-glycans important for stability of LDLR on the cell membrane are directed by multiple GalNAc-Ts (
11- Pedersen N.B.
- Wang S.
- Narimatsu Y.
- Yang Z.
- Halim A.
- Schjoldager K.T.
- Madsen T.D.
- Seidah N.G.
- Bennett E.P.
- Levery S.B.
- Clausen H.
Low density lipoprotein receptor class A repeats are O-glycosylated in linker regions.
). Using genetically engineered human HepG2 and HEK293 cells, as well as Chinese hamster ovary (CHO) cells, we demonstrate that the
O-glycans in the LA ligand-binding region of LDLR, as well as VLDLR, are important for high-affinity lipoprotein binding and uptake and that the sialic acids carried by these
O-glycans are essential for this. These findings have important implications for our understanding of the function and regulation of the LDLR-related proteins and their roles in diseases.
Discussion
Protein
O-glycosylation of the GalNAc-type serves diverse and highly specific roles in fine-tuning protein functions (
25- Schjoldager K.T.
- Clausen H.
Site-specific protein O-glycosylation modulates proprotein processing: deciphering specific functions of the large polypeptide GalNAc-transferase gene family.
), and here we provide conclusive evidence for a novel role in modulating the binding properties of the large family of LDLR-related proteins. Other types of protein
O-glycosylation including
O-Fuc,
O-Glc, and
O-GlcNAc modulate the binding properties and signaling of the Notch receptors, and these types of glycosylation serve important roles in development and diseases (
26- Takeuchi H.
- Haltiwanger R.S.
Significance of glycosylation in Notch signaling.
). GalNAc-type
O-glycosylation is unique and orchestrated by a large family of isoenzymes that enables differential and perhaps dynamic regulation of single glycosites. The specific modification of the LA linkers in LDLR-related proteins by the GalNAc-T11 isoform presented here is perhaps the most exclusive function of a GalNAc-T isoenzyme identified to date. We show that GalNAc-T11 directed
O-glycosylation of the LA linkers in the ligand-binding domains of LDLR and VLDLR markedly affect the binding affinity and uptake of their respective lipoprotein targets, and it is likely that this is a general function for all LDLR-related proteins.
Our results are in agreement with and extend early studies suggesting the existence of
O-glycans in addition to the well characterized glycans in the juxtamembrane region of LDLR (
27- Davis C.G.
- Elhammer A.
- Russell D.W.
- Schneider W.J.
- Kornfeld S.
- Brown M.S.
- Goldstein J.L.
Deletion of clustered O-linked carbohydrates does not impair function of low density lipoprotein receptor in transfected fibroblasts.
), and they may provide an explanation for the otherwise puzzling finding that a Monensin-resistant CHO line, MonR-31, with apparent loss of these glycans showed reduced binding and uptake of LDL (
13- Yoshimura A.
- Yoshida T.
- Seguchi T.
- Waki M.
- Ono M.
- Kuwano M.
Low binding capacity and altered O-linked glycosylation of low density lipoprotein receptor in a monensin-resistant mutant of Chinese hamster ovary cells.
,
14- Seguchi T.
- Merkle R.K.
- Ono M.
- Kuwano M.
- Cummings R.D.
The dysfunctional LDL receptor in a monensin-resistant mutant of Chinese hamster ovary cells lacks selected O-linked oligosaccharides.
,
28- Shite S.
- Seguchi T.
- Yoshida T.
- Kohno K.
- Ono M.
- Kuwano M.
A new class mutation of low density lipoprotein receptor with altered carbohydrate chains.
). The MonR-31 cell line is unfortunately no longer available, but our results suggest that the lectin selection used to establish the cell line resulted in deletion of the
GALNT11 gene. Studies over decades with lectin-resistant CHO mutants demonstrate that the
O-glycans in the juxtamembrane region of LDLR are essential for stability of the receptor at the cell surface (
12- Kingsley D.M.
- Kozarsky K.F.
- Hobbie L.
- Krieger M.
Reversible defects in O-linked glycosylation and LDL receptor expression in a UDP-Gal/UDP-GalNAc 4-epimerase–deficient mutant.
), but importantly
O-glycosylation in the juxtamembrane “mucin-like” domain with high density of
O-glycans is redundantly achieved by multiple GalNAc-T isoforms and presumably not regulated (
11- Pedersen N.B.
- Wang S.
- Narimatsu Y.
- Yang Z.
- Halim A.
- Schjoldager K.T.
- Madsen T.D.
- Seidah N.G.
- Bennett E.P.
- Levery S.B.
- Clausen H.
Low density lipoprotein receptor class A repeats are O-glycosylated in linker regions.
). In contrast, the single
O-glycosites in the LA modules are selectively controlled by the GalNAc-T11 isoform and therefore amenable to differential and perhaps dynamic site-specific regulation in cells and organs.
It is increasingly becoming apparent that site-specific regulation of selected
O-glycosites by the large family of GalNAc-T isoenzymes are involved in fine-tuning protein function with important roles in health and diseases (
25- Schjoldager K.T.
- Clausen H.
Site-specific protein O-glycosylation modulates proprotein processing: deciphering specific functions of the large polypeptide GalNAc-transferase gene family.
). The most illustrative example to date is the unique role of the GalNAc-T3 isoform in phosphate homeostasis, where
O-glycosylation co-regulates proprotein processing of FGF23 in a complex interplay with proprotein convertases and the Golgi protein kinase Fam20C, within the short sequence element
176RHTR↓S, where
O-glycosylation of Thr
178 directed by GalNAc-T3 inhibits processing and phosphorylation of Ser
181 by Fam20C inhibits
O-glycosylation (
29- Kato K.
- Jeanneau C.
- Tarp M.A.
- Benet-Pagès A.
- Lorenz-Depiereux B.
- Bennett E.P.
- Mandel U.
- Strom T.M.
- Clausen H.
Polypeptide GalNAc-transferase T3 and familial tumoral calcinosis: secretion of fibroblast growth factor 23 requires O-glycosylation.
,
30- Tagliabracci V.S.
- Engel J.L.
- Wiley S.E.
- Xiao J.
- Gonzalez D.J.
- Nidumanda Appaiah H.
- Koller A.
- Nizet V.
- White K.E.
- Dixon J.E.
Dynamic regulation of FGF23 by Fam20C phosphorylation, GalNAc-T3 glycosylation, and furin proteolysis.
). Congenital deficiency in
GALNT3 cause hyperphosphatemia and ectopic ossifications, whereas deficiency in Fam20C causes osteosclerotic dysplasia and hypophosphatemia (
31- Topaz O.
- Shurman D.L.
- Bergman R.
- Indelman M.
- Ratajczak P.
- Mizrachi M.
- Khamaysi Z.
- Behar D.
- Petronius D.
- Friedman V.
- Zelikovic I.
- Raimer S.
- Metzker A.
- Richard G.
- Sprecher E.
Mutations in GALNT3, encoding a protein involved in O-linked glycosylation, cause familial tumoral calcinosis.
,
32- Simpson M.A.
- Hsu R.
- Keir L.S.
- Hao J.
- Sivapalan G.
- Ernst L.M.
- Zackai E.H.
- Al-Gazali L.I.
- Hulskamp G.
- Kingston H.M.
- Prescott T.E.
- Ion A.
- Patton M.A.
- Murday V.
- George A.
- et al.
Mutations in FAM20C are associated with lethal osteosclerotic bone dysplasia (Raine syndrome), highlighting a crucial molecule in bone development.
), and
GALNT3 is a GWAS candidate for low mineral bone density (
33- Duncan E.L.
- Danoy P.
- Kemp J.P.
- Leo P.J.
- McCloskey E.
- Nicholson G.C.
- Eastell R.
- Prince R.L.
- Eisman J.A.
- Jones G.
- Sambrook P.N.
- Reid I.R.
- Dennison E.M.
- Wark J.
- Richards J.B.
- et al.
Genome-wide association study using extreme truncate selection identifies novel genes affecting bone mineral density and fracture risk.
). Many of the other 20
GALNT genes have been identified as candidate genes for dispositions to common diseases (
25- Schjoldager K.T.
- Clausen H.
Site-specific protein O-glycosylation modulates proprotein processing: deciphering specific functions of the large polypeptide GalNAc-transferase gene family.
,
34- Hansen L.
- Lind-Thomsen A.
- Joshi H.J.
- Pedersen N.B.
- Have C.T.
- Kong Y.
- Wang S.
- Sparso T.
- Grarup N.
- Vester-Christensen M.B.
- Schjoldager K.
- Freeze H.H.
- Hansen T.
- Pedersen O.
- Henrissat B.
- et al.
A glycogene mutation map for discovery of diseases of glycosylation.
), and we were recently able to provide extensive validation for the role of
GALNT2 in dyslipidemia in man, primates, and rodents and identified several site-specifically regulated
O-glycoprotein targets (
19- Khetarpal S.A.
- Schjoldager K.T.
- Christoffersen C.
- Raghavan A.
- Edmondson A.C.
- Reutter H.M.
- Ahmed B.
- Ouazzani R.
- Peloso G.M.
- Vitali C.
- Zhao W.
- Somasundara A.V.
- Millar J.S.
- Park Y.
- Fernando G.
- et al.
Loss of function of GALNT2 lowers high-density lipoproteins in humans, nonhuman primates, and rodents.
). The substrate specificities and functions of GalNAc-Ts have mainly been studied by
in vitro enzyme assays using short peptides as acceptors in the past (
35- Kong Y.
- Joshi H.J.
- Schjoldager K.T.
- Madsen T.D.
- Gerken T.A.
- Vester-Christensen M.B.
- Wandall H.H.
- Bennett E.P.
- Levery S.B.
- Vakhrushev S.Y.
- Clausen H.
Probing polypeptide GalNAc-transferase isoform substrate specificities by in vitro analysis.
), and this approach has provided important insights into specific functions of many individual isoenzymes including GalNAc-T11. However, although GalNAc-T11 does function with a number of short peptide substrates (
21- Schwientek T.
- Bennett E.P.
- Flores C.
- Thacker J.
- Hollmann M.
- Reis C.A.
- Behrens J.
- Mandel U.
- Keck B.
- Schäfer M.A.
- Haselmann K.
- Zubarev R.
- Roepstorff P.
- Burchell J.M.
- Taylor-Papadimitriou J.
- et al.
Functional conservation of subfamilies of putative UDP-N-acetylgalactosamine:polypeptide N-acetylgalactosaminyltransferases in Drosophila, Caenorhabditis elegans, and mammals: one subfamily composed of l(2)35Aa is essential in Drosophila.
,
22A UDP-GalNAc:polypeptide N-acetylgalactosaminyltransferase is essential for viability in Drosophila melanogaster.
,
35- Kong Y.
- Joshi H.J.
- Schjoldager K.T.
- Madsen T.D.
- Gerken T.A.
- Vester-Christensen M.B.
- Wandall H.H.
- Bennett E.P.
- Levery S.B.
- Vakhrushev S.Y.
- Clausen H.
Probing polypeptide GalNAc-transferase isoform substrate specificities by in vitro analysis.
), it only functions
in vitro with the LA linker regions in the context of the entire folded LA-modules (
11- Pedersen N.B.
- Wang S.
- Narimatsu Y.
- Yang Z.
- Halim A.
- Schjoldager K.T.
- Madsen T.D.
- Seidah N.G.
- Bennett E.P.
- Levery S.B.
- Clausen H.
Low density lipoprotein receptor class A repeats are O-glycosylated in linker regions.
). This may suggest that GalNAc-T11 is unique among the GalNAc-T isoforms in recognizing folded domains as substrates. Other glycosyltransferases initiating
O-Fuc,
O-Glc, and
O-GlcNAc recognize small folded domains such as epidermal growth factor-like and thrombospondin type 1 repeats (
26- Takeuchi H.
- Haltiwanger R.S.
Significance of glycosylation in Notch signaling.
,
36- Moreira Bde S.
- Sampaio R.F.
- Furtado S.R.
- Dias R.C.
- Kirkwood R.N.
The relationship between diabetes mellitus, geriatric syndromes, physical function, and gait: a review of the literature.
), and these domains share a design with three conserved disulfide bridges with the LA modules (
37- Lira-Navarrete E.
- Valero-González J.
- Villanueva R.
- Martínez-Júlvez M.
- Tejero T.
- Merino P.
- Panjikar S.
- Hurtado-Guerrero R.
Structural insights into the mechanism of protein O-fucosylation.
,
38- Valero-González J.
- Leonhard-Melief C.
- Lira-Navarrete E.
- Jiménez-Osés G.
- Hernández-Ruiz C.
- Pallarés M.C.
- Yruela I.
- Vasudevan D.
- Lostao A.
- Corzana F.
- Takeuchi H.
- Haltiwanger R.S.
- Hurtado-Guerrero R.
A proactive role of water molecules in acceptor recognition by protein O-fucosyltransferase 2.
). However, in all cases the acceptor sites are located in the folded domain, whereas the substrate site for GalNAc-T11 is located in the short linker between the folded domains. We only discovered the unique function of GalNAc-T11 through
O-glycoproteomics with glycoengineered cell lines (
11- Pedersen N.B.
- Wang S.
- Narimatsu Y.
- Yang Z.
- Halim A.
- Schjoldager K.T.
- Madsen T.D.
- Seidah N.G.
- Bennett E.P.
- Levery S.B.
- Clausen H.
Low density lipoprotein receptor class A repeats are O-glycosylated in linker regions.
). Availability of isogenic cell lines with and without individual
GALNT genes are important discovery platforms for the isoform-specific functions as shown here and in combination with our quantitative differential glycoproteomics approach enable unbiased discovery of nonredundant biological functions of the large family of GalNAc-T isoenzymes (
17- Schjoldager K.T.
- Joshi H.J.
- Kong Y.
- Goth C.K.
- King S.L.
- Wandall H.H.
- Bennett E.P.
- Vakhrushev S.Y.
- Clausen H.
Deconstruction of O-glycosylation: GalNAc-T isoforms direct distinct subsets of the O-glycoproteome.
). We also used genetic dissection to demonstrate the functional importance of the structure of the
O-glycans. Thus, knockout of
COSMC in CHO and HepG2 cells, which results in truncation of the normal core1
O-glycans to the simple GalNAc residue, produced the same marked change in the function of LDLR, demonstrating the importance of the
O-glycan structure and the terminal sialic acid (
Figs. 3–
5).
Cellular trafficking of LDLR-related proteins is complex and essential for their functions. These receptors are transported through the ER-Golgi secretory pathway bound to the receptor-associated protein RAP (LRPAP1 or α2-macroglobulin receptor-associated protein) that acts as a chaperone and presumably protect receptors from early binding to ligands until dissociation occurs at the lower pH in later Golgi compartments (
39The roles of receptor-associated protein (RAP) as a molecular chaperone for members of the LDL receptor family.
). Studies with
Escherichia coli produced LA modules without glycans established that RAP binds to multiple LA modules through electrostatic interaction between three calcium-coordinating acidic residues in each LA and lysine residues (
9- Fisher C.
- Beglova N.
- Blacklow S.C.
Structure of an LDLR–RAP complex reveals a general mode for ligand recognition by lipoprotein receptors.
,
40- Andersen O.M.
- Christensen P.A.
- Christensen L.L.
- Jacobsen C.
- Moestrup S.K.
- Etzerodt M.
- Thogersen H.C.
Specific binding of α-macroglobulin to complement-type repeat CR4 of the low-density lipoprotein receptor-related protein.
,
41- Jensen G.A.
- Andersen O.M.
- Bonvin A.M.
- Bjerrum-Bohr I.
- Etzerodt M.
- Thøgersen H.C.
- O'Shea C.
- Poulsen F.M.
- Kragelund B.B.
Binding site structure of one LRP-RAP complex: implications for a common ligand-receptor binding motif.
). In LRP1 the most juxtamembrane cluster of LA modules LA3–6 that contains linker
O-glycans (
Fig. 1 and
Table S1) appears to be the most important (
9- Fisher C.
- Beglova N.
- Blacklow S.C.
Structure of an LDLR–RAP complex reveals a general mode for ligand recognition by lipoprotein receptors.
,
41- Jensen G.A.
- Andersen O.M.
- Bonvin A.M.
- Bjerrum-Bohr I.
- Etzerodt M.
- Thøgersen H.C.
- O'Shea C.
- Poulsen F.M.
- Kragelund B.B.
Binding site structure of one LRP-RAP complex: implications for a common ligand-receptor binding motif.
). In a recent study of the complete LRP1 protein expressed in HEK293 cells, presumably with GalNAc-T11 directed
O-glycosylation, strong nanomolar interaction with RAP was demonstrated (
42- De Nardis C.
- Lössl P.
- van den Biggelaar M.
- Madoori P.K.
- Leloup N.
- Mertens K.
- Heck A.J.
- Gros P.
Recombinant expression of the full-length ectodomain of LDL receptor-related protein 1 (LRP1) unravels pH-dependent conformational changes and the stoichiometry of binding with receptor-associated protein (RAP).
), suggesting that
O-glycosylation of the linkers in LA modules may not play a role in the interaction with RAP, which is also in line with our finding that surface expression and shedding of LDLR was unaffected by LA module
O-glycosylation (
Fig. 2,
A and
C). The co-crystal structure of RAP with the LA modules 3 and 4 in a complex shows that the acceptor Thr in the LA linker region is facing toward RAP at a distance of ∼10 Å from the closest amino acid of RAP (
9- Fisher C.
- Beglova N.
- Blacklow S.C.
Structure of an LDLR–RAP complex reveals a general mode for ligand recognition by lipoprotein receptors.
), suggesting that
O-glycosylation may occur only after release from RAP.
The ligand binding of LDLR-related proteins resembles the interaction with RAP and depends on the conserved acidic residues in the LA modules (
9- Fisher C.
- Beglova N.
- Blacklow S.C.
Structure of an LDLR–RAP complex reveals a general mode for ligand recognition by lipoprotein receptors.
). Many studies of the ligand binding properties of LDLR and VLDLR have been performed with
E. coli produced truncated receptor constructs (
43- Simmons T.
- Newhouse Y.M.
- Arnold K.S.
- Innerarity T.L.
- Weisgraber K.H.
Human low density lipoprotein receptor fragment: successful refolding of a functionally active ligand-binding domain produced in Escherichia coli.
,
44- Yasui N.
- Nogi T.
- Takagi J.
Structural basis for specific recognition of reelin by its receptors.
45- Martínez-Oliván J.
- Arias-Moreno X.
- Velazquez-Campoy A.
- Millet O.
- Sancho J.
LDL receptor/lipoprotein recognition: endosomal weakening of ApoB and ApoE binding to the convex face of the LR5 repeat.
), which would exclude analysis of the
O-glycans found in the LA linkers. Similarly, studies with LDLR expressed in insect cells are likely to exclude these
O-glycans or at least completely lack sialic acids (
9- Fisher C.
- Beglova N.
- Blacklow S.C.
Structure of an LDLR–RAP complex reveals a general mode for ligand recognition by lipoprotein receptors.
). However, the
O-glycans are not essential for binding, but they induce a marked enhancement in extracellular binding and uptake of LDL and VLDL by LDLR and VLDLR in cell assays. This was clearly shown for LDLR in CHO cells, where deficiency in
O-glycans produced intermediary LDL binding and uptake compared with complete LDLR deficiency and further supported by direct binding assays showing detectable but ∼5-fold lower binding affinity of sLDLR to LDL in the absence of
O-glycans (
Fig. 4,
C and
D, and
Table 1). How
O-glycans exert these effects requires structural studies with appropriately glycosylated receptor constructs, but we envision that the sialylated
O-glycans may participate directly in the ligand interaction by, for example, adding to the negative charges of the conserved aspartic acids in the LA module or perhaps more likely induce local conformational effects that organize consecutive LA modules in more favorable binding mode.
The implications of our findings for the many diseases and conditions associated with the diverse functions of LDLR-related proteins require further studies. Genetic deficiency in
GALNT11 has not been identified so far in man, and it is predicted to be extremely rare if occurring (
34- Hansen L.
- Lind-Thomsen A.
- Joshi H.J.
- Pedersen N.B.
- Have C.T.
- Kong Y.
- Wang S.
- Sparso T.
- Grarup N.
- Vester-Christensen M.B.
- Schjoldager K.
- Freeze H.H.
- Hansen T.
- Pedersen O.
- Henrissat B.
- et al.
A glycogene mutation map for discovery of diseases of glycosylation.
), but
GALNT11 has been identified as a GWAS candidate gene for chronic kidney decline (
46- Gorski M.
- Tin A.
- Garnaas M.
- McMahon G.M.
- Chu A.Y.
- Tayo B.O.
- Pattaro C.
- Teumer A.
- Chasman D.I.
- Chalmers J.
- Hamet P.
- Tremblay J.
- Woodward M.
- Aspelund T.
- Eiriksdottir G.
- et al.
Genome-wide association study of kidney function decline in individuals of European descent.
). The GWAS signal for chronic kidney decline resides in intron one of the
GALNT11 gene, suggesting that the genetic predisposition is a result of altered gene regulation, similar to what has been established for the role of
GALNT2 in dyslipidemia (
19- Khetarpal S.A.
- Schjoldager K.T.
- Christoffersen C.
- Raghavan A.
- Edmondson A.C.
- Reutter H.M.
- Ahmed B.
- Ouazzani R.
- Peloso G.M.
- Vitali C.
- Zhao W.
- Somasundara A.V.
- Millar J.S.
- Park Y.
- Fernando G.
- et al.
Loss of function of GALNT2 lowers high-density lipoproteins in humans, nonhuman primates, and rodents.
,
47- Roman T.S.
- Marvelle A.F.
- Fogarty M.P.
- Vadlamudi S.
- Gonzalez A.J.
- Buchkovich M.L.
- Huyghe J.R.
- Fuchsberger C.
- Jackson A.U.
- Wu Y.
- Civelek M.
- Lusis A.J.
- Gaulton K.J.
- Sethupathy P.
- Kangas A.J.
- et al.
Multiple hepatic regulatory variants at the GALNT2 GWAS locus associated with high-density lipoprotein cholesterol.
). Our study did not directly address the functional role of
O-glycans on other LDLR-related proteins including LRP2; however, GalNAc-T11 is highly expressed in proximal tubules of the kidney, and LRP2 is the major endocytic receptor responsible for reabsorbtion of proteins from the glomerular filtrate (
21- Schwientek T.
- Bennett E.P.
- Flores C.
- Thacker J.
- Hollmann M.
- Reis C.A.
- Behrens J.
- Mandel U.
- Keck B.
- Schäfer M.A.
- Haselmann K.
- Zubarev R.
- Roepstorff P.
- Burchell J.M.
- Taylor-Papadimitriou J.
- et al.
Functional conservation of subfamilies of putative UDP-N-acetylgalactosamine:polypeptide N-acetylgalactosaminyltransferases in Drosophila, Caenorhabditis elegans, and mammals: one subfamily composed of l(2)35Aa is essential in Drosophila.
,
48- Christensen E.I.
- Verroust P.J.
- Nielsen R.
Receptor-mediated endocytosis in renal proximal tubule.
). Given the common structure of the ligand binding LA modules and conservation of LA linker
O-glycan sites directed by GalNAc-T11, we propose that the O-glycans on all the LDLR-related proteins serve similar roles in modulating ligand binding. Moreover, it seems plausible that the identification of
GALNT11 as a GWAS candidate for chronic kidney disease may relate to altered glycosylation and function of LRP2, and further studies into this are clearly warranted. Given the important roles of LDLR and VLDLR in lipoprotein metabolism and hypercholesterolemic conditions (
49- Brown M.S.
- Goldstein J.L.
Receptor-mediated control of cholesterol metabolism.
) and the dramatic effect GalNAc-T11 directed
O-glycosylation has on these receptors, it may be surprising that
GALNT11 has not been associated with cholesterol disorders. We are in progress with such studies, but we did provide evidence that the unique substrate specificity of GalNAc-T11 is at least partially conserved by the
Drosophila ortholog
dGalNAc-T1 also designated l(2)35Aa, which is essential for viability (
21- Schwientek T.
- Bennett E.P.
- Flores C.
- Thacker J.
- Hollmann M.
- Reis C.A.
- Behrens J.
- Mandel U.
- Keck B.
- Schäfer M.A.
- Haselmann K.
- Zubarev R.
- Roepstorff P.
- Burchell J.M.
- Taylor-Papadimitriou J.
- et al.
Functional conservation of subfamilies of putative UDP-N-acetylgalactosamine:polypeptide N-acetylgalactosaminyltransferases in Drosophila, Caenorhabditis elegans, and mammals: one subfamily composed of l(2)35Aa is essential in Drosophila.
,
22A UDP-GalNAc:polypeptide N-acetylgalactosaminyltransferase is essential for viability in Drosophila melanogaster.
). In summary, our study presents conclusive evidence for an important functional role of
O-glycans in modulating the ligand binding properties of the large family of LDLR-related proteins, which provides a novel understanding of the function and potentially regulation of these receptors with wide implications for common diseases.
Article info
Publication history
Published online: May 11, 2018
Received in revised form:
February 27,
2018
Received:
September 22,
2017
Edited by Gerald W. Hart
Footnotes
This work was supported by the Læge Sofus Carl Emil Friis og hustru Olga Doris Friis’ Legat, the Kirsten og Freddy Johansen Fonden, the Lundbeck Foundation, the A.P. Møller og Hustru Chastine Mc-Kinney Møllers Fond til Almene Formaal, the Mizutani Foundation, the Novo Nordisk Foundation, the Danish Research Council Sapere Aude Research Talent Grant (to K. T. S.), and the Danish National Research Foundation (DNRF107). The authors declare that they have no conflicts of interest with the contents of this article.
This article contains Table S1, Figs. S1–S4, and Data Sets S1–S4.
Copyright
© 2018 by The American Society for Biochemistry and Molecular Biology, Inc.