Why the study?
Impairment of LRP1 across various cell types is linked to obesity, diabetes, and fatty liver disease, but the metabolic effects of global LRP1 dysfunction remained to be evaluated.
Does an inactivating mutation in the distal NPxY motif of LRP1 alter the metabolic phenotype and tissue inflammation in mice fed a high-fat diet with or without cholesterol?
Does an inactivating mutation in the distal NPxY motif of LRP1 alter the metabolic phenotype and tissue inflammation in mice fed a high-fat diet with or without cholesterol?
An inactivating mutation in the distal NPxY motif of LRP1 protects mice from dietary cholesterol-induced hypercholesterolemia and tissue inflammation by increasing hepatic LDL receptor levels.
LRP1 NPxY mutation effects on HF diet metabolism remain hypothesis-generating in mice; human studies needed before clinical relevance.
The impairment of LDL receptor-related protein-1 (LRP1) in numerous cell types is associated with obesity, diabetes, and fatty liver disease. Here, we compared the metabolic phenotype of C57BL/6J wild-type and LRP1 knock-in mice carrying an inactivating mutation in the distal NPxY motif after feeding a low-fat diet or high-fat (HF) diet with cholesterol supplementation (HFHC) or HF diet without cholesterol supplementation. In response to HF feeding, both groups developed hyperglycemia, hyperinsulinemia, hyperlipidemia, increased adiposity, and adipose tissue inflammation and liver steatosis. However, LRP1 NPxY mutation prevents HFHC diet-induced hypercholesterolemia, reduces adipose tissue and brain inflammation, and limits liver progression to steatohepatitis. Nevertheless, this mutation does not protect against HFHC diet-induced insulin resistance. The selective metabolic improvement observed in HFHC diet-fed LRP1 NPxY mutant mice is due to an apparent increase of hepatic LDL receptor levels, leading to an elevated rate of plasma lipoprotein clearance and lower hepatic cholesterol levels. The unique metabolic phenotypes displayed by LRP1 NPxY mutant mice indicate an LRP1-cholesterol axis in modulating tissue inflammation. The LRP1 NPxY mutant mouse phenotype differs from phenotypes observed in mice with tissue-specific LRP1 inactivation, thus highlighting the importance of an integrative approach to evaluate how global LRP1 dysfunction contributes to metabolic disease development.
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Jaeschke et al. (2020) studied this question.
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