Evans_2019_Arterioscler.Thromb.Vasc.Biol_39_2480

Reference

Title : Functional Characterization of LIPA (Lysosomal Acid Lipase) Variants Associated With Coronary Artery Disease - Evans_2019_Arterioscler.Thromb.Vasc.Biol_39_2480
Author(s) : Evans TD , Zhang X , Clark RE , Alisio A , Song E , Zhang H , Reilly MP , Stitziel NO , Razani B
Ref : Arterioscler Thromb Vasc Biol , 39 :2480 , 2019
Abstract :

OBJECTIVE: LIPA (lysosomal acid lipase) mediates cholesteryl ester hydrolysis, and patients with rare loss-of-function mutations develop hypercholesterolemia and severe disease. Genome-wide association studies of coronary artery disease have identified several tightly linked, common intronic risk variants in LIPA which unexpectedly associate with increased mRNA expression. However, an exonic variant (rs1051338 resulting in T16P) in linkage with intronic variants lies in the signal peptide region and putatively disrupts trafficking. We sought to functionally investigate the net impact of this locus on LIPA and whether rs1051338 could disrupt LIPA processing and function to explain coronary artery disease risk. Approach and Results: In monocytes isolated from a large cohort of healthy individuals, we demonstrate both exonic and intronic risk variants are associated with increased LIPA enzyme activity coincident with the increased transcript levels. To functionally isolate the impact of rs1051338, we studied several in vitro overexpression systems and consistently observed no differences in LIPA expression, processing, activity, or secretion. Further, we characterized a second common exonic coding variant (rs1051339), which is predicted to alter LIPA signal peptide cleavage similarly to rs1051338, yet is not linked to intronic variants. rs1051339 also does not impact LIPA function in vitro and confers no coronary artery disease risk. CONCLUSIONS: Our findings show that common LIPA exonic variants in the signal peptide are of minimal functional significance and suggest coronary artery disease risk is instead associated with increased LIPA function linked to intronic variants. Understanding the mechanisms and cell-specific contexts of LIPA function in the plaque is necessary to understand its association with cardiovascular risk.

PubMedSearch : Evans_2019_Arterioscler.Thromb.Vasc.Biol_39_2480
PubMedID: 31645127
Gene_locus related to this paper: human-LIPA

Related information

Mutation G23R_human-LIPA
Gene_locus human-LIPA

Citations formats

Evans TD, Zhang X, Clark RE, Alisio A, Song E, Zhang H, Reilly MP, Stitziel NO, Razani B (2019)
Functional Characterization of LIPA (Lysosomal Acid Lipase) Variants Associated With Coronary Artery Disease
Arterioscler Thromb Vasc Biol 39 :2480

Evans TD, Zhang X, Clark RE, Alisio A, Song E, Zhang H, Reilly MP, Stitziel NO, Razani B (2019)
Arterioscler Thromb Vasc Biol 39 :2480