Tissue Specific Regulation of the High Density Lipoprotein (HDL) Receptor, Scavenger Receptor Class B, Type I (SR-BI) by the Scaffold Protein PDZK1 by Sara Anne Fenske B.S. Cellular and Molecular Biology University of Michigan, 2001 Submitted to the Department of Biology in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy at the Massachusetts Institute of Technology ©Massachusetts Institute of Technology All Rights Reserved Signature of Author Sara Anne Fenske Department of Biology Certified by (i Monty Krieger Professor of Biology Thesis Supervisor Accepted by MASCUSTSINTTT -- 1 -- MASSACHUSETTS INSTE OF TECHNOLOGY SEP 0 9 2008 LIBRARIES `----- A•CHIVES, Stephen P. Bell or Tania Baker Professor of Biology Graduate Committee Co-Chair Tissue Specific Regulation of the High Density Lipoprotein (HDL) Receptor, Scavenger Receptor Class B, Type I (SR-BI) by the Scaffold Protein PDZK1 by Sara Anne Fenske Submitted to the Department of Biology in partial fulfillment of the requirements for degree of Doctor of Philosophy in Biology. Abstract PDZK1 is a four PDZ-domain containing cytoplasmic adaptor protein that binds the Cterminus of the high-density lipoprotein (HDL) receptor SR-BI. Abolishing PDZK1 expression in PDZK1 knockout (KO) mice leads to a post-transcriptional, tissue-specific decrease in SR-BI protein level and an increase in total plasma cholesterol carried in abnormally-large HDL particles. A greater than 95% decrease in SR-BI expression levels is observed in the livers of PDZK1 KO mice. The mechanism behind this tissue-specific regulation of SR-BI expression is unclear. PDZK1 comprises multiple structural features that, aside from the first PDZ domain, which binds SR-BI, are not known to interact with SR-BI. It seems probable that these structures (three PDZ domains, at least one phosphorylation site on the C-terminal tail, and a putative PDZbinding motif at its C-terminus) might interact with other cellular components to influence hepatic SR-BI expression. This thesis explores the role of PDZKI's structural features in the PDZKl-dependent regulation of hepatic SR-BI through the hepatic expression of PDZK1 and various truncation and point mutants of PDZK1 in wild-type (WT) and PDZK1 KO mice. These studies demonstrated that overexpression of the first PDZ domain of PDZK1 can affect hepatic SR-BI abundance and localization in both WT and PDZK1 KO mice, but was not sufficient to restore normal SR-BI function in PDZK1 KO mice. Overexpression of the first three domains of PDZK1 in PDZK1 KO mice was able to partially restore cell-surface localization and function of hepatic SR-BI, but was not able to fully restore SR-BI abundance, localization and abundance. Overexpression of full-length PDZK1 or a mutant missing the C-terminal PDZ-binding motif of PDZK1 in PDZK1 KO mice was sufficient to restore normal SR-BI abundance and activity. Therefore, we conclude that some structural feature of PDZK1 between the PDZ3 domain and the C-terminal PDZ-binding motif is required for normal SR-BI expression and. thus, function. It is possible that this feature may be the PDZ4 domain of PDZK1, as preliminary data suggests that overexpression of the four PDZ domains of PDZK1 (missing the C-terminal tail) might be able to fully restore hepatic SR-BI function. Thesis Supervisor: Monty Krieger Title: Professor of Biology Acknowledgements Many have helped and supported me during the past seven years. To list them all and what they have done for me would require too many pages, so I will keep this brief and trust that my friends and colleagues know how much I appreciate all that they have done, and that I thank them sincerely, even if they are not specifically named here. I would like to thank my advisor, Monty Krieger, for all of his help, support, advice and puns. He has been a wonderful mentor. I would like to thank my thesis defense committee members Hazel Sive, Olivier Kocher, Harvey Lodish, and David Sabatini for agreeing to serve on my committee. I would also like to thank Harvey Lodish and David Sabatini for being members of my thesis committee for the entirety of my graduate career and for the helpful advice and suggestions they've given me during our discussions. I would also like to thank Olivier Kocher for allowing me to collaborate with him, and for sharing his lab and scientific expertise with me. Thank you to all of my collaborators, especially Attilio Rigotti, the members of the Kocher lab, and Adelina Duka. To the Krieger Lab, it would be too difficult to describe what each person has done for me, so I will simply say thank you for your friendship, encouragement, and lunchtime conversations. Finally, I would like to thank my husband and my family for all of their love and support. Table of Contents Abstract Acknowledgements Table of Contents List of Abbreviations List of Figures 3 5 6 8 10 Chapter One: Introduction Section One: Cholesterol and Lipoprotein Metabolism I Cholesterol A Cholesterol and Atherosclerosis II Lipoproteins A LDL 1 LDL Structure 2 LDL-Receptor Mediated Endocytosis B HDL III Scavenger Receptor, Class B, Type I A Scavenger Receptors B SR-BI Structure and Function C SR-BI Activity In Vivo D Regulation of SR-BI Section Two: PDZ Domains and PDZ Proteins I PDZ Domain Structure II PDZK1 Section Three: Overview of Questions Addressed in this Dissertation References 13 15 Chapter Two: Overexpression of the PDZ1 Domain of PDZK1 Blocks the Activity of Hepatic Scavenger Receptor Class B, Type I (SR-BI) by Altering its Abundance and Cellular Localization Abstract Introduction Experimental Procedures Results Effects of the PDZK1-Tg on hepatic SR-BI expression and lipoprotein metabolism Effects of the PDZ1-Tg on lipoprotein metabolism and hepatic SR-BI expression Discussion References Acknowledgements 45 16 16 18 18 19 20 21 21 22 25 25 27 27 29 34 37 47 49 50 53 55 58 62 64 66 Chapter Three: Hepatic Cell-Surface Localization of the High-Density Lipoprotein Receptor, SR-BI, is Controlled by the First Three PDZ Domains of PDZK1 Abstract Introduction Experimental Procedures Results Effects of the pTEM-Tg on hepatic SR-BI expression and lipoprotein metabolism Effects of the PDZl.2-Tg and PDZl.2.3-Tg on lipoprotein metabolism and hepatic SR-BI expression Discussion References Acknowledgements Chapter Four: Determining the Effects of Expressing Three PDZK1 Mutants (PDZ1.2.3.4, MUT2, and PDZ2.3.4) on Hepatic SR-BI Function PDZl.2.3.4 MUT1 and MUT2 PDZ2.3.4 and Adenovirus Production Experimental Procedures References Chapter Five: Conclusions and Future Investigations Summary of Findings Future Investigations References Appendix 1: Isolating Genes Related to the Function of SR-BI, an HDL Receptor Summary Experimental Procedures References 67 69 70 72 74 76 79 85 87 89 91 93 96 101 104 106 107 109 111 115 117 119 120 121 List of Abbreviations e-COP - Epsilon coatomer protein ABC - ATP binding cassette ABCA1 - ATP binding cassette transporter Al ABCG1 - ATP binding cassette transporter Gi ABCG4 - ATP binding cassette transporter G4 apoA-I - Apolipoprotein A-I apoA-IV - Apolipoprotein A-IV apoB - Apolipoprotein B apoB-100 - Apolipoprotein B-100 apoB48 - Apolipoprotein B48 apoC - Apolipoprotein C apoC-I - Apolipoprotein C-I apoD - Apolipoprotein D apoM - Apolipoprotein M apoE - Apolipoprotein E ATP - Adenosine-5'-triphosphate BCR - Breakpoint cluster region protein C/EBP - CCAAT/ enhancer-binding protein CETP - Cholesteryl ester transfer protein CFEX - Chloride-formate exchanger CFTR - Cystic fibrosis transmembrane conductance regulator CHD - Coronary heart disease CHO - Chinese hamster ovary CIC3B - Chloride channel PDZ isoform 3B D-AKAP2 - Dual-specific protein kinase A-anchoring protein 2 DNA - Deoxyribonucleic acid ECL - Enhanced chemiluminescent eNOS - Endothelial nitric oxide synthase ER - Endoplasmic reticulum FPLC - Fast performance liquid chromatography GST - Glutathione-S-transferase hOAT4 - Organic anion transporter 4 HDL - High-density lipoproteins HMG-CoA - P-hydroxy-3-methylglutaryl CoA IDL - Intermediate-density lipoproteins IgG - Immunoglobulin G kb - Kilobase kDa - Kilodalton KO - Knockout LCAT - Lecithin: cholesterol acyltransferase LDL - Low-density lipoproteins LPL - Lipoprotein lipase LRH-1 - Liver receptor homolog 1 LXR - Liver X receptor MAP17 - Membrane-Associated Protein 17 MRP2 - Multi-drug resistance protein 2 MRP4 - Multi-drug resistance protein 4 MUC17/ Muc3(17)) - Mucin 17 MUPP1 - Multi-PDZ-domain protein NaPi-I - Sodium-phosphate cotransporter I NaPi-IIa - Sodium-phosphate cotransporter IIa NHE3 - Na+/H+ exchanger isoform 3 NHERF-1- Na+/H+ exchanger regulatory factor 1 NHERF-2 - Na+/H+ exchanger regulatory factor 2 nm - Nanometer NOS2 - Nitric Oxide Synthase 2 OATP-A/ OATP1A2 - Organic anion transporting polypeptide A OATP-1/ OATP1A1 - Organic anion transporting polypeptide 1 OAtp5/ OATP1A6 - Organic anion transporting polypeptide 5 OK - Oossum kidney OCTN1 - Organic cation transporter 1 OCTN2 - Organic cation transporter 2 PCR - Polymerase Chain Reaction PDZ - postsynaptic density protein (PSD-95)/Drosophila disc large tumor suppressor (dlg)/tight junction protein (ZOl) PEPT-1 - Peptide transport 1 PEPT-2 - Peptide transport 2 PKA - Protein kinase A PLTP - Phospholipid transfer protein PPARa, y - Peroxisome proliferator activated receptor a, y RNA - Ribonucleic acid S1P - Site 1 protease S2P - Site 2 protease SCAP - SREBP cleavage activating protein SLK - Ste20-related serine/threonine protein kinase SR-AI - Scavenger Receptor, Class A, Type I SR-AII - Scavenger Receptor, Class A, Type II SR-BI - Scavenger Receptor, Class B, Type I SR-BII - Scavenger Receptor, Class B, Type II SR-BIII - Scavenger Receptor, Class B, Type III SR-CI - Scavenger Receptor, Class C, Type I SR-CII - Scavenger Receptor, Class B, Type II SREs - Sterol regulatory elements SREBPs - Sterol regulatory element -binding proteins TC - Total cholesterol Tg - Transgenic TGN - Trans Golgi Network UC - Unesterified cholesterol URAT1 - Organic anion transporter 1 VLDL - Very low-density lipoprotein WT - Wild-type List of Figures and Tables Chapter One: Introduction Figure 1. Structure of cholesterol Table 1. Characteristics of the major classes of human Plasma Lipoproteins Figure 2. Representation of the structure of an LDL particle Figure 3. Receptor-mediated endocytosis of LDL by the LDL receptor Figure 4. Model of the topology of murine SR-BI Figure 5. Model for selective lipid uptake from HDL via SR-BI Figure 6. Model of PDZK1 protein structure Table 2. List of proteins reported to interact with PDZK1 Figure 7. Diagrams of wild-type and mutant PDZK1 protein structures 15 18 19 20 23 24 29 29 36 Chapter Two: Overexpression of the PDZ1 Domain of PDZK1 Blocks the Activity of Hepatic Scavenger Receptor Class B, Type I (SR-BI) by Altering its Abundance and Cellular Localization Figure 1. Hepatic expression of PDZK1 and PDZ1 transgenes 54 Figure 2. Effect of expression of the PDZK1 transgene on hepatic 56 SR-BI protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice Figure 3. Immunohistochemical analysis of hepatic SR-BI in WT and 57 PDZK1 KO nontransgenic (A and B), PDZK1 transgenic (C and D), and PDZ1 transgenic (E and F) mice. Figure 4. Effect of expression of the PDZ 1 transgene on hepatic SR-BI 60 protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice. 61 Figure 5. Immunoblot analysis of the effects of the PDZ 1 transgene on the N-glycosylation of hepatic SR-BI in WT mice. Chapter Three: Hepatic Cell-Surface Localization of the High-Density Lipoprotein Receptor, SR-BI, is Controlled by the First Three PDZ Domains of PDZK1 Figure 1. Hepatic expression of PDZ1.2, PDZ1.2.3 and pTEM transgenes. 75 Figure 2. Effects of expression of the pTEM transgene on hepatic SR-BI 77 protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice. 78 Figure 3. Immunohistochemical analysis of hepatic SR-BI in WT and PDZK1 KO nontransgenic (A and B), pTEM transgenic (C and D), PDZ1.2 transgenic (E and F), and PDZ1.2.3 transgenic mice. 81 Figure 4. Effects of expression of the PDZ1.2 transgene on hepatic SR-BI protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice. 83 Figure 5. Effect of expression of the PDZ1.2.3 transgene on hepatic (B and C) cholesterol lipoprotein (A) and plasma protein levels SR-BI in WT and PDZK1 KO mice. Chapter Four: Determining the Effects of Expressing Three PDZK1 MUT2, and PDZ2.3.4) on Hepatic SR-BI Function Figure 1. Structures of PDZKl, the truncation mutants PDZ1.2.3.4 and PDZ2.3.4, and the point mutant MUT2. Table 1. Effect of PDZl.2.3.4-Tg on plasma cholesterol levels in two founder lines. Figure 2. Effect of expression of the PDZ1.2.3.4 transgene on plasma lipoprotein cholesterol profiles in WT and PDZK1 KO mice from founder 1159. Figure 3. In vitro binding of PDZK1 point mutants to the SR-BI C-terminal peptide. Table 2. Effect of MUT1-Tg expression on plasma cholesterol levels in three founder lines. Table 3. Effect of MUT2-Tg on plasma cholesterol levels in three founder lines. Figure 4. Effect of expression of the MUT2 transgene on plasma lipoprotein cholesterol profiles in WT and PDZK1 KO mice from founder 694. Figure 5. Hepatic expression of PDZK1 and PDZ2.3.4 by adenovirus in WT mice. Table 4. Effect of Ad.EA1l, Ad.PDZK1, Ad.PDZ2.3.4 hepatic expression on plasma cholesterol levels in WT and PDZK1 KO mice. Chapter Five: Conclusions and Future Investigations Figure 1. Diagrams of wild-type and mutant PDZK1 protein structures. Mutants (PDZ1.2.3.4, 94 94 95 97 98 99 100 100 103 109 Chapter One Introduction Section One: Cholesterol and Lipoprotein Metabolism I. Cholesterol In 1816, the chemist Michel Chevreul suggested to a meeting of the French Academy of Sciences that a fat-like substance, discovered decades before in gallstones, be called cholesterine. The structure of cholesterine, or cholesterol (Figure 1), was not determined, however, until 1932 through the work of numerous investigators, including Adolf Windaus and Heinrich Wieland, who won the Nobel prize for their work elucidating the structures of cholesterol and bile acids (1,2). 0113 %A. HO Figure 1: Structure of Cholesterol Regulation of cholesterol levels and transport is essential to many cell functions. Cholesterol is a key structural component of many eukaryotic membranes, where it maintains proper membrane fluidity by packing between phospholipids in membranes. It also serves as the substrate for synthesis of steroid hormones in endocrine tissues (e.g. adrenal gland, ovary, and testis), bile acids in the liver, vitamin D in the skin and kidney, and covalent-modification of the signaling protein hedgehog (3,4). One source of cholesterol for cells is endogenous synthesis from mevalonate and isoprenoid precursors. A key enzyme in this process, 0-hydroxy-3methylglutaryl CoA (HMG-CoA) reductase, converts HMG-CoA into mevalonate in the early steps of the biosynthetic pathway, and it's expression is controlled by the cell as one method of regulating cholesterol synthesis (reviewed in greater detail in under LDL-receptor mediated endocytosis). In addition to biosynthesis of cholesterol, cells also take up cholesterol from plasma lipoproteins, large particles composed of protein and lipid (reviewed in greater detail in the sections ahead). Most cholesterol in human plasma is carried by low-density lipoproteins (LDL) and high-density lipoproteins (HDL), whose structures, function, and metabolism will be discussed in detail in the sections to follow (4). A. Cholesterol and Atherosclerosis Cholesterol and the major plasma cholesterol carriers HDL and LDL are perhaps best known for their role in the development of atherosclerosis and heart disease. Heart disease has been the leading cause of death in the United States for the past 80 years, and the primary cause of heart disease is atherosclerosis (5). Atherosclerosis pathogenesis is a complex process in which a fatty deposit (called an atherosclerotic plaque) builds up in the inner lining of the wall of arteries. This process is known to involve both lipid metabolism and inflammation. Early-stage atherosclerotic plaques are composed of cholesterol-laden macrophage cells, called foam cells, that accumulate in the blood vessel wall. As the plaque develops and grows larger, portions of the plaque become fibrotic and the plaque develops a fibrous cap. If the atherosclerotic plaque becomes fragile, it can rupture, causing a blood clot to form, significantly or completely blocking blood flow in the vessel (6, 7). If this blockage occurs in a blood vessel that feeds the heart, this causes a myocardial infarction, otherwise known as a heart attack. One of the first studies to link cholesterol to atherosclerosis was performed in 1913 by a pathologist named Anitschkow, who demonstrated that rabbits fed purified cholesterol dissolved in sunflower oil developed high plasma cholesterol levels and vascular lesions that closely resembled human atherosclerosis (6). Multiple epidemiological studies, including the famous Framingham Heart Study, begun in 1950, have demonstrated a positive correlation between blood cholesterol levels and the risk of coronary heart disease (CHD). These studies also revealed a positive correlation between plasma cholesterol levels carried by LDL particles and CHD, and an inverse correlation between HDL cholesterol levels and CHD (8). This link between LDL cholesterol levels and heart disease was further elucidated by the work of Brown and Goldstein investigating the cause of familial hypercholesterolemia, a disease characterized by abnormally high plasma LDL cholesterol levels and early-onset CHD. This work led to the elucidation of the LDL receptor pathway (which is discussed in greater detail in subsection II.A.2), as well as demonstrating that loss of LDL receptor activity could lead to high plasma LDL cholesterol levels, which, in turn, leads to atherosclerosis (9). Later studies pointed to the potential role of modified forms of LDL, such as oxidized LDL, and their interaction with scavenger receptors found on macrophages in the development foam cells found in atherosclerotic lesions (9). In contrast, HDL is thought to be involved in a process called reverse cholesterol transport. In this process, HDL removes cholesterol from extrahepatic tissues, including excess cholesterol in macrophage foam cells, and delivers it to the liver for excretion in the bile, thereby removing excess cholesterol from the body. It is thought that HDL's role in reverse cholesterol transport may explain, at least in part, the atheroprotective role it plays (10) II. Lipoproteins Due to their hydrophobicity, cholesterol and other lipids, including triglycerides and phospholipids, are carried through the plasma in macromolecular particles called lipoproteins. Lipoproteins are composed of a non-polar core of neutral lipid surrounded by an amphipathic outer shell which includes proteins (called apolipoproteins), phospholipids, and unesterified or free cholesterol (11). There are five distinct lipoproteins, each with their own function (Table 1). The largest lipoprotein, chylomicrons are formed from dietary fats, and lipids secreted in bile that are reabsorbed from the gastrointestinal lumen. The neutral lipid at the core of the chylomicron is mainly triglycerides, and apoB48 and apoE are the key proteins in this particle (see Table 1 for further details). Chylomicrons are synthesized by the intestines and secreted into the lymph. Once in the plasma, the triglyceride molecules in the core are hydrolyzed by lipoprotein lipase (LPL), which is an enzyme bound to endothelial cells in capillaries. This hydrolysis reduces the volume of the chylomicron particle, leading to loss of surface molecules such as phospholipids, unesterified cholesterol, and transferable apolipoproteins to other circulating lipoproteins, especially HDL particles. The remaining particle is called a chylomicron remnant, which is quickly taken up by the liver via receptor-mediated endocytosis (4). Very low-density lipoprotein (VLDL) particles are another apoB containing triglyceriderich lipoprotein. VLDL particles contain apoB 100 and apoE, though VLDLs in rodents also contain apoB48 (see Table 1 for further details). These particles are synthesized by the liver and secreted into the blood. Like chylomicrons, the triglycerides in VLDL particles are hydrolyzed by LPL. This results in a loss of volume, transforming VLDL particles into intermediate-density lipoproteins (IDL) (Table 1). These IDL particles are either endocytosed by the liver, or further acted upon by hepatic lipase (which hydrolyzes phospholipids, and to a lesser extent triglycerides, on lipoproteins) and cholesteryl ester transfer protein (which transfers cholesteryl esters from HDL particles to IDL/LDL particles in exchange for triglycerides) to convert the IDL particle into a low-density lipoprotein (LDL) (4). Properties Diameter (nm) Triglycerides (% of core lipid) Cholesteryl Esters (% of core lipids) Protein: Lipid Mass Ratio Major Apolipoproteins Apolipoproteins Major Physiological Function Chylomicron VLDL IDL LDL HDL 75-1200 30-80 23-35 18-25 5-12 75 31 12 11 3 25 69 88 89 1:100 9:100 17:100 25:100 90:100 A, B-48, C, E B-100, C, E B-100, E B-100 A, C Transports dietary triglycerides to extrahepatic tissues; Triglyceridedepleted remnants deliver dietary cholesterol and some triglycerides to the liver Transports hepatic triglycerides to extrahepatic tissues; Converted into IDL Transient intermediate between VLDL and LDL; Transports lipids to liver Transports plasma cholesterol to the liver and to extrahepatic tissues Takes up cholesterol from extrahepatic tissues and delivers it to the liver, steroidogenic tissues, and other lipoproteins Table 1: Characteristics of the Major Classes of Human Plasma Lipoproteins (142, 143, 165). A. LDL LDL particles are the main carriers of cholesterol, as cholesteryl ester, in human plasma (12). 1. LDL Structure LDL particles are composed of a neutral lipid core, comprising mainly cholesteryl esters and some triglycerides, surrounded by an amphipathic shell composed of phospholipids, unesterified cholesterol, and a single copy of the apoB-100 protein (13) (see Table 1 and Figure 2 for further details). Cholesterol Phospholipid Figure 2: Representation of the structure of an LDL particle. LDL is a spherical macromolecule containing mainly cholesteryl ester and some triglycerides at its core, with a shell comprising phospholipid, unesterified cholesterol and a single copy of apoB- 100. 2. LDL-Receptor Mediated Endocytosis The work of Brown and Goldstein led to the elucidation of the mechanism by which LDL particles deliver their cholesterol to the liver and extrahepatic tissues (Figure 3). The LDL receptor, which mediates the cellular uptake of LDL cholesterol, is mostly expressed in the liver, though it is expressed at lower levels in other tissues (4). During receptor-mediated endocytosis, the LDL receptor, located in clathrin-coated pits on the cell surface, binds LDL particles by their apoB-100 component with high affinity, followed by endocytosis through coated vesicles that convert to endosomes. The low pH in the lumen of endosomal compartments results in the dissociation of the LDL particle from its receptor, followed by recycling of the receptor to the cell surface. The entire LDL particle is degraded in the lysosome by enzymatic hydrolysis, releasing the cholesterol for cellular metabolism (14). Loss of LDL receptor activity, due to mutations in the LDL receptor (as in the case of familial hypercholesterolemia) or in proteins involved in the receptor-mediated endocytosis pathway (as in the case of autosomal recessive hypercholesterolemia) leads to increased plasma cholesterol levels found in apoB-containing particles, especially LDL particles (15-19). Transfer of Lipoprotein Cholesterol to Cells a. LDL Receptor-Mediated Endocytosis TGN GOLGI RER NUCLEUS LDL Receptor LDL C Figure 3. Receptor-mediated endocytosis of LDL by the LDL Receptor. Reprinted, with permission, from the Annual Review of Biochemistry, Volume 68 (c) 1999 by Annual Reviews www.annualreviews.org (14). Both expression of the LDL receptor and endogenous cholesterol biosynthesis are controlled by cholesterol-mediated negative feedback regulation through sterol regulatory element -binding proteins (SREBPs) found in the endoplasmic reticulum (ER) membrane. SREBPs contain an amino-terminal transcription factor domain, which controls gene transcription through binding to sterol regulatory elements (SREs). In sterol-poor cell environments, the SREBP binds to an ER integral membrane sterol-sensing protein called SREBP cleavage activating protein or SCAP. This interaction allows for the first proteolytic cleavage of SREBP from its C-terminal regulatory domain by Site 1 protease (S 1P), followed by cleavage by the Site 2 protease (S2P) within one of the SREBP's integral membrane domains, releasing the SREBP transcription factor into the cytoplasm. This allows the SREBP transcription factor to enter the nucleus and, along with other transcription factors, upregulate transcription of genes involved in the biosynthetic pathway of cholesterol, such as HMG-CoA synthase and HMG-CoA reductase, as well as expression of the LDL receptor. Build-up of sterols in the cell blocks proteolytic release of SREBP (20). B. HDL Like LDL, HDL particles are composed of a neutral lipid core of mainly cholesteryl esters, and an amphipathic shell composed of phospholipids, cholesterol and apolipoproteins. Unlike LDL, which contains a single copy of apoB-100, HDL contains multiple apolipoproteins. In addition to the minor apolipoprotein components, such as apoA-IV, apoC, apoD, apoM and apoE; HDL's major apolipoproteins are apoA-I, which constitutes approximately 70% of HDL protein and is present on almost all HDL particles, and apoA-II, which constitutes about 20% of HDL protein and is present on approximately two-thirds of particles (4, 21). HDL biosynthesis begins with the secretion of lipid-free or lipid-poor apoA-I by the intestines and liver or the release of lipid-poor apoA-I from triglyceride-rich lipoproteins during lipolysis. This form of HDL is known as Pre-P HDL (22). This is followed by lipidation of the apoA-I protein through efflux of cellular phospholipids and cholesterol via the ATP-binding cassette transporter protein ABCA1, forming discoidal HDL. ABCA1 is highly expressed in macrophages, and defects in ABCA1 function are the cause of Tangier disease, which is characterized by an almost complete lack of plasma HDL, accumulation of macrophage foam cells in various tissues, and a moderate increase in the risk for atherosclerosis (10). Discoidal HDL is remodeled into spherical a-HDL, the most abundant form of HDL, by the enzyme lecithin: cholesterol acyltransferase (LCAT), which circulates in the blood bound to lipoproteins or in lipid-free form. LCAT transfers the 2acyl group from lecithin or phosphatidylethanolamine to the hydroxyl group on free cholesterol to generate cholesteryl esters, which constitute the core of the mature, alpha-HDL particle. Further remodeling occurs through the exchange of lipids between HDL and other lipoproteins, such as VLDL, IDL and LDL particles (23), such as the transfer of phospholipids to HDL from other lipoproteins by phospholipid transfer protein (PLTP), following hydrolysis of the triglyceride core by lipoprotein lipase (21). Further addition and removal of HDL cholesterol is performed by several different proteins. ABCG1 and ABCG4 are members of the ABC family of half transporters that form homodimers to function (24). ABCG1 is expressed in a number of extrahepatic tissues, including macrophages, brain, thymus, spleen and lung, while ABCG4 is expressed in the eye and brain. Both ABCG1 and ABCG4 promote cholesterol efflux from cells to HDL and other lipoproteins, but not to lipid-free apoA-I. The mechanism behind this efflux is not clear, but it does not seem to require that these transporters bind the acceptor lipoproteins in certain cell types (23, 25), though binding of ABCG1 to HDL was detected in cultured macrophages (26). ABCGI appears to translocate cholesterol to cell-surface lipid domains that are accessible to extracellular lipoproteins (23, 25). Cholesteryl esters are removed from HDL particles by Cholesteryl ester transfer protein (CETP), which transfers cholesteryl esters from HDL to apoB-containing particles in exchange for triglycerides, shifting plasma cholesteryl esters from HDL to LDL and VLDL particles (27). Organisms that do not express CETP, such as mice, have most of their plasma cholesteryl esters carried by HDL, while organisms that do express CETP, such as humans, carry the majority of their cholesteryl esters in LDL particles (21). III. Scavenger Receptor, Class B, Type I A. Scavenger Receptors One of the most extensively studied proteins involved in cholesterol uptake from and efflux to HDL is the HDL receptor Scavenger Receptor, Class B, Type I (SR-BI). SR-BI is a member of the scavenger receptor family, which are cell-surface transmembrane proteins that can bind modified lipoproteins, such as acetylated or oxidized LDL. Brown and Goldstein and colleagues first identified scavenger receptor activity while examining the mechanisms behind the accumulation of LDL cholesterol in macrophages in atherosclerotic plaques (14). These receptors were found to mediate cholesterol uptake from modified LDL into cultured macrophages, causing these cells to become cholesterol-laden and to resemble the foam cells present in atherosclerotic lesions. Macrophage scavenger receptors are considered potentially important players in the development of atherosclerosis because of the key role oxidized LDL is thought to play in the generation of atherosclerotic lesions (28). Several classes of scavenger receptors, expressed in a variety of tissues, including macrophages, have been characterized over the past 19 years. These classes of receptors are grouped by structural similarity, generally by sequence comparisons; and identified as class A, class B, etc. Individual receptor proteins within each class are labeled as separate types: type I, type II, and so on. Different types of receptors within each class can either be products of alternatively spliced mRNAs from a single gene, as is the case with the first identified scavenger receptors SR-AI and SR-AII; or products from different genes, as in the case of SR-CI and SRCII (14). SR-BI belongs to the class B scavenger receptors, which, among others, include the protein CD36, as well as SR-BII, which is an alternatively spliced product of the SR-B gene (SRBII will be further discussed in the sections to follow). In addition to binding a variety of typical scavenger receptor ligands, such as modified lipoproteins, maleylated bovine serum albumin, advanced glycation end-product modified proteins, and apoptotic cells, SR-BI also binds the native lipoproteins HDL, LDL and VLDL. However, most studies have focused on SR-BI as the high-affinity HDL receptor. SR-BI binds cholesteryl-ester rich spherical a-HDL particles via their lipoproteins with higher affinity than lipid-poor pre3-HDL particles or lipid-free apoA-I (28). B. SR-BI Structure and Function SR-BI (Figure 4) is a 509 amino-acid-long integral membrane cell-surface glycoprotein. The proposed topology, based on sequence similarity to another class B scavenger receptor, CD36, is a horseshoe-like extracellular loop, with multiple N-glycosylation and disulfide-bond sites. N- and C-terminal transmembrane domains flank this extracellular loop. SR-BI also has short N- and C-terminal cytoplasmic domains (8 amino-acids and 44 amino-acids respectively) (29-31). SR-BI cell surface expression and activity are substantially reduced when either one of 2 of the 11 N-linked glycosylation sites is removed by mutation (32). SR-BI is also fatty acylated at two sites near the C-terminus (29). In addition, alternative splicing of the SR-BI mRNA product, skipping the 12th exon of the SR-BI gene, produces a variant called SR-BII, which is three residues shorter than SR-BI and differs from SR-BI in its final 39 C-terminal amino acids that compose the C-terminal cytoplasmic domain. SR-BII accounts for only 5-15% of the SR-BI/BII protein in various tissues, is endocytosed from the cell surface and primarily localized intracellularly (33-35). A third mRNA splice variant, SR-BIII, has been reported in a single publication as being detected in human atherosclerotic plaques. The putative protein sequence for SR-BIII would differ from SR-BI in its final 43 amino acids (36). outsid inside Figure 4. Model of the topology of murine SR-BI. Reprinted, with permission, from the Annual Review of Biochemistry, Volume 68 (c) 1999 by Annual Reviews www.annualreviews.org. In addition to binding lipoproteins, SR-BI can also mediate lipid uptake from lipoprotein particles into cells. The mechanism by which SR-BI does this differs from that of the LDL receptor. The LDL receptor pathway for the delivery of lipoprotein cholesterol to cells involves clathrin-coated pit-mediated endocytosis, with subsequent lysosomal degradation of the entire LDL particle (37). In contrast, SR-BI employs a mechanism, termed selective uptake, to bring cholesteryl ester into the cell (38-41) (Figure 5). Selective uptake does not require the endocytosis and subsequent degradation of the entire HDL particle (42-44). Instead, SR-BI mediates the binding of the HDL particle to the cell surface, followed by binding-dependent lipid transfer of cholesteryl esters to the cell (38, 45, 46). The lipid-depleted HDL particle then dissociates and re-enters the circulation. Though SR-BI can bind and mediate lipid uptake from lipoproteins other than HDL (such a LDL and VLDL), SR-BI displays nonreciprocal cross competition between HDL and LDL, in which HDL can block all LDL binding but LDL is a poor inhibitor of HDL binding to SR-BI (47, 48). For this reason, LDL is not thought to be effective at interfering with HDL binding to SR-BI in vivo. Mutational analyses of SR-BI demonstrated that alteration of certain residues on SR-BI are capable of inhibiting detectable HDL binding, but not LDL binding (48). Figure 5. Model for selective lipid uptake from HDL via SR-BI. CD36, another class B scavenger receptor and homolog of SR-BI, is able to bind HDL, but is not able to mediate efficient selective lipid uptake. A structure/function analysis of SR-BI, in which chimeras were constructed between SR-BI and CD36, established that the extracellular domain of SR-BI is sufficient to confer efficient selective uptake activity on the cytoplasmic and transmembrane domains of CD36 (45, 49). In addition to lipid uptake from HDL, SR-BI can also mediate the bi-directional flux of free (unesterified) cholesterol between cells and HDL. There is a strong correlation between the level of SR-BI expression and the rate of cholesterol efflux to HDL in a variety of cell types, including cultured macrophages (50), and this efflux is dependent on HDL binding to SR-BI (51). This flux of cholesterol between HDL and cells via SR-BI is closely linked to the composition and phospholipid content of the lipoprotein (52, 53). C. SR-BI Activity In Vivo A large body of work using in vivo, primarily murine, systems shows that SR-BI plays a key role in HDL metabolism. SR-BI is highly expressed in the liver and steroidogenic tissues (adrenal gland, ovary and testis), which have the highest levels of HDL selective lipid uptake, but is also expressed at lower levels in the intestines, lungs, macrophages, endothelial cells, smooth muscle cells, neuroglia, retinal pigment epithelial cells, and keratinocytes (4, 38). Experimental changes in SR-BI expression in the mouse lead to changes in total plasma cholesterol levels, HDL structure, biliary cholesterol secretion, and the amount of cholesterol stored in steroidogenic tissues (39, 40, 54-57). Hepatic overexpression of SR-BI by adenovirus or stable transgene leads to a dramatic reduction in plasma HDL cholesterol levels and a concurrent increase in the cholesterol concentration in hepatic bile (39, 58-61). Furthermore, there are severe consequences if the SR-BI gene is knocked-out in mice (SR-BI KO mice), including a 2- to 2.5-fold increase in plasma cholesterol levels found in abnormally large HDL particles, an abnormal unesterified: total plasma cholesterol ratio (-0.5 in SR-BI KO mice compared to -0.25 in controls), and reduced biliary cholesterol secretion and gallbladder bile cholesterol content without changes in either biliary bile acid or phospholipid secretion, bile acid pool size, or fecal bile excretion (57, 62). In addition, SR-BI KO mice display female infertility, due to an apparent defect in oocyte maturation and development (62); defects in red blood cell maturation (62, 63); and a reduced platelet count (65). Liver specific expression of SR-BI in SRBI KO mice results in normal plasma cholesterol levels and a normal unesterified: total plasma cholesterol ratio, and restoration of female fertility and a normal platelet count (64, 65). When the SR-BI knockout mouse is crossed with mouse models of atherosclerosis, dramatic acceleration in the onset and/or development of atherosclerosis is observed (62, 66). In addition, bone marrow transplant studies in mice indicate that SR-BI expression in bone marrow- derived cells is atheroprotective (67-69), indicating that SR-BI-mediated efflux of cholesterol from macrophages might be anti-atherogenic. All of these studies demonstrate the important role that SR-BI, especially hepatic SR-BI, plays in HDL metabolism and reverse cholesterol transport. D. Regulation of SR-BI The SR-BI gene is found on chromosome 12 in humans and rats and chromosome 5 in mice and comprises 13 exons (33). SR-BI transcriptional regulation can be affected by a number of dietary, hormonal, metabolic and pharmacological manipulations. In hamsters, hepatic SR-BI expression is stimulated by dietary plant-derived polyunsaturated fatty acids, and is suppressed by dietary myristic acid. Dietary vitamin E levels inversely regulate hepatic SR-BI expression in mice. In rats, pharmacologic estrogen levels reduce SR-BI expression in the liver (28), but stimulate SR-BI expression in ovaries and adrenal gland (70). Interestingly, estrogen increases the hepatic expression of SR-BII via an unknown post-transcriptional mechanism (71). The human and rat promoters of the SR-BI are the best-studied, and have been shown to contain consensus-DNA sequences that bind a number of transcription factors, including steroidogenic factor-1 (SR-1), CCAAT/ enhancer-binding protein (C/EBP), sterol-regulatory element binding protein 1 (SREBP-1), liver X receptor (LXR), and liver receptor homolog 1 (LRH-1). Regulation of SR-BI expression by various molecules is likely to involve these and other as yet unidentified transcription factors. In vitro and in vivo studies have demonstrated the important role of nuclear receptors such as farnesoid X receptor (FXR), LXR, LRH-1, peroxisome proliferator activated receptor a (PPARa), and PPARy in regulating SR-BI transcription (4, 72). Post-transcriptional regulation of SR-BI protein function needs further investigation as well. The role of subcellular localization in regulating SR-BI protein function remains unclear. Though degradation of the HDL particle in SR-BI-mediated selective uptake is not required, some have suggested a potential role for transient internalization of HDL bound to SR-BI in cholesteryl ester uptake and cholesterol efflux. In hepatocyte couplets, SR-BI was found in juxtanuclear compartments, accompanied by the transient internalization of HDL followed by resecretion or retroendocytosis (73-75). In adipocytes, anti-SR-BI antibody staining revealed a punctate intracellular distribution (76). Furthermore, the intracellular population of murine hepatic SR-BI displayed a punctate perinuclear localization that colocalized with a late endosomal/ lysosomal marker (77). However, several studies have shown that: 1) purified murine SR-BI (mSR-BI) reconstituted in liposomes is able to mediate lipid uptake from HDL, and 2) mSR-BI-mediated selective lipid uptake is unaffected by the inhibition of endocytosis in Chinese hamster ovary (CHO) cells and primary mouse hepatocytes (44, 78-80). Therefore internalization of HDL is not required for mSR-BI-mediated lipid uptake. However, lipid uptake from HDL particles in CHO cells expressing human SR-BI was significantly decreased when endocytosis was inhibited (81). In addition, retroendocytosis has been linked to mSR-BI's ability to mediate efflux of cholesterol from CHO cells to HDL particles (82), but retroendocytosis of HDL during SR-BI-mediated efflux was not seen in cultured macrophages (83). Therefore, further studies are required to clarify the role of transient internalization in the mechanism of SRBI-mediated lipid transfer. Many researchers in the field agree that SR-BI is clustered on the cell surface in plasma membrane microdomains (29, 84). However, which microdomains are involved remains controversial. Though SR-BI has been detected on both the basolateral and apical surfaces in polarized hepatocytes when SR-BI is overexpressed by adenovirus, in sections from normal livers, SR-BI appears to be localized mainly to the basolateral domain. This basolateral localization is also seen in the kidney cell line, MDCK. In contrast, in polarized intestinal enterocytes, SR-BI is localized mainly to the apical surface, as well as in the intestinal epithelial cell line CaCo2 (4). In steroidogenic cells, many agree that SR-BI is likely to be localized in microvillar channels. Microvillar channels are one kind of plasma membrane microdomain. SRBI was found to be necessary for the formation and/or stability of microvillar channels in steroidogenic cells in vivo (85, 86). These microvillar channels serve to sequester HDL for cholesteryl ester selective uptake (87, 88). Additionally, it's been demonstrated that HDL binds to SR-BI localized on microvillar extensions and in microvillar channels in several cell types (84, 89). In addition, SR-BI is found in microvilli of human intestinal enterocytes (90). SR-BI found in microvillar extensions and channels in cell culture are also thought to be present in both monomeric and dimeric or oligomeric forms, though the functional consequences of this dimerization is not clear (91, 92). A more controversial issue is the clustering of SR-BI in caveolae. Caveolae are flask shaped invaginations in the plasma membrane that are cholesterol- and glycolipid-rich microdomains (93-103). Our lab has shown, through immunofluorescence, that SR-BI partially co-localizes with caveolin-1, a constituent of caveolae, in CHO cells (29). SR-BI has also been co-purified with caveolae and caveolin-1, using biochemical purification methods, by several independent groups in multiple cell types, including adrenocortical cells and endothelial cells (29, 104). However, another study showed no co-purification between SR-BI and caveolae, and claimed little- if any- HDL binding in caveolae in multiple cell lines (89). In the hepatoma cell line, HepG2, SR-BI and caveolin-1 did not co-purify, though SR-BI was found in low-density lipid rafts (105). This controversy may stem from complications in the methodologies used that can affect the conclusions. For example, the conditions under which cells are grown can affect the expression of caveolin-1 in NIH 3T3 cells, which is necessary for the formation of caveolae (106-112). It may also stem from differences in localization in different tissues and cell-types. It is unclear how this potential caveolar localization might affect SR-BI-mediated lipid transfer. It has been claimed that HDL derived cholesteryl esters are initially transferred to caveolae in CHO cells (113). However, caveolin-1 inhibits HDL-derived cholesteryl ester selective uptake when expressed in macrophage cell lines (84) and has no affect on SR-BI mediated selective uptake from HDL or free cholesterol efflux in two other cell lines (114). In endothelial cells, SR-BI, localized to caveolae, mediates the upregulation of endothelial nitric oxide synthase (eNOS) expression and activity by HDL, as well as protection of endothelial cells from apoptosis and promotion of growth and migration by HDL (115-118). This activation of eNOS, which is also localized in caveolae, by SR-BI/HDL involves binding of HDL to SR-BI (119). Though it's unclear how SR-BI mediates eNOS activation, it is known to requires the presence of the C-terminal transmembrane and cytoplasmic domains of SR-BI and the interaction between SR-BI and the tyrosine kinase, Src, which is part of the signaling pathway leading to the activation of eNOS (116, 119, 120). Therefore, though a role for caveolaelocalized SR-BI in eNOS activation is emerging, how caveolar localization affects lipid transfer through SR-BI in various cell types is not yet clear. To date, only one intracellular protein, the PDZ-domain containing protein, PDZK1, is known to directly interact with SR-BI to post-transcriptionally regulate its function. Section Two: PDZ Domains and PDZ proteins I. PDZ domain structure PDZ domains (named for the first three PDZ-containing proteins identified: the postsynaptic protein PDS-95/SAP90, the Drosophila septate junction protein Discs-large, and the tight junction protein ZO- 1) are modular protein interaction domains that play a part in targeting proteins and assembling protein complexes. Found in a diverse set of organisms, PDZ domains are one of the more common protein domains represented in sequenced genomes. These -90 amino acid domains mediate protein-protein interactions, most commonly by binding the Ctermini of target proteins in a sequence-specific manner. Based on numerous crystal structures of PDZ domains complexed with their target peptide ligand, the common structure of PDZ domains is composed of six 03 strands (P3A- f3F) and two ca helices (caA and cB), which fold into an overall six-stranded P3sandwich. The four C-terminal residues of the target protein bind as an antiparallel P strand in a groove between the 3B strand and aB helix. This binding can be stabilized by hydrogen bonds formed between the PDZ domain and the extended peptide, but this generally does not take part in sequence specificity. The conserved Gly-Leu-Gly-Phe sequence of the PDZ domain (or Gly-Tyr-Gly-Phe, as in the case of PDZK1) is found within the loop connecting the 3A-PB strands and this sequence coordinates the C-terminal carboxylate (COO-) group of the target peptide. The side chain of the "0" or C-terminal residue of the ligand peptide has been shown to jut into a hydrophobic pocket within PDZ domains, explaining the preference of PDZ domains for hydrophobic C-terminal amino acids, such as valine, isoleucine, or leucine, on target peptides. The 0 and -2 positions on the ligand peptide typically play a greater role in binding preference, though the -1 position may also contribute, depending on the individual PDZ domain (121). It is the -2 position on the target sequence that forms the basis for the classification of PDZ interactions. Class I PDZ domains bind target proteins with a serine or threonine residue at the -2 position of the target protein (X-S/T-X-a). The hydroxyl group on serine or threonine sidechains typically forms a hydrogen bond with the first residue of the aB helix (aB 1), a histidine residue that is highly conserved among Class I PDZ domains. Class II PDZ domains bind a target protein with a hydrophobic residue at the -2 position (X-4-X-ý), and generally have a hydrophobic residue at the aB iposition in the PDZ domain. The third class of PDZ domains binds target ligands with a negatively charged residue at the -2 position (X-D/E-X-4). The carboxylate group on the side-chain of the aspartate or glutamate residue generally then coordinates with the hydroxyl group of a tyrosine at the aB1 position (121). However, PDZ domains vary in the stringency of their specificity, and can demonstrate more than one class of specificity. In addition, the residues N-terminal to the -2 position in PDZ-binding sequences can also contribute to specificity. The -3 position has been found to interact with the peptide binding groove, and has been shown to play a role in specificity. Indeed, several studies have demonstrated that additional residues besides the final four C-terminal amino acids can also be important, up to -8. Occasionally PDZ domains interact with an internal 3-finger sequence on the target protein, which binds to the same site on the PDZ domain as a C-terminal peptide (121). This type of interaction, in addition to the more traditional interaction with C-termini, is sometimes employed in homo- or heterodimerization of PDZ proteins (122). In addition PDZ proteins can dimerize through interactions between the P3A strands of their individual PDZ domains (123125). PDZ-domain containing proteins often comprise multiple PDZ domains (up to 13 in one particular PDZ protein, MUPP1). These PDZ domains are often closely grouped in tandem arrays, sometimes in pairs or triplets. It's not clear what the significance of this grouping is, though there is some evidence that that multiple domains can cooperate to enhance binding to their target ligands. Having multiple PDZ domains allows PDZ proteins to bind multiple target proteins simultaneously, and thus assemble larger protein complexes. This ability to act as a scaffold has allowed PDZ proteins to play key roles in various cell processes, such as organizing signal transduction pathways or establishing cell polarity (121). II. PDZK1 PDZK1 (also known as Diphor-1, CLAMP, Cap70, and NaPi-Capl) is a 519 amino acid cytoplasmic protein, with a tandem array of four PDZ domains (Figure 6) (126-131). In addition to its PDZ-domains, PDZK1 has a putative PDZ-binding sequence at its C-terminus, and at least one phosphorylation site on the C-terminal tail (126-128). PDZK1 is most highly expressed in the brush-border membrane of the proximal tubules of kidneys and is expressed at lower levels in the liver and small intestines and is also expressed at low levels in the adrenal gland and testis (127, 129-131). In addition to SR-BI, PDZK1 is known to interact with a number of proteins, many of which are transporters (summarized in Table 2). In addition, PDZK1 can form heterodimers with the PDZ proteins NHERF-1 and NHERF-2, two PDZ proteins that are also expressed in the kidney; though the functional significance of these interactions remains unclear (132). Most PDZK1 interactions have been studied in the kidney and intestines. Putative PDZbindina Motif 51 9 PDZK1 C (SR-BI Binding) Phosphorylation Site(s) Figure 6. Model of PDZK1 protein structure Table 2. Putative PDZK1binding protein Cterminal Sequence Interaction Class Scavenger receptor class Btype I (SR-BI) Interacting PDZ domain EAKL II 1 Membrane associated protein 17 (MAP17) STPM I 1.4 Consequences of binding References tissue-specific control of SR-BI protein levels (liver, small intestine) intracellular localization of PDZK1 in oossum kidney (OK) cells; regulation of PDZK1 protein levels 126, 135, 136, 140, 144 in liver 127, 135, 145, 146 Putative PDZK1binding protein Cterminal Sequence ATRL Interaction Class I Interacting PDZ domain 3 Sodium-phosphate cotransporter I (NaPi-I) Organic anion transporter 1 (URAT1) TTRL I 3 STOF I 1.2.4 Organic anion transporter 4 (hOAT4) STSL I 1.4 Cystic fibrosis transmembrane conductance regulator (CFTR) DTRL I 1.3.4 Multidrug resistance protein 2 (MRP2) STKF I 1 Organic cation transporter 1 (OCTNI) ITAF I 2 Chloride-formate exchanger (CFEX) ATKL I 1 Chloride channel PDZ isoform 3B (CIC3B) STTL I 1 Sodium-phosphate cotransporter IIa (NaPi-IIa) Consequences of binding References control of NaPi-IIa protein levels under phosphate-rich diet (kidney) unknown 130, 146, 147 regulation of URAT1 protein levels and activity in HEK293 cells regulation of hOAT4 protein levels and activity in HEK293 cells 146, 148 potentiation of activity by tethering CFTR molecules (in recordings from HEK293 cell membranes with recombinant PDZK1), regulation of activity of CFTR in small intestines unknown 131, 151, 152 regulation of OCTN1 activity in HEK293 cells, possibly through subcellular localization regulation of CFEX activity through control of protein levels in kidney proximal tubule cells modulation of intracellular localization of CIC3B in BHK21 cells 146, 155 146 148, 149, 150 153, 154 146, 147, 156 157 Putative PDZK1binding protein Cterminal Sequence Interaction Class Interacting PDZ domain Dual-specific protein kinase Aanchoring protein 2 (D-AKAP2) Na+/H+ exchanger isoform 3 (NHE3) STKL I STHM Organic cation transporter 2 (OCTN2) Na+/H+ exchanger regulatory factor 1 (NHERF-1) Na+/H+ exchanger regulatory factor 2 (NHERF-2) Gene product KIAA0793 Consequences of binding References 4 unknown 146, 158 I 1 regulation of activity in small intestine enterocytes 130, 146, 159 STAF I 2.4 160, 161 FSNL I 4 regulation of activity without increased cell surface levels of OCTN2 protein in HEK293 cells, regulation of activity through protein level and subcellular localization in small intestine epithelial cells unknown FSNF I 4 unknown 146 DKNL unknown n/d unknown 146 Breakpoint cluster region protein (BCR) STEV I 1 unknown 162 Organic anion transporting polypeptide 5 (OAtp5/ OATP1A6) Ste20-related serine/threonine protein kinase (SLK) KTKL I 4 unknown 146 STGS I 3 unknown 158 146 Consequences of binding References 2.3 regulation of PEPT-2 activity in HEK293 cells 149 I n/d unknown 149 ETAL I n/d functional coupling between MRP4 and CFTR, leading to attenuation of potentiation of CFTR activity in gut epithelial 152 KTKL I 1.3 regulation of activity through subcellular localization in hepatocytes 133 Unknown Unknown n/d regulation of activity through control of protein level in HEK293 cells, regulation of activity through protein level and subcellular localization in small 161 TTSF I 1.2.4 GTRL (mNOS2) MSAL I n/d Putative PDZK1binding protein Cterminal Sequence Interaction Class Interacting PDZ domain Peptide transport 2 (PEPT-2) KTKL I Organic anion transporting polypeptide A (OATP-A/ OATP1A2) Multi-drug resistance protein 4 (MRP4) KTKL Organic anion transporting polypeptide 1 (OATP-1/ cells OATP1A1) Peptide transport 1 (PEPT-1) intestine epithelial cells Mucin 17 (MUC17/ Muc3(17)) Nitric Oxide Synthase 2 (NOS2) (hNOS2) stabilizes MUC17 on apical membrane of small intestine enterocytes regulation of NOS2 activity and apical localization in MDCK 163 cells Table 2. List of Proteins Reported to Interact with PDZK1. Adapted and revised from Current Opinion in Lipidology (16) 2005 (ref. 164). In hepatocytes, PDZK1 is known to bind three proteins, membrane-associated protein 17 (MAP17), organic anion transporter polypeptide lal (Oatplal), and SR-BI (126, 127, 133). Hepatic Oatplal, which PDZK1 binds through its first and third domains, has reduced function in the absence of PDZK1 in PDZK1 KO mice. This appears to be due to a mislocalization of Oatp 1al to an intracellular compartment, rather than its usual basolateral cell-surface localization (133). MAP17 is a small integral membrane protein of unknown function, and whose expression is stimulated in human carcinoma (134). When MAP 17, which is normally expressed at low levels in hepatocytes, is overexpressed in the liver, a dramatic reduction in both PDZK1 and SRBI protein levels is seen, along with an increase in plasma total and HDL cholesterol levels. This decrease in PDZK1 protein abundance in MAP17-Tg hepatocytes was shown to be due to a 3fold increase in protein turnover via a proteasome-independent degradation pathway (135). PDZK1 interacts with the cytoplasmic C-terminus of SR-BI via the N-terminal most PDZ domain, PDZ 1 (126). PDZK1 apparently does not bind the C-terminus of SR-BII, whose Cterminal sequence differs from that of SR-BI. Unlike the C-terminal four amino acids of SR-BI (EAKL), the C-terminal four amino acids of SR-BII (SAMA) are not expected to bind PDZdomains (121). Though PDZK1 is most highly expressed in the kidney, it is also expressed, like SR-BI, in the liver and intestines; but has very low expression in the adrenal gland, ovary, and testis, in which SR-BI is abundantly expressed (38, 126). The first study to look at the relationship between PDZK1 and SR-BI found that expression of both PDZK1 and SR-BI in CHO cells resulted in an increased abundance of SR-BI protein. This change in protein level was not accompanied by a change in mRNA level, indicating that PDZK1 might influence SR-BI in a post-transcriptional manner (126). In another study, it was demonstrated that loss of SR-BI's Cterminal most amino acid abolishes its interaction with the PDZ 1 domain of PDZK1, and that overexpression of truncated SR-BI missing this PDZK1-interacting sequence did not affect HDL metabolism due to a lack of cell-surface expression in the liver (136). In addition to the effect that overexpression of MAP 17 has on hepatic SR-BI and PDZKlprotein levels, several other studies have found a correlation between hepatic PDZK1 and SR-BI expression. These studies found that feeding mice a PPAR-a agonist, ciprofibrate, or an atherogenic diet (containing cholate and high levels of cholesterol) suppressed hepatic expression of both PDZK1 and SR-BI by an unknown post-transcriptional mechanism (137, 138). All of these studies together suggest that PDZK1 influences SR-BI expression and function in cells and in vivo. The generation of a PDZK1 KO mouse line by Kocher and colleagues allowed for further exploration of the role that PDZK1 plays in SR-BI function. It was found that PDZK1 knockout mice showed a dramatic decrease (>95%) in SR-BI expression in the liver, a partial decrease (-50%) in the small intestine, but no change in steroidogenic tissues, macrophages or endothelial cells (119, 139, 140). This change in hepatic SR-BI abundance is brought about through an unknown post-transcriptional mechanism (140). As a consequence of this decrease in hepatic SR-BI protein levels, PDZK1 KO mice exhibit -1.7-fold higher plasma cholesterol levels, which is found in abnormally large HDL particles (140). This phenotype is similar to, thought not as severe as, that in SR-BI KO mice (40). Therefore, it was concluded that PDZK1 is a tissuespecific regulator of SR-BI protein level and function. The role of PDZK1 in hepatic SR-BI function was investigated further with the SR-BI/PDZK1 double knockout mouse line. It was found that hepatic overexpression of SR-BI in SR-BI/PDZK1 double knockout mice leads to cell-surface expression of SR-BI and normal function (141). Thus SR-BI can function normally in the absence of PDZK1 when steady-state cell-surface expression levels are similar to those in wild-type hepatocytes (141). However, the mechanism by which PDZK1 regulates SR-BI abundance, localization and function in non-transgenic hepatocytes remains unclear. In addition to the SR-BI interacting domain PDZ1, PDZK1 contains three PDZ domains (PDZ2, PDZ3, and PDZ4) and a C-terminal tail that are not known to bind SR-BI (Figure 6). In initial efforts to define what roles these structural feature might play in the regulation of SR-BI abundance, Nakamura et al. expressed truncated forms of PDZK1 (PDZ1.2, PDZ1.2.3, and PDZ 1.2.3.4 lacking the C-terminal 66 amino acids long tail) in CHO cells and the rat hepatoma cell line Fao, both of which expressed SR-BI but not PDZK1. It was shown that these PDZK1 truncation constructs do not increase SR-BI expression as full-length PDZK1 does (128). This study also demonstrated that PDZK1 is phosphorylated on at least one serine on its C-terminal tail, and that this phosphorylation is required for PDZK1-dependent regulation of SR-BI expression in Fao cells. It was also demonstrated that PDZK1 can be phosphorylated via Protein kinase A (PKA) in vitro and in cell culture, and that that injection of glucagon, which activates PKA through the glucagon receptor, increased phosphorylation of hepatic PDZK1, which correlated with a -1.8-fold increase in both PDZK1 and SR-BI protein (128). This suggested that phosphorylation of PDZK1 may play a role in regulating SR-BI protein levels in vivo. However, it is not clear from this study whether phosphorylation of PDZK1 is necessary for SR-BI expression and function, nor how these truncated forms of PDZK1 might affect the regulation of SR-BI in vivo. In addition to regulating SR-BI expression in hepatocytes, PDZK1 was also recently found to play a role in HDL/SR-BI activation of eNOS in endothelial cells, and NO-independent endothelial migration. In this study it was found that PDZK1 is expressed in endothelial cells, and that loss of PDZK1 expression in these cells prevented activation of eNOS by HDL, though other pathways for eNOS activation remained unimpaired. Knock-down of PDZK1 in an endothelial cell line also attenuated HDL-stimulated endothelial migration, and in PDZK1 knockout mice re-endothelialization after physical abrasion was absent. Interestingly, though the exact mechanism by which PDZK1 regulates SR-BI's activation of eNOS was not fully deciphered, it was found that PDZK1 did not regulate SR-BI's abundance or cell-surface localization in endothelial cells, nor was HDL binding to SR-BI or cholesterol efflux to HDL PDZK1-dependent (120, 140). However, it was determined that Src-activation by SR-BI is PDZKl-dependent, though association of Src and SR-BI is not. Furthermore, it was found that a truncation mutant of PDZK1, missing the C-terminal two PDZ domains, acted as a dominant negative with regard to SR-BI/HDL activation of Src (120). These results indicate that PDZK1 can regulate various aspects of SR-BI's function in different tissues through apparently different mechanisms. Section Three: Overview of questions addressed in this dissertation Our lab, in collaboration with Dr. Olivier Kocher's lab at Beth Israel Deaconess Medical Center, Harvard Medical School, and Attilio Rigotti's lab at Pontificia Universidad Cat61lica in Santiago, Chile, has been interested in exploring further the mechanism behind PDZKl's regulation of SR-BI. There are many different explanations for how PDZK1 might regulate hepatic SR-BI protein, including control of SR-BI's synthesis, posttranslational modification, intracellular transport, subcellular localization (plasma membrane microdomains), recycling (transient internalization), and/or stability. However, one of the simplest explanations for the decrease in SR-BI protein levels in the absence of PDZK1 is that binding to PDZK1 protects SRBI from degradation in some manner. Therefore, the obvious first experiment would be to determine the protein stability of SR-BI in the absence of PDZK1. Unfortunately, though expression of PDZK1 can increase SR-BI protein levels is cell culture, no cell line has been found that recapitulates the PDZKl-dependence for SR-BI expression seen in the liver. In addition, unpublished work by Eyal Reinstein in the Krieger lab demonstrated that in PDZK1 KO primary hepatocytes, SR-BI loses its PDZK1-dependence for expression and function almost immediately after isolation and introduction into normal cell culture. One hypothesis is that this loss of PDZK1-dependence is due to a loss of polarization in the hepatocytes. However attempts by Reinstein and others in the Krieger lab to reestablish polarity through sandwich cultures have failed thus far. Therefore, given that it is impossible at this time to examine SR-BI's PDZKldependence for expression through cell culture experiments, we then turned to in vivo experiments to begin to elucidate the mechanism behind PDZK1's regulation of hepatic SR-BI function. Given that PDZK1 contains three PDZ domains that do not interact with SR-BI, it is reasonable to propose that PDZK1 might interact with other proteins via these domains to influence the activity of SR-BI. PDZK1's C-terminal tail has at least one phosphorylation site, which may be one way that SR-BI and PDZK1 protein levels are controlled post-translationally. In addition, the C-terminal tail of PDZK1 comprises a putative PDZ-interacting motif in its final three C-terminal amino acids (the residues T-E-M). PDZK1 is known to form heterodimers with other PDZ proteins (NHERF-1 and NHERF-2) (132), and PDZ proteins in general are known to form homodimers as well (121). Therefore, this PDZ-binding motif might result in PDZK1 forming heterodimers or homodimers through the interaction of the PDZ domain on one PDZK1 molecule with the C-terminal PDZ-binding motif on another PDZK1 molecule. If so, this dimerization might influence SR-BI function. This is an especially attractive idea given that SRBI is also thought to dimerize, though the role that dimerization plays in SR-BI function is unknown (91, 92). Therefore, I, and my collaborators, endeavored to elucidate further the role that PDZKl's structural features play in regulating hepatic SR-BI in an effort to narrow the list of possible mechanisms. To do this, we generated transgenic and adenoviral constructs expressing truncation mutants of PDZK1 comprising various regions of PDZK1 (Figure 6). These truncation mutants include PDZ1 (comprising mainly the first PDZ domain of PDZK1, which is the domain that binds SR-BI), PDZ1.2 (comprising mainly the first and second PDZ domains), PDZ1.2.3, PDZ1.2.3.4 (composed of all four PDZ domains, but missing the C-terminal tail), and pTEM (comprising the entire PDZK1 protein except for the putative PDZ-binding motif in the final three residues, T-E-M). These constructs, expressed in the livers of both WT and PDZK1 KO mice, were then used to determine: 1) which structural features of PDZK1 are required for normal SR-BI expression, localization, and function? and 2) if any structural features beyond the first PDZ domain are required, does their absence result in inhibition of SR-BI function (can they act as dominant negative mutants)? Two additional constructs were generated that expressed PDZK1 without a functional PDZ1 domain. One of these constructs encodes the truncation protein PDZ2.3.4, which contains the N-terminus and the PDZ2, PDZ3, and PDZ4 domains, and the C-terminal tail of PDZK1, but lacks the PDZ1 domain. Another construct encodes a protein we call MUT2, which has a point mutation (Ala20Tyr) in the conserved Gly-Tyr-Gly-Phe sequence located in the loop connecting the P3A-PB strands of the PDZ 1 domain, which coordinates the carboxylate group at the very Cterminus of the peptide ligand. These constructs were generated to determine if they could act as dominant negative mutants in WT mice by competing with endogenous PDZK1 for interactions with other cellular components, thereby indicating that these interactions are necessary for normal PDZK1 regulation of SR-BI. Whos Site) phorylation 1 PDZK1 N W1 - tvC519 - utativ PDZ- (SR-BI Bikling) Binding Motif) 1• PDZI 11l -c N (SRBI BI3ing) PDZ1.2I 220 EC M (SR-BI Binding) 1 PDZ1.2.3 N -35 - 359 -C (Sl•Ol (SR-Bi Bi•ding) Biiding) PDZ1.2.3.4 461 . .c - r (SR-BI BI ing) (Phosphorylation MUT2 W Site) 519 utatia PDZ- -l ~C J A AlTyr(Phophorylation Binding Motif) Site) (Phosphorylatlon She) PDZ2.3.4 1 N- -l C ind utative PDZ- Binding Motif) Figure 7. Diagrams of wild-type and mutant PDZK1 protein structures. In chapter 2, I, along with my collaborators, examine the effects of expressing full-length PDZK1 and the PDZl truncation mutant in the livers of WT and PDZK1 KO mice on hepatic SR-BI abundance, localization, and function. In chapter 3, we examine the effects of expressing the PDZ1.2, PDZl.2.3, and pTEM truncation mutants in the livers of WT and PDZK1 KO mice on SR-BI protein levels, localization, and function. 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(2008) Drug Metab Dispos. 36, 1181-8 162. Malmberg, E., Andersson, C., Gentzsch, M., Chen, J., Mengos, A., Cui, L., Hansson, G., Riordan, J. (2004) Cell Sci 117, 5535-5541 163. Navarro-Lerida, I., Martinez-Moreno, M., Ventoso, I., A'lvarez-Barrientos, A., and Rodnguez-Crespo, I. (2007) Mol Biol Cell. 18, 2768-2777 164. Yesilaltay, A., Kocher, O., Rigotti, A., Krieger, M. (2005) Curr Opin Lipidol 16, 147-152 165. Lodish, H., Berk, A., Matsudaira, P., Kaiser, C., Krieger, M., Scott, M., Zipursky, S.L., Darnell, J. (2004) Molecular Cell Biology 5 th edition. New York: W.H. Freeman and Company Chapter Two OVEREXPRESSION OF THE PDZ1 DOMAIN OF PDZK1 BLOCKS THE ACTIVITY OF HEPATIC SCAVENGER RECEPTOR, CLASS B, TYPE I (SRBI) BY ALTERING ITS ABUNDANCE AND CELLULAR LOCALIZATION Sara A. Fenske, Ayce Yesilaltay, Rinku Pal, Kathleen Daniels, Attilio Rigotti, Monty Krieger, and Olivier Kocher Adapted from: Sara A. Fenske, Ayce Yesilaltay, Rinku Pal, Kathleen Daniels, Attilio Rigotti, Monty, Krieger, and Olivier Kocher. Overexpression of the PDZ1 Domain of PDZK1 Blocks the Activity of Hepatic Scavenger Receptor, Class B, Type I (SR-BI) by Altering its Abundance and Cellular Localization. Journal of Biological Chemistry, in press, with permission of the American Society for Biochemistry and Molecular Biology, Inc. This chapter is currently in press in the Journal of Biological Chemistry (Accepted June 10, 2008) and is the product of a collaborative group of investigators. I contributed the text and figures 1, 2B & C, 4, and 5. All transgenic and non-transgenic mice were generated by Olivier Kocher and technicians in his lab at the Beth Israel-Deaconess Medical Center and Harvard Medical School (Rinku Pal, Kathleen Daniels). Olivier Kocher performed the immunohistochemical analysis of SR-BI localization, and the immunoblotting analysis of hepatic SR-BI protein levels in full-length PDZK1 transgenic mice. Ayce Yesilaltay performed initial characterization of the full-length transgenic PDZK1 lines, including some plasma cholesterol and FPLC studies. Attilio Rigotti and Ayce Yesilaltay performed experiments with hepatic expression of full-length PDZK1 by adenovirus that confirmed the results from the transgenic line. Attilio Rigotti and Olivier Kocher performed immunofluorescence analysis of SR-BI intracellular localization that confirmed the immunohistochemistry results. Contributions to the Materials and Methods section and figure legends and revisions to text were made by Olivier Kocher. Revisions to text were contributed by Monty Krieger, Ayce Yesilaltay, and Attilio Rigotti. All experiments were performed in the laboratories of Monty Krieger and Olivier Kocher, who provided overall supervision. Attilio Rigotti also prepared adenovirus expression vectors for many of the constructs described in this manuscript and I used these to generate large-scale preps of these viruses. However, the stable transgenic animals became available more quickly than expected, so they were used rather than the adenoviruses for most studies. Abstract PDZK1 is a four PDZ domain-containing scaffold protein that, via its first PDZ domain (PDZ 1), binds to the C-terminus of the high-density lipoprotein (HDL) receptor scavenger receptor, class B, type I (SR-BI). Abolishing PDZK1 expression in PDZK1 knockout (KO) mice leads to a posttranscriptional, tissue-specific decrease in SR-BI protein level and an increase in total plasma cholesterol carried in abnormally large HDL particles. Here we show that, while hepatic overexpression of PDZK1 restored normal SR-BI protein abundance and function in PDZK1 KO mice, hepatic overexpression of only the PDZ1 domain was not sufficient to restore normal SR-BI function. In WT mice, overexpression of the PDZ domain overcame the activity of the endogenous hepatic PDZKl, resulting in a 75% reduction in hepatic SR-BI protein levels and intracellular mislocalization of the remaining SR-BI. As a consequence, the plasma lipoproteins in PDZ1 transgenic mice resembled those in PDZK1 KO mice (hypercholesterolemia due to large HDL). These results indicate that the PDZ1 domain can control the abundance and localization, and therefore the function, of hepatic SR-BI, and that structural features of PDZK1 in addition to its SR-BI-binding PDZ1 domain are required for normal hepatic SR-BI regulation. Introduction The high density lipoprotein (HDL) receptor SR-BI (scavenger receptor, class B, type I) plays a key role in lipoprotein metabolism (1) by mediating the cellular uptake of cholesteryl esters from HDL and other lipoproteins into cells (2-7), via a mechanism called selective lipid uptake (3, 8-10). SR-BI also mediates bi-directional flux of unesterified cholesterol between cells and lipoproteins (11-14). Most in vivo analyses of the physiological function of SR-BI have been conducted in mice. SR-BI is highly expressed in the liver and steroidogenic tissues (adrenal gland, ovary and testis), which exhibit the highest levels of HDL cholesterol uptake (3). Experimental manipulations of murine SR-BI expression (e.g., hepatic overexpression, homozygous null gene knockout) can lead to changes in total plasma cholesterol levels, the ratio of plasma unesterified-to-total cholesterol (UC:TC), HDL structure, biliary cholesterol secretion, the amounts of cholesterol stored in steroidogenic tissues, and susceptibility to atherosclerosis (15-27). Homozygous null SR-BI knockout mice exhibit abnormally elevated (~2.2-fold) plasma cholesterol in large HDL particles with a UC:TC ratio roughly double that of wild-type (WT) mice (19, 21). This dyslipidemia is associated with female infertility and defects in the maturation and/or structure, as well as reductions in the survival times of red blood cells (21, 28, 29,30). To date, only one intracellular protein has been shown to interact directly with and influence the function of SR-BI (31). This protein, PDZK1, regulates SR-BI expression in a tissue-specific, post-transcriptional manner (32). PDZK1 is a scaffold protein containing four PDZ protein interaction domains (Fig 1A, top), which bind to the carboxy termini of a number of membrane transporter proteins, including ion channels (e.g., CFTR) and cell surface receptors (33, 34). PDZKl's activity can be modulated by phosphorylation near its C-terminus (35). Its most N-terminal PDZ domain, PDZ1, binds to the carboxy terminus of SR-BI (31, 36), but apparently not to a minor, alternatively-spliced form of SR-BI called SR-BII, whose 39 residue C-terminal sequence (encoded by alternatively spliced exon) differs from that of SR-BI (32,3741). Unlike the four C-terminal residues in murine SR-BI (EAKL), those in SR-BII (SAMA) are not expected to bind to PDZ domains (42). Loss of SR-BI's C-terminal most amino acid abolishes its interaction with the PDZ1 domain of PDZK1 (36). PDZK1 is most highly expressed in the kidney and is also expressed, as is the case for SRBI, in the liver and intestines; but has very low expression in the adrenal gland, ovary, and testis, in which SR-BI is abundantly expressed (3,31). Strikingly, PDZK1 knockout (KO) mice show a dramatic, >95% decrease in SR-BI expression in the liver, a partial decrease in the small intestine, but no change in steroidogenic tissues (32). As a consequence of the decrease in hepatic SR-BI protein, PDZK1 KO mice exhibit abnormally high plasma cholesterol levels (~-1.7-fold) transported in abnormally large HDL particles (32). These features are similar to, though not as severe as, those found in SR-BI KO mice (19). We have previously shown that hepatic overexpression of an SR-BI transgene in SR-BI/PDZK1 double knockout mice leads to SR-BI expression on the cell surface and normal function (43). Thus, when SR-BI is on the cell surfaces of hepatocytes at steady state levels similar to those in wild-type hepatocytes, it can function normally without PDZK1 (43). The mechanism by which PDZK1 regulates the abundance and/or localization of hepatic SR-BI in nontransgenic animals remains unclear. PDZK1 includes three PDZ domains (PDZ2, PDZ3, and PDZ4) and a 66 residue C-terminal tail (Figure lA), which are not involved in direct binding to SR-BI (31, 33). The role(s) of these domains in the regulation of hepatic SR-BI are unknown. Nakamura et al have shown that PDZKI's C-terminus and its phosphorylation are required for optimal PDZKl-transgene mediated induction of increased SR-BI protein levels in cultured cells (35). It is possible that PDZ2, PDZ3 and/or PDZ4 bind to other, as yet unidentified, cellular components involved in SR-BI regulation. Other hepatic proteins (e.g., OATP1A1, (44)) have been shown to interact with PDZKl's PDZ domains. Here we have further analyzed the influence of one of the PDZ domains of PDZK1, PDZ 1, on hepatic SR-BI abundance, localization and function in vivo. We have compared the effects of transgenes encoding either the full-length PDZK1 or only the SR-BI-binding PDZ1 domain on hepatic SR-BI protein expression and plasma lipoproteins in wild-type (WT) and PDZK1 KO mice. We found that overexpressing full-length PDZK1 in PDZK1 KO mice restored normal hepatic SR-BI protein levels and function, yet in WT mice had little, if any, effect on hepatic SRBI levels and function. However, hepatic overexpression of only the PDZ1 domain was not sufficient to restore normal SR-BI function in PDZKl-deficient mice. In addition, in WT mice, overexpression of the PDZ1 domain overcame the activity of the endogenous hepatic PDZK1, resulting in a 75% reduction in hepatic SR-BI protein levels and intracellular mislocalization of the remaining SR-BI. As a consequence the plasma lipoproteins resembled those in PDZK1 KO mice (hypercholesterolemia, large HDL). Our results suggest that the PDZ 1 domain can control both the abundance and intracellular localization of hepatic SR-BI and that normal regulation of SR-BI by PDZK1 is likely to require that its other domains interact with other, as yet unidentified, cellular components. Experimental Procedures Generation of PDZK1 and PDZ1 transgenic mice: PDZK1 and PDZl transgenic mice were generated using the pLIV-LE6 plasmid, kindly provided by Dr. John M. Taylor (Gladstone Institute of Cardiovascular Disease, University of California, San Francisco). The pLiv-LE6 plasmid contains the promoter, first exon, first intron, and part of the second exon of the human apoE gene, and the polyadenylation sequence, and a part of the hepatic control region of the apoE/C-I gene locus (45). To generate the full-length PDZK1 transgenic mouse, a 2.3-kilobase DNA fragment spanning the wild-type murine PDZK1 cDNA was subcloned between the KpnI and XhoI sites of pLIV-LE6 plasmid. The PDZKl-coding region was confirmed by DNA sequencing. The new construct harboring the PDZK1 gene, as well as the above-mentioned apoE/apoC-I control locus elements, was linearized by SacII/SpeI digestion and the resulting 7.3-kilobase fragment was used to generate transgenic mice using standard procedures (46). To generate the PDZ transgenic mouse, a 400 bp DNA fragment containing the first 116 amino acids of PDZK 1, including its first PDZ domain, was generated by polymerase chain reaction and subcloned between the KpnI and XhoI sites of pLIV-LE6 plasmid. The sequence of the resulting plasmid was confirmed by DNA sequencing. The new construct harboring PDZ1 as well as the apoE/apoC-I control locus elements was linearized by SacII/Spel digestion and the resulting 5.4-kilobase fragment was used to generate transgenic mice using standard procedures (46). Founder animals for the PDZK1 or PDZ transgenes in an FVB/N genetic background were identified by PCR performed on tail DNA using the following oligonucleotide primers: fulllength PDZK1 transgene, one at the 3'-end of the PDZK1 cDNA (GCAGATGCCTGTTATAGAAGTGTGC) and one corresponding to the 3'-end of the human apoE gene sequence included in the cloning vector (AGCAGATGCGTGAAACTTGGTGA); PDZ1 transgene, one located within the first PDZ domain of PDZK1 cDNA (CAATGGTGTCTTTGTCGACAAG) and the same 3'-primer used for the full length PDZK1 transgene. Founders expressing the PDZK1 or PDZ1 transgenes were crossed with PDZK1 knockout mice (129SvEv background). Heterozygous pups expressing the PDZK1 or PDZ1 transgene were crossed with wild-type and PDZK1 knockout mice to obtain mice with PDZK1 or PDZ transgene expression and non-transgenic wild-type and knockout control mice, thus ensuring that the mixed genetic backgrounds of experimental and control mice in each founder line are matched. Genotyping of PDZK1 knockout mice was performed as previously described (47). Transgene expression levels were determined in liver, kidney, adrenal gland and small intestines by immunoblotting as described below. Expression was only observed in the liver and kidney, with hepatic transgene expression approximately 4-fold higher than that seen in the kidney. Expression of the PDZK1 and PDZ1 transgene did not alter the undetectable level of SRBI in the kidney. Animals: All mice on a 25:75 FVB/N:129Sv genetic background were maintained on a normal chow diet (47) and -6-13 week old male mice were used for experiments. Four PDZKl-Tg and three PDZl-Tg founder lines were generated, all showing similar effects on plasma cholesterol levels, respectively. Observations from animals derived from two of the four PDZKl-Tg and two of the three PDZl-Tg expressing founders were pooled because transgene-driven protein expression levels for these two sets of founders were similar. All procedures on transgenic and non-transgenic mice were performed in accordance with the guidelines of the Beth Israel Deaconess Medical Center and the Massachusetts Institute of Technology Committee on Animal Care. Blood and tissue sampling and processing: After a 4-hour fast, mice were anesthetized by IP injection of 1.25% Avertin, and blood was collected by heart puncture with a heparinized syringe. Plasma was separated from cells by two sequential centrifugations (15 and 10 min., 2500 g) and stored at 40 C prior to analysis. Tissue samples, including liver, kidney, adrenal, and small intestine were harvested and immediately frozen on dry ice and stored at -80o C. Frozen tissue was finely chopped with a blade in SDS buffer (4% SDS, 20% glycerol, 100 mM Tris pH 6.8) and then sonicated on ice, boiled at 100 0 C for 5 minutes, and subjected to centrifugation at 16,000 x g for 5 minutes at room temperature. The protein concentrations of these lysate supernatants were then determined using the bicinchoninic acid (BCA) assay (Pierce). Lysates were then denatured at 100 0 C for 10 minutes in the presence of 2% SDS and 100mM 13mercaptoethanol immediately before fractionation by gel electrophoresis and analysis by immunoblotting. Analysis of plasma cholesterol and lipoproteins: Plasma samples from individual mice were collected and analyzed for total cholesterol levels using a commercial kit (Wako Chemical USA, Inc., Richmond, VA) before and after size fractionation by fast performance liquid chromatography (FPLC). FPLC cholesterol profiles shown are from representative individual mice. Total plasma cholesterol data from founders with similar hepatic transgene expression levels were pooled. Immunoblotting and immunoperoxidase analysis of tissues: For immunoblotting, protein samples (-30 or 1.5 pg) from total tissue lysates were fractionated by SDS-PAGE, transferred to nitrocellulose or polyvinylidene difluoride membranes and incubated with either a rabbit polyclonal anti-SR-BI antipeptide antibody (mSR-BI4 95-112) (1:1000) or a rabbit polyclonal antiPDZK1 antipeptide antibody (1:5000-1:10000), followed by an anti-rabbit IgG conjugated to horseradish peroxidase (Invitrogen, 1:10000), and visualized by ECL chemiluminescence (GE Healthcare/Amersham, #RPN2132). The rabbit polyclonal anti-mSR-B1 495-112 antipeptide antibody (prepared by Invitrogen) was generated using similar procedures and against the same peptide as a previously described anti-mSR-B1495 antibody, and gives the same results as the antimSR-B1495 antibody (3, 43). The rabbit polyclonal antibody was prepared against a 30-mer amino-terminal peptide from the murine PDZK1 protein sequence, coupled to keyhole limpet hemocyanin (KLH) (Genemed Synthesis, South San Francisco, CA), and affinity purified. Immunoblotting using polyclonal anti-E-COP (1:5000) (48) or anti-actin (1:500) (Sigma) antibodies were used as loading controls. The relative amounts of proteins were determined by quantitation using a Kodak Image Station 440 CF and Kodak ID software. Multiple independent determinations of band intensities from serially diluted samples were made to ensure that the intensities were both in the linear range of the detector and reproducible. For immunoperoxidase analysis, livers were harvested, fixed and frozen. Sections (5 tm) 2 antibody and biotinylated anti-rabbit IgG, visualized by were stained with the anti-mSR-B1 495-11 immunoperoxidase staining, and counterstained with Harris modified hematoxylin as described previously (32). Enzymatic Digestion of Tissue Lysates: Liver lysates (30 ýtg of protein) from WT animals with or without the PDZ1 transgene were denatured at 100oC for 10 minutes in the presence of 0.5% SDS and 1% P3-mercaptoethanol, and subsequently treated with 187.5 U of Peptide: NGlycosidase F (PNGase F) (in the presence of 50 mM sodium phosphate and 1% NP-40), or 1250 U of Endoglycosidase H (Endo H) (in the presence of 50 mM sodium citrate), or no enzyme at 370 C for 3.5 hours (New England Biolabs). The treated lysates were then analyzed by immunoblotting using the anti-mSR-B149 5-112 polyclonal antibody with chemiluminescence visualization of the bands as described above. Statistical Analysis: Data are shown as the means t standard deviation. Statistically significant differences were determined by either pairwise comparisons of values using the unpaired t test, with (if variances differed significantly) or without Welch's correction, or by one-way ANOVA followed by the Tukey-Kramer multiple comparison post-test when comparing three or more sets of data to each other. Mean values for experimental groups are considered statistically significantly different for P < 0.05 for both types of tests. Results To determine the effects of expressing the full-length or a truncated form (PDZ1 domain) of the PDZK1 protein on hepatic SR-BI protein levels and function, we generated two cDNA constructs that encode either the full-length PDZK1 protein (designated 'PDZKl-Tg') or only the N-terminus and PDZ1 domain ("PDZ1-Tg") (Figure lA). These constructs were used to generate transgenic mice with liver and kidney-specific expression in both wild-type (WT[PDZK1-Tg] or WT[PDZ1-Tg]) and PDZK1 KO (PDZK1 KO[PDZKl-Tg] or PDZK1 KO[PDZ1-Tg]) mice on a mixed FVB/129SvEv background. Transgene expression in the kidney did not alter the undetectable expression of SR-BI in this organ (see Methods). Hepatic levels of PDZK1 and PDZ1 proteins in nontransgenic and transgenic mice from two founders each were determined by immunoblotting (typical result in Figure IB). Quantitative analysis of multiple immunoblots showed that the steady state levels of transgene encoded proteins were greater by approximately 21-fold in PDZK1-Tg-expressing and 24-fold in PDZ1Tg-expressing mice than that of endogenous PDZK1 in WT nontransgenic mice (Figure IB, note there was lower total protein loading for samples from transgenic animals). Analysis by immunoblotting also showed that the levels of endogenous hepatic PDZK1 in WT[PDZ 1-Tg] mice were similar to those in nontransgenic WT mice (83+ 18 % of WT levels of endogenous PDZK1, P = 0.339). PDZK1 and PDZ1I IA. 519 Wc 1 PDZK1 N l .1.6 SRB Bid I 1 PDZ1 - N 116 C I B.Hepatic expression of proteins Genotype: WT KO PDZK1-Tg: - +- + PDZ1-Tg: - - +- 75 PDZK1 o 50 -37 * 25 20 PDZ1 vo 15 E-COP•O Loading (tg): 30 1.5 Figure 1. Hepatic expression of PDZK1 and PDZ1 transgenes. A, Schematic diagrams of the proteins encoded by the PDZK1 (top) and PDZ1 (bottom) transgenes. B, Immunoblot analysis of hepatic expression of PDZK1 and PDZ1 proteins in PDZK1 and PDZl transgenic mice. Hepatic protein levels are shown in nontransgenic wild-type (WT) and PDZK1 knockout (KO) mice (left two lanes), and PDKZI KO [PDZKl-Tg] and PDZK1 KO[PDZl-Tg] mice (right two lanes). Liver lysates from mice with the indicated genotypes and transgenes (30 [g or 1.5 ltg of protein per lane) were analyzed by immunoblotting, and the bands corresponding to either PDZK1 (-60 kDa) or PDZ1 (~14 kDa) were visualized by chemiluminescence. Size markers are indicated on the right. E-COP (~34 kDa band, bottom) was used as a loading control. Replicate experiments with multiple exposures and sample loading were used to determine the relative levels of expression of these proteins. Note faint E-COP band visible in the last lane. Samples shown were all from a single gel, but reordered for presentation purposes.*Indicates background bands seen in all samples. Effects of the PDZK1-Tg on hepatic SR-BI expression and lipoprotein metabolism: In WT mice, hepatic overexpression of PDZK1 had little effect on the steady state levels (immunoblotting, Figure 2A, left half of the panel) or cell surface localization (immunohistochemistry, Figure 3A and C) of hepatic SR-BI protein. As a consequence, in WT mice there also was no influence of the PDZK1-Tg on plasma cholesterol levels (Figure 2B, left panel) or the size distribution of lipoproteins (FPLC lipoprotein cholesterol profiles), in which the bulk of the cholesterol is found in normal sized HDL particles (Figure 2C, white and gray circles). In contrast, in PDZK1 KO mice, hepatic overexpression of PDZK1 corrected the previously reported abnormal phenotypes related to SR-BI and lipoprotein metabolism. In PDZK1 KO mice the PDZK1-Tg restored from <5% of wild-type (32) to normal wild-type levels the steady-state abundance of hepatic SR-BI protein (immunoblotting, Figure 2A, right half of the panel), which was properly localized on the surfaces of the hepatocytes (immunohistochemistry, Figure 3B and D). As a consequence, in PDZK1 KO mice the PDZK1Tg restored plasma cholesterol levels from the ~1.7-fold elevation seen in nontransgenic PDKZ1 KO mice to those in wild-type controls (Figure 2B, right panel). The PDZKl-Tg also restored the size distribution of lipoproteins from that with abnormally large HDL particles in the nontransgenic PDZK1 KO animals to that with normal sized HDL seen in the nontransgenic WT mice (Figure 2C, black and gray squares). Note that the peak of PDZK1 KO sample is shifted to the left relative to that in WT plasma, indicating larger lipoproteins. Similar results were obtained with an adenoviral construct used to overexpress full-length PDZK1 in the livers of mice on a pure 129SvEv genetic background (not shown). Therefore, although hepatic overexpression of PDZK1 has little effect on SR-BI and lipoprotein metabolism in WT mice, it appears to fully complement the PDZK1 deficiency in PDZK1 KO mice with respect to hepatic SR-BI protein levels, cellular localization and function in lipoprotein metabolism. A. PDZK1 Tranagene Genotype: PDZK1-Tg: - KO WT -1 + + Transgene A.PDZK1 SR-BI -1 • Actin -, III III II ~~----A I I -e mMM B. PDZK1-Tg Plasma Cholesterol C. PDZK1-Tg Lipoprotein Cholesterol Profiles nn VLDL 25- I II IDL/LDL HDL II E 20 0 o 152 10- 1 50 -o-WT -o-WT + PDZKI-Tg -'-KO + KO + PDZKI-Tg MELVI0N -1 o O.W m ill iiiillil iiiiiill 11 M I I111 . . . . . . . .- . 29 33 37 . - 41 Fraction Number Fraction Number Figure 2. Effect of expression of the PDZK1 transgene on hepatic SR-BI protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice. A, Liver lysates (~30 ýtg of protein) from mice with the indicated genotypes, with (+) or without (-) the PDZK1 transgene, were analyzed by immunoblotting, and SR-BI (~82 kDa band) was visualized by chemiluminescence. Actin (~40 kDa) was used as a loading control. B and C. Plasma was harvested from mice with the indicated genotypes and PDZK1 transgene. B, Total plasma cholesterol levels were determined in individual samples by enzymatic assay, results from the indicated numbers of animals (n) were pooled by genotype and normalized to the mean value for WT plasma cholesterol (100% = 116.9 mg/dl). Independent WT and KO control animals for each founder line were generated to ensure that the mixed genetic backgrounds for experimental and control mice were matched. * Indicates the PDZK1 KO plasma cholesterol levels were statistically significantly different (P <0.001) from those plasma cholesterol levels of WT, WT[PDZKl-Tg], and PDZK1 KO[PDZKl-Tg] mice. C, Plasma samples (harvested as in panel B) from individual animals were size-fractionated by FPLC, and the total cholesterol content of each fraction was determined by an enzymatic assay. The chromatograms are representative of multiple individually determined profiles. Approximate elution positions of native VLDL, IDL/LDL and HDL particles are indicated by brackets and were determined as previously described (19). Figure 3. Immunohistochemical analysis of hepatic SR-BI in WT and PDZK1 KO nontransgenic (A and B), PDZK1 transgenic (C and D), and PDZ1 transgenic (E and F) mice. Livers from mice of the indicated genotypes and transgenes were fixed, frozen and sectioned. The sections were then stained with a polyclonal anti-SR-BI antibody, and a biotinylated anti-rabbit IgG secondary antibody and visualized by immunoperoxidase staining. (Magnification x600). Effects of the PDZ1-Tg on lipoprotein metabolism and hepatic SR-BI expression: In PDZK1 KO mice, 24-fold hepatic overexpression of the truncated PDZ1 protein had virtually no effect on the abnormally high plasma cholesterol levels (Figure 4B, right panel) or the size distribution of lipoproteins (FPLC lipoprotein cholesterol profiles), in which the bulk of the cholesterol is found in abnormally large HDL particles (Figure 4C, black and gray squares). Thus, the Nterminal PDZ1 domain-containing region of PDZK1 is not sufficient to restore normal SR-BI function in PDZK1 KO mice, suggesting that other portions of the PDZK1 protein must play critical roles in regulating hepatic SR-BI. Strikingly, in WT mice we found that the PDZl-Tg elevated plasma cholesterol levels (Figure 4B, left) and increased the size of the HDL particles (Figure 4C, white and gray circles) to those observed in nontransgenic PDZK1 KO mice. We therefore conclude that, PDZl-Tg acts as in a dominant negative fashion with respect to SR-BI function in WT mice. We then examined the effects of the PDZl-Tg on hepatic SR-BI protein abundance and localization. Immunoblotting analysis (Figure 4A, left portion of the panel) shows that in WT mice the PDZl-Tg lowered the steady-state hepatic SR-BI protein levels to 24±5% of that in nontransgenic WT mice, yet the levels remained >5-fold higher than that in nontransgenic PDZK1 KO mice. Thus, unlike the full-length PDZK1-Tg, in WT mice the PDZl-Tg partially suppressed hepatic SR-BI protein expression. Initially it was somewhat surprising that this partial suppression of hepatic SR-BI protein levels was accompanied by changes in plasma lipoproteins equivalent to those seen in nontransgenic PDZK1 KO mice that have <5% of WT hepatic SR-BI. However, immunohistochemical localization of the residual SR-BI in WT[PDZ1Tg] mice (Figure 3E) showed that most of the residual SR-BI was intracellular, with no detectable receptor on the hepatocytes' surfaces. This result was confirmed by immunofluorescence microscopy (data not shown). Thus, the absence of substantial amounts of SR-BI on the sinusoidal surfaces of hepatocytes in WT[PDZl-Tg] mice appears to explain the similarity of the lipoprotein levels in these mice and nontransgenic PDZK1 KO mice. In both cases there was virtually no surface SR-BI to interact with circulating lipoproteins. To determine if the intracellular mislocalization of the residual SR-BI in WT[PDZ1-Tg] mice were due to a block in SR-BI trafficking in the early stages of the secretory pathway (ER to medial Golgi), we compared the glycosylation state of the SR-BI protein in nontransgenic WT and WT[PDZl-Tg] mice. We have previously shown that SR-BI is heavily glycosylated (11 Nlinked glycosylation sites) (49, 50). N-linked oligosaccharide chains on newly synthesized glycoproteins in the ER are initially fully sensitive to cleavage by the enzyme endoglycosidase H (EndoH), but enzymatic modifications that occur as the glycoprotein passes through the medial Golgi convert many, but not all, of these chains to an EndoH resistant form (51). Virtually all Nlinked oligosaccharide chains on glycoproteins, both EndoH sensitive and EndoH resistant, can be removed by the glycosidase Peptide: N-Glycanase F (PNGase F) (51). The fully matured hepatic SR-BI protein from nontransgenic WT mice (immunoblotting of untreated and glycosidase-treated liver lysates, Figure 5, left side of the panel) exhibited a pattern of glycosidase sensitivity similar to that previously reported for SR-BI in cultured cells and the adrenal gland (49). This SR-BI protein was fully sensitive to PNGase F (reduction in apparent molecular weight from ~82 kDa (untreated) to ~55 kDa), yet only partially resistant to hydrolysis by EndoH (electrophoretic mobility intermediate between the untreated and fully Ndeglycosylated forms). [Unidentified background bands are indicated with asterisks.] The results for glycosidase analysis of hepatic SR-BI from WT[PDZ1-Tg] mice were virtually identical to those from nontransgenic WT mice (although the lower SR-BI expression required longer exposure times and correspondingly stronger background bands). Essentially all of the SR-BI protein was partially EndoH resistant, and thus had passed through the medial Golgi. Therefore, we conclude that the intracellular mislocalization of the residual hepatic SR-BI in WT[PDZl-Tg] mice was not a consequence of a block in ER to medial Golgi intracellular trafficking. Although in PDKZ1 KO mice the PDZl-Tg did not influence plasma cholesterol levels or the lipoprotein profile (Figure 4B, right panel and C, squares), it did reproducibly increase the steady state levels of hepatic SR-BI protein from less than 5% to 21±6% of nontransgenic WT levels (Figure 4A, right). Figure 3F shows that this residual SR-BI was located intracellularly rather than on the cell surface, and thus cannot function efficiently as a receptor for circulating HDL. The mechanism by which hepatic overexpression of PDZ1 in PDZK1 KO mice partially restores the steady state level of SR-BI protein, yet results in its mislocalization, remains uncertain (see Discussion). It is noteworthy that the level of SR-BI protein was virtually the same in WT[PDZ1-Tg] (24 ±5%) and PDZK1 KO[PDZl-Tg] (21±6%) mice. This similarity raises the possibility that the overexpressed PDZ1 domain completely displaced the endogenous PDKZ1 protein's binding to SR-BI in WT[PDZl-Tg] livers. A. PDZ1 Transagene Genotype: PDZ1-Tg: SR-BI- WT KO + - + 4l1 1 E-COP-B. PDZI-Tg Plasma Cholesterol I C. PDZI-Tg Upoprotein Cholesterol Profiles 305 - 25 .20 00 15 a" -o-WT + PDZI-Tg +KO 10 .C 0 S -- KO + PDZI-Tg 5 9 13 17 21 25 29 33 37 41 Fraction Number Figure 4. Effect of expression of the PDZ1 transgene on hepatic SR-BI protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice. A, Liver lysates (~-30 [g of protein) from mice with the indicated genotypes, with (+) or without (-) the PDZ1 transgene, were analyzed by immunoblotting, and SR-BI (-82 kDa band) was visualized by chemiluminescence. e-COP (-34 kDa) was used as a loading control. Note the faint SR-BI band in the nontransgenic PDZK1 KO lane. B and C. Plasma was harvested from mice with the indicated genotypes and PDZ transgene. B, Total plasma cholesterol levels were determined in individual samples by enzymatic assay, results from the indicated numbers of animals (n) were pooled by genotype, and normalized to the mean value for WT plasma cholesterol (100% = 131.7 mg/dl). Independent WT and KO control animals for each founder line were generated to ensure that the mixed genetic backgrounds for experimental and control mice are matched. * Indicates the nontransgenic WT plasma cholesterol levels were statistically significantly different (P < 0.001) from those plasma cholesterol levels of WT[PDZl-Tg], PDZK1 KO and PDZK1 KO[PDZ1-Tg] mice. C, Plasma samples (harvested as in panel B) from individual animals were size-fractionated by FPLC, and the total cholesterol content of each fraction was determined by an enzymatic assay. The chromatograms are representative of multiple individually determined profiles. Approximate elution positions of native VLDL, IDL/LDL and HDL particles are indicated by brackets and were determined as previously described (19). U WT Genotype: U- PDZ1 Transgene: U- U- U- U- PNGase F: u-u-.-.- Endo H: SR-BI (untreated) MDa 75 - Partially Endo H Resistant N-deglycosylated 50 ll Exposure (min) 0.75 Figure 5. Immunoblot analysis of the effects of the PDZ1 transgene on the N-glycosylation of hepatic SR-BI in WT mice. Liver lysates (30 [tg of protein) from WT animals with (+) or without (-) the PDZ1 transgene were treated as indicated with PNGase F (187.5 U), Endo H (1250 U), or no enzyme at 370 C for 3.5 hours, and then analyzed by immunoblotting using an anti-SR-BI polyclonal antibody with chemiluminescence visualization of the bands. * Indicates background bands seen in all samples, including in samples of nontransgenic PDZK1 KO lysates (not shown). The lanes for samples from the PDZ transgenic mice (right) contained lower levels of SR-BI protein and were therefore subjected to longer exposure times (5 vs. 0.75 min). As a consequence the intensities of the background bands were higher than for the nontransgenic samples on the left. Discussion The first PDZ domain, PDZ1, of the cytoplasmic adaptor protein PDZK1 binds to the Cterminus of SR-BI and as a consequence, PDZK1 controls hepatic SR-BI protein expression and lipoprotein metabolism (31,32,36). Expression of full-length PDZK1 in the liver of PDZK1 KO mice corrects their dramatic decrease in hepatic SR-BI protein levels and hypercholesterolemia, without apparently altering SR-BI expression in other tissues. This suggests that PDZKl's effect on lipoprotein metabolism is mediated principally by its control of SR-BI in liver. When a transgene encoding a truncated form of PDZK1 primarily comprising only the SRBI-binding PDZ1 domain (PDZ1-Tg, Figure lA) was overexpressed in WT mice, it exhibited dominant-negative activity and the mice, in several respects, resembled PDZK1 KO mice (dramatically reduced cell surface expression of hepatic SR-BI protein, hypercholesterolemia). The residual hepatic SR-BI protein in these transgenic animals (~25% of WT controls), which was five-fold greater than that in nontransgenic PDZK1 KO mice (<5% of control), was redistributed from the cell surface to the intracellular region. We infer based on PDZI's binding to SR-BI (31,36), but have not demonstrated directly, that these effects were consequences of the recombinant, truncated PDZ1 domain competing with endogenous PDZK1 for binding to SR-BI. These results suggest that those portions of the PDZK1 molecule C-terminal to the PDZ1 domain that are not known to bind directly to SR-BI play a critical role in mediating PDZKl's influence on SR-BI. It seems likely that these other regions of PDZK1 interact with additional cellular components to properly control SR-BI activity. It is possible that the phosphorylated C-terminus of PDZK1 (35) or the other three PDZ domains (PDZ2-PDZ4), and their binding partners, may play a critical role in regulating SR-BI. Additional putative PDZK1 interacting components apparently are either not present in limiting amounts, or cannot interact with PDZK1 efficiently unless it is bound to SR-BI, because overexpression of PDZK1 protein in the liver of WT mice had virtually no effect on normal hepatic SR-BI levels and lipoprotein metabolism (no dominant negative phenotypes observed; the excess PDZK1 did not titrate out other critical components). There are several potential mechanisms by which full-length PDZK1 or truncated PDZ1 might influence both SR-BI protein abundance and intracellular localization. For example, PDZK1 might inhibit degradation of hepatic SR-BI by binding to its C-terminus, directly preventing access to proteolytic pathways (e.g. ubiquitination and/or proteasomes) or indirectly by controlling SR-BI's intracellular trafficking (e.g., directing post-medial Golgi sorting to the cell surface, inhibiting endocytosis from the cell surface, or promoting normal endocytic recycling back to the cell surface) and preventing delivery to sites of degradation, or both. The effects of expression of the PDZl-Tg in PDZK1 KO mice are compatible with both of these mechanisms. The PDZ1-Tg increased by five-fold the steady-state levels of SR-BI compared to those in the nontransgenic PDZK1 KO, raising the possibility that binding to SR-BI's C-terminus may have interfered with degradation. 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Biochem. 180: 195-204 Footnotes We thank Joel Lawitts from the BIDMC transgenic facility, S. Xu for generating and 112 antibody, and H. Lodish and D. Sabatini for helpful characterizing the anti-mSR-BI 495discussions. Supported by grants from the National Institutes of Health to OK (HL077780) and MK (HL64737, HL52212 and HL66105) and FONDECYT to AR (1070634). * Abbreviations used are: HDL, high density lipoprotein; SR-BI, scavenger receptor, class B, type I; LDL, low density lipoprotein; UC, unesterified cholesterol; TC, total cholesterol; PDZ, postsynaptic density protein (PSD-95)/Drosophila disc large tumor suppressor (dlg)/tight junction protein (ZO 1); Tg, transgenic; KO, knockout; FPLC, fast performance liquid chromatography; apoE, apolipoprotein E; apoC-I, apolipoprotein C-I, VLDL, very low density lipoprotein; IDL, intermediate density lipoprotein. Chapter Three HEPATIC CELL-SURFACE LOCALIZATION OF THE HIGH-DENSITY LIPOPROTEIN RECEPTOR, SR-BI, IS CONTROLLED BY THE FIRST THREE PDZ DOMAINS OF PDZK1 Sara A. Fenske1, Ayce Yesilaltay', Rinku Pal 2, Kathleen Daniels 2, Caroline Barker', Attilio Rigotti 3, Monty Krieger' and Olivier Kocher 2 From the 'Department of Biology, Massachusetts Institute of Technology, Room 68-483, 77 Massachusetts Avenue, Cambridge, MA 02139, 2 Department of Pathology, Beth IsraelDeaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, 3Departamento de Gastroenterologia, Facultad de Medicina, Pontificia Universidad Catdlica, Marcoleta 367, Santiago, Chile This chapter will serve as the first draft of a manuscript to be submitted for publication. I contributed the text and figures 1, 2, 4, and 5. All transgenic and non-transgenic mice were generated by Olivier Kocher and technicians in his lab at the Beth Israel-Deaconess Medical Center and Harvard Medical School (Rinku Pal, Kathleen Daniels). Olivier Kocher performed the immunohistochemical analysis of SR-BI localization. Caroline Barker and Ayce Yesilaltay helped with immunoblotting and sample preparation. Contributions to the Materials and Methods section and figure legends were contributed by Olivier Kocher. Minor revisions to text were contributed by Monty Krieger. All experiments were performed in the laboratories of Monty Krieger and Olivier Kocher, who provided overall supervision. Attilio Rigotti also prepared adenovirus expression vectors for many of the constructs described in this manuscript and I used these to generate large-scale preps of these viruses. However, the stable transgenic animals became available more quickly than expected, so they were used rather than the adenoviruses for most studies. Abstract PDZK1 is a four PDZ domain-containing scaffold protein that binds to the C-terminus of scavenger receptor class B, type I (SR-BI), the high-density lipoprotein (HDL) receptor, by its first PDZ domain (PDZ I). Loss of PDZK1 expression in PDZK1 knockout (KO) mice leads to a post-transcriptional, tissue-specific decrease in SR-BI protein level and an increase in total plasma cholesterol carried in abnormally large HDL particles, which can be reversed by hepatic PDZK1 transgene expression. Transgenic overexpression of only the PDZ 1 domain of PDZK1 in the liver is sufficient to partially restore SR-BI abundance, but the SR-BI protein is mislocalized intracellularly and therefore does not restore normal SR-BI function in PDZK1 KO mice, indicating that other structural features of PDZK1 are necessary for normal SR-BI function. To further elucidate the roles that various features of PDZK1 play in regulating hepatic SR-BI function, we explored the effects that transgenic expression of three truncation mutants of PDZK1 have on hepatic SR-BI protein abundance, localization and function. Overexpression of pTEM-Tg, which excludes the three C-terminal most amino acids that compose a putative PDZbinding motif, was able restore normal hepatic SR-BI function in PDZK1 KO mice, indicating that this motif is not necessary. As was the case for the PDZ 1-Tg, expression of a transgene encoding a truncated protein containing the first and second PDZ domains (PDZ1.2-Tg) in PDZK1 KO mice was not able to restore hepatic SR-BI cell-surface localization or function in PDZK1 KO mice, but was able to partially restore SR-BI abundance. Expression of a transgene encoding the first, second and third PDZ domains (PDZ1.2.3-Tg) in PDZK1 KO mice resulted in partial restoration of SR-BI protein abundance and the expression of some of the restored SR-BI protein on the cell surface. As a consequence there was partially restored SR-BI function in these PDZ 1.2.3-Tg mice, as demonstrated by a small, but statistically significant, decrease in their abnormally high plasma cholesterol levels. Thus, we conclude that the first three PDZ domains of PDZK1 are able to control the localization, and therefore function, of hepatic SR-BI; but that other structural features C-terminal to this domain in PDZK1 are required for normal SR-BI function. Introduction SR-BI (scavenger receptor, class B, type I) plays a significant role in lipoprotein metabolism as the high-density lipoprotein (HDL) receptor (1). Through a mechanism called selective uptake, (3, 8-10), SR-BI mediates the uptake of cholesteryl esters from HDL and other lipoproteins into cells (2-7), as well as the bi-directional movement of unesterified cholesterol between cells and lipoproteins (11-14). SR-BI is most highly expressed in the liver and steroidogenic tissues, which exhibit the highest levels of HDL selective cholesterol uptake (3). Deficiency of SR-BI in SR-BI knockout (KO) mice leads to elevated (-2.2-fold) plasma cholesterol levels, transported in abnormally large HDL particles with an unesterified cholesterol: total cholesterol ratio roughly double that of wild-type (WT) mice (19, 21). This dyslipidemia is a consequence of the reduced uptake of cholesterol from plasma HDL by the liver, and can be reversed by hepatic SR-BI transgene expression (26, 25, 27, 15). The intracellular protein, PDZK1, has been shown to interact directly with SR-BI to influence its function (31). PDZK1 regulates SR-BI expression in a tissue specific, posttranscriptional manner (32). PDZK1 is most highly expressed in the kidney and, like SR-BI, is expressed in the liver and intestines; but has very low expression in the steroidogenic tissues, in which SR-BI is abundantly expressed (3,31). PDZK1 KO mice show a dramatic, > 95% reduction in hepatic SR-BI protein levels, a partial decrease in SR-BI abundance in the small intestine, but no change in steroidogenic tissues (32). Due to this dramatic decrease in hepatic SR-BI protein levels, PDZK1 KO mice exhibit abnormally high plasma cholesterol (-1.7-fold), which is transported in abnormally large HDL particles (32). This effect on plasma lipoprotein metabolism in PDZK1 KO mice is similar to, though not as severe as, those changes found in SR-BI KO mice (19). We have previously demonstrated that hepatic overexpression of a murine SR-BI transgene in SR-BI/PDZK1 double knockout mice results in cell-surface expression and normal function of SR-BI (45). Therefore, SR-BI is able to function normally without PDZK1 provided it is localized on the cell-surface at steady state levels similar to those in wild-type hepatocytes (45). However, the mechanism by which PDZK1 regulates hepatic SR-BI abundance and/or localization in nontransgenic animals remains unclear. PDZK1 is a four PDZ-domain containing scaffold protein (Fig lA, top) that binds to the carboxy termini of numerous membrane-associated transporter proteins, including ion channels (e.g., CFTR) and cell surface receptors (33, 34). Its N-terminal most PDZ domain, PDZ1, binds to the C-terminus of SR-BI (31, 36), but ostensibly not to SR-BII, a minor, alternatively-spliced form of SR-BI whose 39 residue C-terminal sequence differs from that of SR-BI (32,37-41, 44). Deletion of SR-BI's final C-terminal amino acid abolishes its interaction with the PDZ 1 domain of PDZK1 (36). Previously, we showed that hepatic overexpression of full-length PDZK1 in PDZK1deficient mice restored normal hepatic SR-BI protein levels and function, but had little, if any, effect on hepatic SR-BI in WT mice (42). However, hepatic overexpression of a truncated mutant of PDZK1, comprising primarily the PDZ I1domain of PDZK1, was not sufficient to restore normal SR-BI function in PDZK1 KO mice. In WT mice, overexpressing the PDZl domain in hepatocytes resulted in plasma lipoproteins that resembled those in PDZK1 KO mice (hypercholesterolemia, large HDL), due to a 75% reduction in hepatic SR-BI protein levels, and intracellular mislocalization of the remaining SR-BI protein (42). These results suggested that the PDZ 1 domain can control both the abundance and intracellular localization of hepatic SR-BI and that normal regulation of SR-BI by PDZK1 is likely to require that its other structural features interact with other, as yet unidentified, cellular components. The three PDZ domains C-terminal to PDZ (PDZ2, PDZ3, and PDZ4), and PDZKI's 66 residue C-terminal tail (Figure lA) are apparently not involved in direct binding to SR-BI (31, 33). The role(s) of these features in the regulation of hepatic SR-BI are unknown. It is possible that PDZ2, PDZ3 and/or PDZ4 bind to other, as yet unidentified, cellular components involved in SR-BI regulation. Other hepatic proteins (such as OATPlA1, (46)) have been shown to interact with PDZKI's PDZ domains. Nakamura et al have shown that PDZKI's C-terminus and its phosphorylation are required for optimal PDZK1-transgene mediated induction of increased SR-BI protein levels in cultured cells (35). Additionally, PDZK1 has a putative PDZ-interacting motif at its C-terminus (the final three residues: Thr - Glu - Met) (31,33). PDZK1 is known to form heterodimers with other PDZ proteins (NHERF 1, NHERF2), through interactions between PDZKI's PDZ domains and the target proteins' C-termini (43). It is conceivable that PDZK1 might form hetero- or homodimers through this PDZ-binding motif. Here we have analyzed the impact of the PDZ2 and PDZ3 domains, and the C-terminal putative PDZ-binding motif of PDZK1 on the abundance, localization, and function of hepatic SR-BI in vivo. We compared the effects of expressing three transgenes encoding the following PDZK1 truncation mutants in WT and PDZK1 KO mice: PDZ1.2 (primarily composed of the first, which binds the C-terminus of SR-BI, and the second PDZ domains of PDZK1), PDZ1.2.3 (primarily composed of the first, second, and third PDZ domains of PDZK1) and pTEM (composed of the entire PDZK1 protein, except for the final three amino acids, TEM). We found that hepatic overexpression of pTEM-Tg in PDZK1 KO mice restored normal hepatic SR-BI protein levels and function, and had little effect on SR-BI function in WT mice. Hepatic expression of PDZ1.2-Tg did not affect SR-BI abundance or function in WT mice. In PDZK1 KO mice, the PDZ1.2 protein acted similarly to the PDZ1 protein in that SR-BI protein levels were partially restored, though the SR-BI protein was mislocalized intracellularly, resulting in no change in plasma cholesterol levels. Hepatic expression (8-fold overexpression) of PDZ1.2.3-Tg in WT mice did not change SR-BI expression or function. However, in PDZK1 KO mice, expression of PDZ1.2.3-Tg resulted in a small decrease in plasma cholesterol levels. This was accompanied by an increase in hepatic SR-BI protein levels, and at least a partial restoration of steady-state SR-BI cell surface localization. Our results suggest that the first three domains of PDZK1 play a role in the proper localization of SR-BI on the cell surface, but that other structural features of the PDZK1 protein between the PDZ3 domain and the final three amino acids of PDZK1 are required for normal regulation of hepatic SR-BI function. Experimental Procedures Generation of PDZ1.2, PDZ1.2.3, and pTEM transgenic mice: PDZ1.2, PDZ1.2.3, and pTEM transgenic mice were generated using the pLIV-LE6 plasmid, kindly provided by Dr. John M. Taylor (Gladstone Institute of Cardiovascular Disease, University of California, San Francisco). The pLiv-LE6 plasmid contains the promoter, first exon, first intron, and part of the second exon of the human apoE gene, and the polyadenylation sequence, and a part of the hepatic control region of the apoE/C-I gene locus (47). To generate PDZ1.2 transgenic mice, a 700 bp DNA fragment containing the first 220 amino acids of murine PDZK1 was subcloned between the KpnI and XhoI sites of the pLIV-LE6 plasmid. To generate PDZ 1.2.3 transgenic mice, a 1.1 kilobase (kb) DNA fragment containing the first 359 amino acids of PDZK1 was subcloned between the KpnI and XhoI sites of the pLIVLE6 plasmid. To generate pTEM transgenic mice, a 1.6 kb DNA fragment containing the first 516 amino acids of PDZK1 (the entirety of murine PDZK1 except for the last 3 amino acids) was subcloned between the KpnI and XhoI sites of the pLIV-LE6 plasmid. The sequences of the resulting plasmids were confirmed by DNA sequencing. The new constructs harboring the PDZ 1.2, PDZ1.2.3, and pTEM genes, as well as the above-mentioned apoE/apoC-I control locus elements, were linearized by Sacll/Spel digestion and the resulting 5.7 kb (PDZ1.2), 6.1 kb (PDZ1.2.3), and 6.6 kb (pTEM) fragments were used to generate transgenic mice using standard procedures (48). Founder animals for the PDZ1.2, PDZ1.2.3, and pTEM transgenes in an FVB/N genetic background were identified by PCR performed on tail DNA using the following oligonucleotide primers: for the PDZ1.2 and PDZ 1.2.3 transgenes, one primer corresponding to the PDZK1 cDNA sequence (CAATGGTGTCTTTGTCGACAAG) and one corresponding to the 3'-end of the human apoE gene sequence included in the cloning vector (AGCAGATGCGTGAAACTTGGTGA); for the pTEM transgene, one primer corresponding to the PDZK1 cDNA sequence (GAGGCAGCTGGCTTGAAGAAC) and the same 3'-primer used for the PDZ1.2 and PDZ1.2.3 transgenes. Founders expressing the PDZ1.2, PDZ1.2.3, or pTEM transgenes were crossed with PDZK1 KO mice (129SvEv background). Heterozygous pups expressing the PDZ 1.2, PDZ1.2.3, or pTEM transgene were crossed with WT and PDZK1 KO mice to obtain mice with PDZ1.2, PDZ1.2.3, or pTEM transgene expression and non-transgenic WT and PDZK1 KO control mice, thus ensuring that the mixed genetic backgrounds of experimental and control mice in each founder line are matched. PDZK1 KO mice were genotyped as previously described (49). We previously published that transgene expression using the pLiv-LE6 vector leads to liver and kidney specific expression, with higher expression in the liver. Expression of full-length PDZK1 and a truncation mutant had no effect on the undetectable level of SR-BI in the kidney (42). Animals: All mice on a 25:75 FVB/N: 129SvEV genetic background were maintained on a normal chow diet (49) and -6-15 week old male mice were used for experiments. Three independent founder lines for each of the transgenes - pTEM-Tg, PDZ1.2-Tg, and PDZ1.2.3-Tg - were generated, all showing similar effects on plasma cholesterol levels within each transgene set. Observations from animals derived from two of the three pTEM-Tg, PDZ1.2-Tg, and PDZ1.2.3-Tg expressing founders were pooled because plasma cholesterol and SR-BI protein abundance and localization results were virtually identical. All procedures on transgenic and non-transgenic mice were performed in accordance with the guidelines of the Beth Israel Deaconess Medical Center and the Massachusetts Institute of Technology Committee on Animal Care. Blood and tissue sampling, processing, and analysis: Plasma and liver samples were collected and processed and total plasma cholesterol levels and individual size fractionated fast performance liquid chromatography (FPLC) cholesterol profiles were obtained as previously described (42). Results of total plasma cholesterol data from founders with similar plasma cholesterol levels (see above) were pooled. For immunoblotting, protein samples (-30 or 10 tg) from total liver lysates were fractionated by SDS-PAGE, transferred to polyvinylidene difluoride membranes and incubated with either a rabbit polyclonal anti-SR-BI antipeptide antibody (mSR-B1495'11 2) (1:1000) or a rabbit polyclonal anti-PDZK1 antipeptide antibody (1:20000) (42), followed by an anti-rabbit IgG conjugated to horseradish peroxidase (Invitrogen, 1:10000), and visualized by ECL chemiluminescence (GE Healthcare/Amersham, #RPN2132). Immunoblotting using polyclonal anti-E-COP (1:5000) (50) antibody was used as loading control. The relative amounts of proteins were determined by quantitation using a Kodak Image Station 440 CF and Kodak 1D software. Multiple independent determinations of band intensities from serially diluted samples were made to ensure that the intensities were both in the linear range of the detector and reproducible. Immunoperoxidase analysis: Livers were harvested, fixed, frozen, and 5 [Im sections were stained with the anti-mSR-B1495 -112 antibody and biotinylated anti-rabbit IgG, visualized by immunoperoxidase staining, and counterstained with Harris modified hematoxylin, as described previously (32). Statistical Analysis: Data are shown as the means _ standard deviation. Statistically significant differences were determined by either pairwise comparisons of values using the unpaired t test, with (if variances differed significantly) or without Welch's correction, or by one-way ANOVA followed by the Tukey-Kramer multiple comparison post-test when comparing three or more sets of data to each other. Mean values for experimental groups are considered statistically significantly different for P < 0.05 for both types of tests. Results To determine the effects of expressing three truncated forms (PDZ1.2, PDZ1.2.3, and pTEM) of the PDZK1 protein on hepatic SR-BI protein levels and function, we generated three cDNA constructs that encoded the N-terminus and PDZ1 and PDZ2 domains ('PDZ 1.2-Tg'), or the Nterminus and PDZ1, PDZ2, and PDZ3 domains ('PDZ1.2.3-Tg'), or the entire PDZK1 protein except for the last three amino acids comprising a putative PDZ-binding motif ('pTEM-Tg' (Figure lA). These constructs were used to generate transgenic mice with liver and kidneyspecific expression in both wild-type (WT [PDZ1.2-Tg], WT [PDZ1.2.3-Tg], WT [pTEM-Tg]) and PDZK1 knock-out (PDZK1 KO [PDZ1.2-Tg], PDZK1 KO [PDZ1.2.3-Tg], or PDZK1 KO [pTEM-Tg]) mice on a mixed FVB/129SvEv background. In a previous report, we found that transgene expression of full-length and a dominant-negative truncated form of PDZK1 (PDZ 1) in the kidney did not alter the undetectable levels of SR-BI in this organ (42), and therefore is unlikely to affect SR-BI in these cases either. Hepatic levels of PDZK1, PDZ 1.2, PDZ 1.2.3 and pTEM proteins in nontransgenic and transgenic mice from two founders each were determined by immunoblotting (typical result in Figure 1B). Estimations of transgenic protein levels compared to levels of endogenous PDZK1 in WT nontransgenic mice were made from multiple immunoblots. The steady-state levels of transgene-encoded proteins in PDZ1.2-Tg expressing mice were 5.5 t 1.6-fold (founder line 833) and 1.3 + 0.3-fold (founder line 836) higher than the endogenous levels of PDZK1 in nontransgenic WT mice (Figure 1B, lanes 3 and 4, and top right-hand panels). In PDZ1.2.3-Tg expressing mice, the steady-state levels of transgenic protein were 7.9 . 3.4-fold higher than (founder line 644) and 17% _ 3% (959 founder line) of endogenous PDZK1 levels in nontransgenic WT mice (Figure IB, lanes 5 and 6, and middle right-hand panels). In pTEM-Tg expressing mice, the transgenic protein is expressed 44.3 t 10.5-fold higher (founder line 6656) and 24.6 ± 6.2-fold (founder line 6658) higher than endogenous PDZK1 levels in nontransgenic WT mice (Figure IB, lanes 7 and 8, and bottom right-hand panels). Analysis by immunoblotting also showed that the levels of endogenous hepatic PDZK1 in WT [PDZ1.2-Tg] were slightly, but statistically significantly, lower than those in nontransgenic WT mice (69 ± 14% of WT levels of endogenous PDZK1, P = 0.0176), and in WT [PDZ1.2.3-Tg] mice, PDZK1 levels were similar to those in nontransgenic WT mice (98 _ 22% of WT levels of endogenous PDZK1, P = 0.7534). Thus overexpression of PDZ1.2-Tg, but not PDZ1.2.3-Tg, appears capable of affecting endogenous PDZK1 levels via an unknown mechanism. A. Full-length and Truncated PDZK1 Proteins Truncation Mutants: %C PDZK1 (SR-Bl Bldlng I 220 PDZ1.2 1 -C 1Q_ 1 I ~PDZ1.2.3 -C N 359 36 I pTEM N A38w B. Hepatic expression of proteins IKo I PD Transgene: PDZI none W I Genotype: PDZ1.2 PDZ1.2.3 pTEM KO WT IKO WT KO WT Foundr kDa I Ko -KO PDZ1.2 -ts PDZKI or pTEM 644 969 WV PZ1.23 *t·l 8-COPW PDZ1.2 4 :1 - -COP _- -15 83 Founder: Expmeaion Lawn: 833 1 (Wr) 1 2 644 5.5*1.6 7.9* 3.4 3 5 4 oundwr: I ee ame 6656 6 44.3*10.5 7 I8 -COP Fig. 1. Hepatic expression of PDZ1.2, PDZ1.2.3 and pTEM transgenes. A, Schematic diagrams of the proteins encoded by the PDZ1.2 (top), PDZ1.2.3 (middle), and pTEM (bottom) transgenes. B, Immunoblot analysis of hepatic expression of PDZ1.2, PDZ1.2.3, and pTEM proteins in PDZl.2, PDZ1.2.3, and pTEM transgenic mice. Hepatic protein levels are shown in nontransgenic wild-type (WT) and PDZK1 knockout (KO) mice (lanes 1 and 2), WT [PDZ1.2Tg] and PDKZI KO [PDZ1.2-Tg] mice (lanes 3 and 4), WT[PDZ1.2.3-Tg] and PDZK1 KO [PDZ1.2.3-Tg] mice (lanes 5 and 6), and WT [pTEM-Tg] and PDZK1 KO [pTEM-Tg] mice (lanes 7 and 8, left panel). Liver lysates from mice with the indicated genotypes and transgenes (10 ýtg of protein per lane) were analyzed by immunoblotting, and the bands corresponding to PDZK1 (-60 kDa), PDZl.2 (~26 kDa), PDZl.2.3 (~37 kDa), or pTEM (-60 kDa) were visualized by chemiluminescence. Size markers are indicated on the right. e-COP (-34 kDa band) was used as a loading control. Comparisons of transgene expression levels between multiple founders for each transgene are shown in the panels on the right. PDZ1.2-Tg expression (top right panels) is 5.5 t 1.6-fold (founder line 833) and 1.3 ± 0.3-fold (founder line 836) higher than endogenous levels of PDZK1 in non-transgenic WT livers. PDZ1.2.3-Tg expression (middle right-hand panels) is 7.9 t 3.4-fold (founder line 644) higher than WT endogenous levels of PDZK1 and 17% t 3% (founder line 959) of WT endogenous levels of PDZK1. pTEM-Tg expression (bottom right-hand panels) is 44.3 ± 10.5-fold (founder line 6656) and 24.6 + 6.2-fold (founder line 6658) higher than WT endogenous levels of PDZK1. Replicate experiments with multiple exposures and sample loading were used to determine the relative levels of expression of these proteins. Samples shown in adjacent panels were all from a single exposure of a single gel, but reordered for clarity of presentation. *Indicates background bands seen in all samples. Effects of the pTEM-Tg on hepatic SR-BI expression and lipoprotein metabolism: In WT mice, hepatic overexpression of pTEM resulted in no statistically significant change in steady-state levels of SR-BI in either founder (immunoblotting, Figure 2A, top half of the panel). As in non-transgenic WT mice, the majority of the steady-state SR-BI protein was localized on the cell surface in both founders (immunohistochemistry, representative image in Figure 3C). In WT [pTEM-Tg] mice, there was a small, but statistically significant, decrease in plasma cholesterol levels compared to non-transgenic controls when cholesterol values from both founders were combined (Figure 2B, left panel). A similar, but not statistically significant, decrease was seen in each of the founders individually. No change was observed in the size distribution of lipoproteins (FPLC lipoprotein cholesterol profiles), in which the bulk of the cholesterol was found in normal-sized HDL particles (Figure 2C, white and gray circles). These results suggest that the very high overexpression of the pTEM-Tg in WT mice results in a slight increase in SR-BI function; however further studies would be required to test this. In PDZK1 KO mice, hepatic overexpression of pTEM corrected the previously reported abnormal phenotypes related to SR-BI and lipoprotein metabolism. In PDZK1 KO mice the pTEM-Tg restored the steady-state abundance of hepatic SR-BI protein from <5% of wild-type (32) to normal wild-type levels (immunoblotting, Figure 2A, bottom half of the panel), which was properly localized on the surfaces of the hepatocytes (immunohistochemistry, representative image in Figure 3D). Consequently, in PDZK1 KO mice, the pTEM-Tg restored plasma cholesterol levels from the -1.7-fold elevation seen in nontransgenic PDKZ1 KO mice to those in seen in wild-type controls (Figure 2B, right panel). The pTEM-Tg also restored the lipoprotein size distribution in PDZK1 KO [pTEM-Tg] from that with abnormally large HDL particles in the nontransgenic PDZK1 KO animals to that with normal-sized HDL seen in the nontransgenic WT mice (Figure 2C, black and gray squares). Note that the peak in the PDZK1 KO sample is shifted to the left relative to that in WT plasma, indicating larger lipoprotein particles. Therefore, overexpression of pTEM leads to normal SR-BI protein levels in both WT and PDZK1 KO mice, and fully complements the PDZK1 deficiency in PDZK1 KO mice with respect to hepatic SR-BI protein levels, cellular localization and function in lipoprotein metabolism. This indicates that the final three amino acids (TEM), a putative PDZ-interacting motif, are not required for apparently normal PDZKl-mediated SR-BI protein expression, localization, and function. A. pTEM-Tg SR-BI protein levels B. pTEM-Tg Plasma Cholesterol WT KO n=14 200. n=14 n=19* n=14 100. pTEM-Tg: - r - I + I I - I C. pTEM-Tg Upoprotein Cholesterol Profiles VLDL 30 IDLLDL I I i HDL 25 20 0a O 15 0 WT +pTEM-Tg 10+KO 3I KO + pTEM-Tg 5 0 w - --·--- r-----r------ 5 9 r- V - · 7 - - -r~ ~- I - - - · -- - ·- ' - ·- - ~T - 13 17 21 25 29 33 37 41 Fraction Number Fig. 2. Effects of expression of the pTEM transgene on hepatic SR-BI protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice. A, Liver lysates (-30 ýtg of protein) from mice with the indicated genotypes, with (+) or without (-) the pTEM transgene, were analyzed by immunoblotting, and SR-BI (~82 kDa band) was visualized by chemiluminescence. e-COP (~-34 kDa) was used as a loading control. Replicate experiments with multiple exposures and sample loading were used to determine the relative levels of expression of SR-BI. WT and WT [pTEM-Tg] samples shown were all from a single gel, but reordered for clarity of presentation. B and C, Plasma was harvested from mice with the indicated genotypes and pTEM transgene. B, Total plasma cholesterol levels were determined in individual samples by enzymatic assay, and results from the indicated numbers of animals (n) were pooled by genotype. Independent WT and KO control animals for each founder line were generated to ensure that the mixed genetic backgrounds for experimental and control mice were matched. * Indicates the PDZK1 KO plasma cholesterol levels were statistically significantly different (P < 0.001) from those plasma cholesterol levels of WT, WT [pTEM-Tg], and PDZK1 KO [pTEM-Tg] mice. * Indicates that the WT [pTEM-Tg] plasma cholesterol levels were statistically significantly different from those plasma cholesterol levels of WT (P < 0.05), PDZK1 KO (P< 0.001), and PDZK1 KO[pTEM-Tg] (P < 0.001) mice. C, Plasma samples (harvested as in panel B) from individual animals were size-fractionated by FPLC, and the total cholesterol content of each fraction was determined by an enzymatic assay. The chromatograms are representative of multiple individually determined profiles. Approximate elution positions of native VLDL, IDL/LDL and HDL particles are indicated by brackets and were determined as previously described (19). Fig. 3. Immunohistochemical analysis of hepatic SR-BI in WT and PDZK1 KO nontransgenic (A and B), pTEM transgenic (C and D), PDZ1.2 transgenic (E and F), and PDZ1.2.3 transgenic mice. Livers from mice of the indicated genotypes and transgenes were fixed, frozen and sectioned. The sections were then stained with a polyclonal anti-SR-BI antibody, and a biotinylated antirabbit IgG secondary antibody and visualized by immunoperoxidase staining. (Magnification x600). The images shown of staining in transgenic animals come from the following founder lines: panel C and D - 6656, panel E - 836, panel F - 833, panel G and H - 644. Images are representative of the staining patterns observed in all founder lines for each transgene. Effects of the PDZ1.2-Tg and the PDZ1.2.3-Tg on lipoprotein metabolism and hepatic SR-BI expression: In WT mice, we found that hepatic expression of PDZ1.2-Tg and PDZ1.2.3Tg did not lead to a statistically significant change in plasma cholesterol levels (Figures 4B and 5B, left panels) or the size distributions of lipoproteins (FPLC lipoprotein cholesterol profiles, Figures 4C and 5C, white and gray circles). This suggested that these transgenes might not alter SR-BI activity in WT mice. Indeed, when we examined the effects of the PDZ1.2-Tg and the PDZ1.2.3-Tg on hepatic SR-BI protein abundance [immunoblotting analysis (Figures 4A and 5A, top half of the panels)] and localization [immunohistochemistry, Figure 3E and G)] in WT mice, we observed no affects in the transgenic WT mice on SR-BI relative to nontransgenic WT mice. In PDZK1 KO mice, -5-fold hepatic overexpression of the truncated PDZ1.2 protein in founder line 833 and approximately endogenous levels of PDZ 1.2 in founder line 836 had virtually no effect on the abnormally high plasma cholesterol levels (Figure 4B, right panel) or the size distribution of lipoproteins (FPLC lipoprotein cholesterol profiles), in which the bulk of the cholesterol was found in abnormally large HDL particles (Figure 4C, black and gray squares). These results are similar to those observed for hepatic overexpression of the PDZ1 protein, which was not sufficient to restore normal SR-BI function in PDZK1 KO mice (42). However, -8-fold overexpression of PDZ1.2.3-Tg in founder line 644 and expression of PDZ1.2.3-Tg at 17% of endogenous levels of PDZK1 in founder line 959 led to a small decrease in the abnormally high plasma cholesterol levels (Figure 5B, left panel), though this change was not discernable in the size distribution of lipoproteins (FPLC lipoprotein cholesterol profiles), in which the bulk of the cholesterol was found in abnormally large HDL particles (Figure 5C, black and gray squares). A virtually identical reduction in plasma cholesterol levels was observed in both founder lines of PDZK1 KO [PDZ1.2.3-Tg] mice considered independently. However, this reduction in cholesterol levels was not statistically significant in founder line 959, but was in founder line 644 (P < 0.01) and the reduction was significant when cholesterol data from both founders were combined (P < 0.001). Thus, the N-terminal PDZ 1 and PDZ2 domain-containing region of PDZK1 is not sufficient to restore SR-BI function in PDZK1 KO mice, whereas protein containing the first three PDZ domains of PDZK1 can partially restore SR-BI function. When we examined hepatic SR-BI protein levels and abundance, we found that, even though PDZ 1.2-Tg had virtually no effect on the abnormally high plasma cholesterol levels in PDZK1 KO mice, SR-BI protein levels in PDKZ1 KO mice expressing the PDZ1.2-Tg increased from <5% to 12 ± 5% of nontransgenic WT levels (immunoblotting, Figure 4A, lower panel). However, the majority of the detectable steady-state hepatic SR-BI protein in PDZK1 KO [PDZ 1.2-Tg] mice was not localized on the cell surface, but was instead localized intracellularly (immunohistochemistry, representative image in Figure 3F). This intracellular localization would prohibit SR-BI function by preventing interaction with plasma HDL particles. These results in PDZK1 KO [PDZl.2-Tg] mice are similar to those previously observed in PDZK1 KO [PDZ1Tg] mice (42), although the increase in intracellular SR-BI with the PDZ1.2-Tg was only about half that with the PDZ1-Tg (12 _ 5% of WT in PDZK1 KO [PDZ1.2-Tg] versus 21 ± 6% of WT in PDZK1 KO [PDZI-Tg]. In PDZK1 KO mice expressing the PDZ1.2.3-Tg, which exhibited a small decrease in plasma cholesterol levels, we observed an increase in hepatic SR-BI abundance from < 5% to 30 ± 7% of nontransgenic WT levels (immunoblotting, Figure 5A, lower panel). However, unlike hepatocytes in PDZK1 KO [PDZ1-Tg] (42) and PDZK1 KO [PDZ1.2-Tg] (this study) mice, at least some of the SR-BI protein in PDZK1 KO [PDZ1.2.3-Tg] hepatocytes can be seen on the cell surface (immunohistochemistry, representative image in Figure 3H). This cell-surface localization of SR-BI could account for the small decrease in plasma cholesterol levels that is observed in PDZK1 KO mice expressing the PDZ1.2.3-Tg (Figure 5B). Thus, we conclude that the first three PDZ domains of PDZK1, when expressed together on a truncated PDZK1 protein, exhibit partial PDZK1 function in that PDZl.2.3 is not only able to partially restore SR-BI abundance, as can PDZ1 and PDZ1.2, but also is able to restore partial cell-surface localization of SR-BI, and therefore partial SR-BI function. Fig. 4. Effects of expression of the PDZ1.2 transgene on hepatic SR-BI protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice. A, Liver lysates (-30 [tg of protein) from mice with the indicated genotypes, with (+) or without (-) the PDZl.2 transgene, were analyzed by immunoblotting, and SR-BI (-82 kDa band) was visualized by chemiluminescence. E-COP (-34 kDa) was used as a loading control. Note the faint SR-BI band in the nontransgenic PDZK1 KO lane. Replicate experiments with multiple exposures and sample loading were used to determine the relative levels of expression of SR-BI. All bands in adjacent panels were from a single gel. WT and WT [PDZ1.2-Tg] data were all from a single gel, but reordered for clarity of presentation. B and C, Plasma was harvested from mice with the indicated genotypes and PDZ1.2 transgene. B, Total plasma cholesterol levels were determined in individual samples by enzymatic assay, and results from the indicated numbers of animals (n) were pooled by genotype. Independent WT and KO control animals for each founder line were generated to ensure that the mixed genetic backgrounds for experimental and control mice were matched. t Indicates the nontransgenic WT plasma cholesterol levels were not statistically significantly different from those plasma cholesterol levels of WT [PDZ1.2-Tg]. $ Indicates PDZK1 KO plasma cholesterol levels were not statistically significantly different from those plasma cholesterol levels of PDZK1 KO [PDZl.2-Tg] mice. WT and WT [PDZl.2-Tg] plasma cholesterol levels were statistically significantly different (P < 0.01) from those plasma cholesterol levels of PDZK1 KO and PDZK1 KO [PDZl.2-Tg] mice. C, Plasma samples (harvested as in panel B) from individual animals were size-fractionated by FPLC, and the total cholesterol content of each fraction was determined by an enzymatic assay. The chromatograms are representative of multiple individually determined profiles. Approximate elution positions of native VLDL, IDL/LDL and HDL particles are indicated by brackets and were determined as previously described (19). Fig. 5. Effect of expression of the PDZ1.2.3 transgene on hepatic SR-BI protein levels (A) and plasma lipoprotein cholesterol (B and C) in WT and PDZK1 KO mice. A, Liver lysates 83 (~-30 [gg of protein) from mice with the indicated genotypes, with (+) or without (-) the PDZ1.2.3 transgene, were analyzed by immunoblotting, and SR-BI (-82 kDa band) was visualized by chemiluminescence. e-COP (-34 kDa) was used as a loading control. Note the faint SR-BI band in the nontransgenic PDZK1 KO lane. Replicate experiments with multiple exposures and sample loading were used to determine the relative levels of expression of SR-BI. All samples in adjacent panels shown were from a single gel. WT and WT [PDZl.2.3-Tg] samples shown were all from a single gel, but reordered for clarity of presentation. B and C, Plasma was harvested from mice with the indicated genotypes and PDZ1.2.3 transgene. B, Total plasma cholesterol levels were determined in individual samples by enzymatic assay, and results from the indicated numbers of animals (n) were pooled by genotype. Independent WT and KO control animals for each founder line were generated to ensure that the mixed genetic backgrounds for experimental and control mice are matched. * Indicates the nontransgenic PDZK1 KO plasma cholesterol levels were statistically significantly different (P < 0.001) from those plasma cholesterol levels of WT, WT [PDZl.2.3-Tg], and PDZK1 KO [PDZ1.2.3-Tg] mice. * Indicates PDZK1 KO [PDZ1.2.3-Tg] plasma cholesterol levels were statistically significantly different (P< 0.001) from those plasma cholesterol levels of WT, WT [PDZl.2.3-Tg], and PDZK1 KO mice. C, Plasma samples (harvested as in panel B) from individual animals were size-fractionated by FPLC, and the total cholesterol content of each fraction was determined by an enzymatic assay. The chromatograms are representative of multiple individually determined profiles. Approximate elution positions of native VLDL, IDL/LDL and HDL particles are indicated by brackets and were determined as previously described (19). Discussion The first PDZ domain, PDZ1, of the cytoplasmic adaptor protein PDZK1 binds to the Cterminus of SR-BI and, as a consequence, PDZK1 controls hepatic SR-BI protein expression and lipoprotein metabolism (31,32,36). However, the roles of the other PDZ domains and structural features of PDZK1 in controlling SR-BI function are not well understood. Expression of the truncation mutant pTEM (pTEM-Tg, Figure 1A) in the liver of PDZK1 KO mice corrects the dramatic decrease in hepatic SR-BI protein levels and hypercholesterolemia. This indicates that the putative PDZ-binding motif of PDZK1 is not necessary for PDZK1-dependent, normal SRBI expression and function. In WT mice, overexpression of pTEM-Tg resulted in a small decrease in plasma cholesterol levels, possibly because of an increase in SR-BI activity, although no difference in SR-BI protein levels was observed. It's not clear how pTEM-Tg overexpression increased SR-BI activity nor how this might have been due to the absence of the PDZ-binding motif. This putative increase in SR-BI activity was not observed when full-length PDZK1 was overexpressed in wild-type (WT [PDZK1-Tg]) mice (42). However, the pTEM-Tg is expressed at higher levels than the PDZKl-Tg was (25-44-fold versus 21-fold overexpression respectively) (42). It is possible that PDZK1-Tg, if overexpressed at the same levels as was pTEM-Tg, might give the same result. Similarly, due to the high overexpression of the pTEM protein, we cannot draw any conclusion as to whether or not pTEM is as potent a regulator of SR-BI as PDZK1. The substantial overexpression of pTEM in our transgenic animals relative to endogenous PDZK1 in WT mice might have compensated for any intrinsic reduced activity due to the loss of the three C-terminal residues. When two transgenes encoding truncated forms of PDZK1 primarily comprising the SR-BIbinding PDZ1 domain and the second PDZ domain (PDZ1.2-Tg, Figure LA), or the first, second, and third domains (PDZ1.2.3-Tg, Figure 1A) were expressed in WT mice, they exhibited no dominant-negative activity. This result differs from that of the previously published PDZK1 truncation mutant, PDZ 1, which exhibited a dominant negative phenotype when overexpressed in WT mice (42). However, PDZl.2-Tg expression levels (5.5 and 1.3-fold overexpression in the two independent founder strains compared to endogenous PDZK1 levels) and PDZl.2.3-Tg expression levels (7.9-fold overexpressed and 17% in the two independent founder strains compared to endogenous levels of PDZK1) are much lower than that in PDZl-Tg expressing mice (-24-fold overexpressed). It is possible that higher levels of PDZ1.2-Tg and/or PDZ1.2.3Tg overexpression might result in a dominant negative phenotype in WT mice, as their transgenic expression levels may be too low to present such a phenotype. PDZ1.2-Tg expression in WT mice did result in a small decrease in endogenous PDZK1 levels, but this decrease was apparently not enough to affect SR-BI protein levels significantly. Whether the PDZ1.2-Tg would be able to act as a dominant negative through this mechanism were it expressed at higher levels is unknown. We did note that in some animals the SR-BI protein levels in WT [PDZ 1.2Tg] and WT [PDZ1.2.3-Tg] mice appeared lower than in nontransgenic WT mice, but mouse to mouse variation were sufficiently large that the differences were not statistically significant. When expressed in PDZK1 KO mice, the PDZ1.2.3-Tg was able to partially complement the defect in SR-BI function, in that, as was the case with the PDZ1-Tg and PDZ 1.2-Tg, it partially restored hepatic SR-BI protein abundance, but, unlike the PDZ -Tg and PDZ1.2-Tg, the PDZ 1.2.3-Tg was also able to restore steady-state cell-surface localization of SR-BI, and therefore reduce slightly, though significantly, the abnormally high plasma cholesterol levels. These results suggest that the third PDZ domain of PDZK1, when expressed in the context of the first two PDZ domains, can influence steady-state SR-BI cell-surface localization. It is possible that an unknown cellular component that binds to the PDZ3 domain of PDZK1 is involved in transporting SR-BI to the cell surface, maintaining stable SR-BI cell-surface localization and/or preventing abnormally rapid removal of SR-BI from the cell surface. These results also suggest that those portions of PDZK1 between the PDZ3 domain and the C-terminus play an important role in controlling the abundance, localization and function of SRBI. PDZ1.2.3 was able to restore only partially SR-BI cell-surface localization, abundance and function. It seems likely that other cellular components that interact with PDZK1 through the PDZ4 domain or some feature of the C-terminal tail, such as the phosphorylation site on the Cterminus (35), are critical for normal SR-BI protein levels and function. Previously, we have proposed several potential mechanisms by which binding of full-length PDZK1 to SR-BI might influence both SR-BI protein abundance and intracellular localization (42). For example, PDZK1 binding might inhibit degradation of hepatic SR-BI via one or more mechanisms. PDZK1 might directly prevent access to proteolytic pathways (e.g. blocking ubiquitination of the C-terminus of SR-BI and degradation by proteasomes). It might indirectly prevent proteolysis by preventing delivery to sites of degradation by controlling SR-BI's intracellular trafficking (e.g. promoting stable cell surface localization by directing post-medial Golgi sorting to the cell surface, inhibiting endocytosis from the cell surface, or promoting normal endocytic recycling back to the cell surface). These potential mechanisms are consistent with our analyses of PDZK1 KO [PDZl-Tg] (42), PDZK1 KO [PDZ1.2-Tg], and PDZK1 KO [PDZ1.2.3-Tg] mice. In summary, PDZK1 appears to affect hepatic SR-BI protein levels through binding to SRBI's C-terminus and SR-BI localization, at least in part, through interactions involving its third PDZ domain, possibly with other cellular components. However, interactions between structural features on PDZKl, located between the PDZ3 domain and PDZKI's putative PDZ-binding motif, and other cellular components appear to be critical for normal SR-BI function. 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Yesilaltay, A., Kocher, O., Pal, R., Leiva, A., Quinones, V., Rigotti, A., Krieger, M. (2006) J. Biol. Chem. 281, 28975-80 46. Wang, P., Wang, J. J., Xiao, Y., Murray, J.W., Novikoff, P.M., Angeletti, R.H., Orr, G.A., Lan, D., Silver, D.L., Wolkoff, A.W. (2005). J. Biol. Chem. 280, 30143-9 47. Simonet, W. S., Bucay, N., Lauer, S. J., and Taylor, J. M. (1993) J. Biol. Chem. 268, 8221-8229 48. Palmiter, R. D., and Brinster, R. L. (1986) Annu. Rev. Genet. 20, 465-499 49. Kocher, O., Pal, R., Roberts, M., Cirovic, C., and Gilchrist, A. (2003) Mol. Cell. Biol. 23, 1175-1180 50. Guo, Q., Penman, M., Trigatti, B.L., Krieger, M. (1996) J. Biol. Chem. 271, 11191-11196 FOOTNOTES We thank Joel Lawitts from the BIDMC transgenic facility, and H. Lodish and D. Sabatini for helpful discussions. Supported by grants from the National Institutes of Health to OK (HL077780) and MK (HL64737, HL52212 and HL66105) and FONDECYT to AR (1070634). # Abbreviations used are: HDL, high density lipoprotein; SR-BI, scavenger receptor, class B, type I; LDL, low density lipoprotein; UC, unesterified cholesterol; TC, total cholesterol; PDZ, postsynaptic density protein (PSD-95)/Drosophila disc large tumor suppressor (dlg)/tight junction protein (ZO 1); Tg, transgenic; KO, knockout; FPLC, fast performance liquid chromatography; apoE, apolipoprotein E; apoC-I, apolipoprotein C-I, VLDL, very low density lipoprotein; IDL, intermediate density lipoprotein Chapter Four DETERMINING THE EFFECTS OF EXPRESSING THREE PDZK1 MUTANTS (PDZ1.2.3.4, MUT2, AND PDZ2.3.4) ON HEPATIC SR-BI FUNCTION. This chapter summarizes work that is in intermediate stages of completion. I contributed the text, tables 1-4, and figures 2, 4, and 5. All transgenic and non-transgenic mice were generated by Olivier Kocher and technicians in his lab at the Beth Israel-Deaconess Medical Center and Harvard Medical School (Rinku Pal, Kathleen Daniels). I cloned PDZK1 truncation mutant constructs into the appropriate plasmid, and Attilio Rigotti used these plasmids to prepare adenovirus expression vectors. I used these adenoviruses to generate large-scale preps of these viruses. Adelina Duka (from Vassilis Zannis's lab at Boston University) performed tail vein injections of adenoviruses. I collected all plasma samples except for a few MUT2 and PDZ1.2.3.4 samples, which were collected and analyzed by Ayce Yesilaltay. Caroline Barker and Ayce Yesilaltay helped with immunoblotting and sample preparation for MUT2 and PDZ1.2.3.4 mice. Contributions to the Materials and Methods section and figure legends were contributed by Olivier Kocher. Minor revisions to text were contributed by Monty Krieger. All experiments were performed in the laboratories of Monty Krieger and Olivier Kocher, who provided overall supervision. In Chapters 2 and 3, the results of expressing the first three PDZ domains of PDZK1 (in the form of the PDZ1, PDZ1.2, and PDZ1.2.3 truncation mutants) on hepatic SR-BI protein abundance, localization and function were presented. The influence of the C-terminal PDZ-binding motif for PDZK1 regulation of hepatic SR-BI was also examined through the expression of the pTEM truncation mutant. In addition to those constructs discussed in Chapters 2 and 3, I have been involved in examining the effects of several other mutations of PDZK1. The results of these studies are currently in intermediate stages of completion. Here I briefly summarize progress on these studies, which will be continued by others in the Krieger lab and by our collaborators. PDZ1.2.3.4 One PDZK1 truncation mutant, PDZ1.2.3.4, comprises all four PDZ domains (amino acids 1461), but is missing the C-terminal tail (Figure 1). As discussed in the introduction, a previous study of PDZK1 regulation of SR-BI abundance found a possible role for phosphorylation of PDZK1 at a serine near its C-terminus (1). As discussed in chapters 2 and 3, expression of the PDZK1 truncation mutants PDZ1, PDZ1.2, and PDZl.2.3 in the livers of PDZK1 KO mice demonstrated that these PDZ domains are not sufficient to restore normal SR-BI protein abundance and localization, and therefore not sufficient to restore normal hepatic SR-BI function. In contrast, expression of the pTEM truncation mutant was able to restore normal SRBI protein levels and function in PDZK1 KO mice. These results clearly indicate that some structural feature of PDZK1 located between the PDZ3 domain and the final three C-terminal residues is necessary for normal expression of hepatic SR-BI. To determine whether this required structural feature is the PDZ4 domain and/or a feature located on the C-terminal tail, such as a phosphorylation site, the PDZ1.2.3.4 truncation mutant encoded by a transgene was expressed in the livers of WT and PDZK1 KO mice. (Phosphorylation Site) 519 \ -C PDZK1 vutatuve PDZBinding Motif) (SR-BI Binding) 461 -C PDZ1.2.3.4 (SR-BI Binhding) (Phosphorylation Site) 5 19 MUT2 ut CPDZ- utative PDZ- Binding Motif) Ala2OTyr (Phosphorylation Site) PDZ2.3.4 \444 C 1 N- tative PDZBinding Motif) Figure 1. Structures of PDZK1, the truncation mutants PDZ1.2.3.4 and PDZ2.3.4, and the point mutant MUT2. Schematic diagrams of the proteins encoded by the PDZK1 (top), PDZ1.2.3.4 (middle), and PDZ2.3.4 (bottom) transgenes. Two PDZ1.2.3.4 founder lines were generated, 1159 and 1163. Plasma cholesterol levels were determined for both founder lines and the results are summarized in Table 1. The size distribution profile of lipoproteins in PDZ1.2.3.4-Tg mice was also determined by fast performance liquid chromatography (Figure 2). PDZ 1.2.3.4 Founder: WT WT [PDZ1.2.3.4-Tg] PDZK1 KO PDZK1 KO [PDZ1.2.3.4-Tg] 1159 138.1± 12.82 1163 124.7±- 17.97 n= 13 n= 11 141.2+ 15.56 n= 13 214.0-± 21.23* n= 12 142.1 - 10.12 n=6 108.1± 18.44 n= 11 157.0 n= 1 129.7± 18.33 n=2 Table 1. Effect of PDZ1.2.3.4-Tg on plasma cholesterol levels in two founder lines. Plasma cholesterol levels for each genotype in each founder are shown as the mean + the standard deviation. Total plasma cholesterol levels were determined in individual samples by enzymatic assay, and results from the indicated numbers of animals (n) were pooled by genotype. Independent WT and KO control animals for each founder line were generated to ensure that the mixed genetic backgrounds for experimental and control mice were matched. * Indicates that cholesterol levels in PDZK1 KO mice were statistically significantly different from those in all other genotypes in founder line 1159 (P<0.001 for PDZK1 KO vs. WT, WT [PDZ1.2.3.4-Tg], PDZK1 KO [PDZl.2.3.4-Tg]). Acl 305 30 E25 SC 20 0 S15 0 .5 10 05 0 1 5 9 13 17 21 25 29 Fraction Number 33 37 41 Figure 2. Effect of expression of the PDZ1.2.3.4 transgene on plasma lipoprotein cholesterol profiles in WT and PDZK1 KO mice from founder 1159. Plasma was harvested from mice with the indicated genotypes and PDZ1.2.3.4 transgene. Plasma samples from individual animals were size-fractionated by FPLC, and the total cholesterol content of each fraction was determined by an enzymatic assay. The chromatograms are representative of multiple individually determined profiles. Similar results for WT and WT + [PDZ1.2.3.4-Tg] were seen for founder 1163 (no FPLCs have yet been performed on KO and KO + [PDZ1.2.3.4Tg] for 1163). Approximate elution positions of native VLDL, IDL/LDL and HDL particles are indicated by brackets and were determined as previously described (2). Though the results are still preliminary, it appears that expression of the PDZ1.2.3.4-Tg in PDZK1 KO mice restores normal hepatic SR-BI function. Although there are too little data to draw any conclusions from founder line 1163, expression of PDZ1.2.3.4-Tg in PDZK1 KO mice results in a statistically significant decrease in plasma cholesterol levels (P<0.001, PDZK1 KO vs. PDZK1 KO [PDZl.2.3.4-Tg]) similar to those in non-transgenic WT mice (P>0.05, WT vs. PDZK1 KO [PDZ 1.2.3.4-Tg]) (Table 1). Expression of PDZ1.2.3.4-Tg in PDZK1 KO mice in founder line 1159 also restored the lipoprotein size distribution from that seen in PDZK1 KO mice to that seen in non-transgenic WT mice (Figure 2, black and gray squares). Expression of PDZ1.2.3.4-Tg had little effect on plasma cholesterol levels (Table 1) and lipoprotein size (Figure 2, white and gray circles) in WT mice in both 1159 and 1163 founder lines. Quantitation of PDZ1.2.3.4-Tg expression in these founder lines is incomplete, however, preliminary studies suggest that PDZ1.2.3.4 is expressed at levels approximately 8-10 fold higher than endogenous PDZK1 in founder line 1159, and at approximately 15-30% of endogenous PDZK1 levels in founder line 1163 (data not shown). In preliminary blots, SR-BI levels appear to be similar to endogenous WT levels in WT [PDZ1.2.3.4-Tg] (data not shown), but SR-BI protein abundance in PDZK1 KO [PDZ1.2.3.4-Tg] mice has not yet been examined. Subcellular localization of SR-BI in these mice, by immunohistochemistry, has also not yet been determined. If the PDZl.2.3.4-Tg is able to restore normal SR-BI protein abundance, localization and function in both founders, this would demonstrate that expression of PDZKl's four PDZ domains is sufficient, and that the C-terminal tail is not necessary, for hepatic SR-BI expression. In chapters two and three, it was found that expression of the PDZ1 domain is sufficient to partially restore SR-BI protein levels, and that expression of the first three PDZ domains is sufficient to partially restore SR-BI protein levels, cell-surface localization, and function. Therefore, these results would imply that interactions between the PDZ2, PDZ3, and PDZ4 domains of PDZK1 and other cellular components regulate SR-BI's cell-surface localization and abundance. This, of course, does not mean that interactions through the C-terminal tail are not involved in regulating hepatic SR-BI, only that they are not necessary for normal levels of SR-BI expression. It is possible that the C-terminal tail of PDZK1 influences activities of SR-BI that we have not examined and/or that it primarily influences other cellular proteins, but not SR-BI. MUT1 and MUT2 Two transgenic constructs were generated that contain point mutations in the PDZ1 domain of PDZK1 intended to abrogate binding to the C-terminus of SR-BI. As discussed previously, it seems probable that PDZKI's interactions with other cellular components might be necessary for normal regulation of hepatic SR-BI. Therefore, expressing a form of PDZK1 that can no longer bind SR-BI via the PDZ1 domain, but has three other functional PDZ domains and a wild-type C-terminal tail, might result in a dominant negative phenotype in WT mice due to competition for these other required cellular components; thereby demonstrating a need for these interactions. The MUT1 construct contains a Lysine 14 to Alanine mutation located near the loop that connects the PA-P1B strands of PDZ1 that coordinates the carboxylate group at the very Cterminus of the peptide ligand. This lysine is highly conserved between PDZKI's PDZ domains, and therefore might play an important role in binding to the C-terminal ligands. The MUT2 construct contains a Tyrosine 20 to Alanine mutation located within the conserved Gly-Tyr-GlyPhe sequence within the loop connecting the PA-PB strands of PDZ1 that coordinates the carboxylate group at the very C-terminus of the peptide ligand. This Gly-Tyr/Leu-Gly-Phe sequence is very highly conserved in PDZ domains in many different PDZ proteins, and plays a critical role in target sequence recognition (3). These constructs, along with several others, were expressed as glutathione-S-transferase (GST) fusion proteins and tested for the ability to bind the SR-BI 30-mer C-terminal peptide bound to beads by our collaborator, Olivier Kocher (Figure 3). While MUT1 binding the Cterminal peptide was detected at similar levels as wild-type PDZK1, MUT2 binding to the Cterminal peptide was not detected. As a control of binding specificity, binding to a peptide comprising the SR-BI C-terminus minus the final three residues (the PDZ-binding motif) was examined, and it was determined that none of the GST-fusion proteins bound to this peptide. Therefore, the point mutation in MUT2 appeared to inhibit PDZK1 binding to SR-BI, but the point mutation in MUT1 did not. WT 120 kD MUT1 MTfUT2 WT MUT1 MUT2 - - 85 kD - GST-PDZK1 Acetylated BSA 60kkD SR-BI 30-mer Cterminal peptide SR-BI 27-mer Cterminal peptide minus AKL Figure 3. In vitro binding of PDZK1 point mutants to the SR-BI C-terminal peptide. Point mutations introduced into the PDZl domain of PDZK1 were tested for their ability to bind the C-terminus of SR-BI. Purified PDZKl/GST-fusion proteins were incubated with bead-bound biotinylated SR-BI C-terminal 30-mer peptides (with or missing the final three amino acids of the PDZ-binding motif). The beads were washed and then boiled in SDS sample buffer. Samples were analyzed by SDS-PAGE electrophoresis and visualized by Coomassie blue staining. These point mutation constructs were then used to generate transgenes for expression in the livers of both WT and PDZK1 KO mice. Three founder lines were generated for each construct. The MUT1 founder lines were 952, 953, and 954. The MUT2 founder lines were 694, 695, and 696. Plasma cholesterol levels were assayed in all founder lines and the results are summarized in Tables 2 (MUT1) and 3 (MUT2). The size distribution profile of lipoproteins in MUT2-Tg expressing mice was also determined by fast performance liquid chromatography (Figure 4). MUT IFounder: WT 952 129.9± 13.68 953 126.0± 15.10 954 136.9± 17.01 n=9 n=3 n=14 128.0+ 17.11 150.2+ 21.79 122.5+ 13.19 n=9 n=6 n=9 PDZK1 KO 211.2±- 15.62* n=4 160.1 + 22.16 * 221.4±t 24.52' n=11 196.5± 17.281 200.8+ 20.90' n=6 130.4+ 19.79 [MUT1-Tg] n=4 n = 11 n= 13 WT [MUT1-Tg] PDZK1 KO Table 2. Effect of MUT1-Tg expression on plasma cholesterol levels in three founder lines. Plasma cholesterol levels for each genotype in each founder are shown as the mean ± the standard deviation. Total plasma cholesterol levels were determined in individual samples by enzymatic assay, and results from the indicated numbers of animals (n) were pooled by genotype. Independent WT and KO control animals for each founder line were generated to ensure that the mixed genetic backgrounds for experimental and control mice were matched. *Indicates that cholesterol levels in PDZK1 KO mice were statistically significantly different from all other genotypes (P<0.001 for WT and WT[MUT1-Tg], P<0.01 for PDZK1 KO[MUT1Tg]). * Indicates that cholesterol levels in PDZK1 KO[MUT1-Tg] mice were statistically significantly different from all other genotypes (P<0.05 for WT and WT[MUT1-Tg]). Y Indicates that cholesterol levels in PDZK1 KO mice were statistically significantly different from all other genotypes (P<0.001 for WT and WT[MUT1-Tg], P<0.05 for PDZK1 KO[MUTI-Tg]). I Indicates that cholesterol levels in PDZK1 KO[MUT1-Tg] mice were statistically significantly different from all other genotypes (P<0.0001 for WT and WT[MUT1-Tg]). T Indicates that cholesterol levels in PDZK1 KO mice were statistically significantly different from all other genotypes (P<0.001 for WT, WT[MUT1-Tg], and PDZK1 KO[MUT1-Tg]). Results shown in Table 2 indicate that, in at least one founder line (954), MUT 1 is able to complement the PDZK1 KO phenotype, and restore normal plasma cholesterol levels. In founder lines 952 and 953, expression of MUT1-Tg in PDZK1 KO mice resulted in a statistically significant difference with PDZK1 KO mice (P<0.01 and P<0.05 respectively), though these cholesterol levels were not as low as in WT mice (P>0.05). No statistically significant difference was seen in WT vs. WT [MUT1-Tg] plasma cholesterol levels in any of the founder lines. These results suggest that the MUT 1 point mutation does not affect PDZKl's ability to regulate hepatic SR-BI function in vivo. These results are consistent with the in vitro observation that MUT1 and PDZK1 can bind to the C-terminus of SR-BI. It is unclear why MUT1 fully restored normal plasma cholesterol levels in founder line 954, but only partial complementation was seen in PDZK1 KO [MUT1-Tg] mice in founder lines 952 and 953. This may be due to differences in transgenic expression levels between these founder lines, but quantitation of MUT 1 expression levels has not yet been performed, nor quantitation of SR-BI protein levels. PDZK1 KO 694 129.6±+20.89 n=13 119.6± 15.72 n=11 198.8± 17.99* 695 141.2+ 22.70 n=5 136.4± 18.18 n=18 207.7± 23.27* 696 131.9± 21.48 n=10 123.0± 20.23 n=11 119.3± 26.36 PDZK1 KO [MUT2-Tg] 168.1 ± 25.32* n= 10 169.3± 27.15 n=7 139.8± 24.73 n =4 MUT2 Founder: WT WT [MUT2-Tg] n= 13 n=25 n=2 Table 3: Effect of MUT2-Tg on plasma cholesterol levels in three founder lines. Plasma cholesterol levels for each genotype in each founder are shown as the mean + the standard deviation. Total plasma cholesterol levels were determined in individual samples by enzymatic assay, and results from the indicated numbers of animals (n) were pooled by genotype. Independent WT and KO control animals for each founder line were generated to ensure that the mixed genetic backgrounds for experimental and control mice were matched. *Indicates the PDZK1 KO cholesterol levels were statistically significantly different from that found in all other genotypes within the same founder (PDZK1 KO vs. PDZK1 KO [MUT2-Tg]: P<0.01; PDZK1KO vs. WT and WT [MUT2-Tg]: P<0.001). *Indicates that cholesterol levels in PDZK1 KO [MUT2-Tg] mice were statistically significantly different that cholesterol levels in all other genotypes (PDZK1 KO [MUT2-Tg] vs. WT and WT [MUT2-Tg]: P<0.001). YIndicates that plasma cholesterol levels in PDZK1 KO [MUT2-Tg] mice were statistically significantly different from WT [MUT2-Tg] mice, P<0.01. II 30 30 E 25 € B 20 -15 10 o 5 1 5 9 13 17 21 25 29 Fraction Number 33 37 41 Fig. 4. Effect of expression of the MUT2 transgene on plasma lipoprotein cholesterol profiles in WT and PDZK1 KO mice from founder 694. Plasma was harvested from mice with the indicated genotypes and MUT2 transgene. Plasma samples from individual animals were size-fractionated by FPLC, and the total cholesterol content of each fraction was determined by an enzymatic assay. The chromatograms are representative of multiple individually determined profiles. Similar results all genotypes were seen for founder 695. Similar results for WT and WT[MUT2-Tg] were seen for founder 696. Approximate elution positions of native VLDL, IDL/LDL and HDL particles are indicated by brackets and were determined as previously described (2). Results shown in Table 3 and Figure 4 indicate that expression of MUT2-Tg does not affect plasma cholesterol levels nor the size distribution of lipoproteins in WT mice (Figure 4, white and gray circles). No dominant negative effect on SR-BI function was seen in WT [MUT2-Tg] in any of the founder lines. Initial estimations of MUT2-Tg expression levels indicate that MUT2 is expressed at levels approximately 5-fold higher than endogenous PDZK1 protein in all three founders (data not shown), which may be too low to effectively compete with endogenous PDZK1 for binding partners and thus exhibit a dominant negative phenotype. SR-BI protein abundance in these livers remains to be determined. Expression of MUT2-Tg in PDZK1 KO mice resulted in a partial restoration of SR-BI function in two of the three founder lines (founder line 696 has too few animals to draw any conclusions). In both the 694 and 695 lines, plasma cholesterol levels in PDZK1 KO [MUT2-Tg] 100 were statistically significantly different from those in PDZK1 KO mice (P<0.01 for both 694 and 695). That the MUT2-Tg appears to be overexpressed approximately 5-fold but does not fully restore SR-BI function indicates that the MUT2 protein is not as potent a regulator of SR-BI as wild-type PDZK1. These results suggest the point mutation in the PDZ1 domain of MUT2-Tg may not have fully inhibited binding to the C-terminus of SR-BI. Rather, it may have only reduced the ability of PDZK1 to bind SR-BI (e.g., lower binding affinity). Alternatively, the MUT2-Tg may have been able to influence SR-BI function in PDZK1 KO mice through interactions with other cellular components, without binding directly to SR-BI. Further binding studies investigating the kinetics of MUT2 binding to the C-terminus of SR-BI may be required to elucidate the mechanism. It is interesting to note that a point mutation within a highlyconserved region of the PDZ domain, the binding loop that coordinates the carboxylate at the Cterminus of the target protein, may not have completely inhibited binding. This indicates that the structural features behind recognition and binding of C-terminal ligands by different PDZ domains requires greater investigation PDZ2.3.4 and Adenovirus Production In addition to using point mutations to inhibit binding of PDZK1 to SR-BI, we also generated a truncation mutant of PDZK1 missing the first PDZ domain (the domain that binds the Cterminus of SR-BI). This truncation mutant, called PDZ2.3.4, contains the first four amino acids at the N-terminus of PDZK1, and PDZ2, PDZ3, PDZ4, and the C-terminal tail of PDZK1 (see Figure 1). This construct was used to generate two transgenic founder lines. However, no PDZ2.3.4 protein expression was detected by immunoblotting in the livers of these mice, though mRNA message was detected by RT-PCR. In addition to transgenic mice, adenoviral vectors were generated to express full-length PDZK1 and various truncation mutants of PDZK1. I, with the help of collaborators, generated adenoviral vectors for the hepatic expression of the PDZ2.3.4 truncation mutant, as well as adenoviral vectors encoding PDZ1, PDZ1.2, PDZ1.2.3, pTEM, and full-length PDZK1. Given how rapidly the transgenic lines for many of these constructs became available, these adenoviral vectors were not utilized. However, because transgenic mice stably expressing the PDZ2.3.4 protein could not be generated, the PDZ2.3.4 adenovirus was used to express this truncation mutant in the livers of WT and PDZK1 KO mice and to study its effect on hepatic SR-BI function. PDZ2.3.4 adenovirus (Ad.PDZ2.3.4), along with full-length WT PDZK1 and empty vector control adenoviruses (Ad.PDZK1 and Ad. EAl respectively), were introduced by tail vein injection into 5 WT and 5 PDZK1 KO mice each on day 0. Plasma samples were collected from mice prior to injection. On day 4, plasma and tissue samples were collected and analyzed. Three uninjected control WT mice treated similarly as injected mice were also collected. Immunoblotting was used to determine the expression level of PDZK1 and PDZ2.3.4 proteins. All WT mice injected with PDZ2.3.4 or PDZK1 adenovirus had high PDZK1 or PDZ2.3.4 protein levels as determined by immunoblotting (protein levels not quantitated) (Figure 5). Of the five PDZK1 KO mice injected with Ad.PDZK1, three exhibited expression levels similar to those seen in the injected WT mice. Of the five PDZK1 KO mice injected with Ad.PDZ2.3.4, one exhibited expression levels similar to that seen the injected WT mice. Three PDZK1 KO [Ad.PDZ234] mice exhibited significantly lower expression levels (data not shown). 101 SE d.P Genotype: AdV: None Ad. EM d.PDZ2.3.4 I.AdPDZKI I Ad.PDZ2.3.4 75- -PDZK1 --- PDZ2.3.4 50 3725- Figure 5. Hepatic expression of PDZK1 and PDZ2.3.4 by adenovirus in WT mice. Liver lysates (~30 Rg of protein) from mice with the indicated genotypes injected with the indicated adenovirus, were analyzed by immunoblotting, and PDZK1 (~60 kDa band) and PDZ2.3.4 (~-55kDa) was visualized by chemiluminescence. The effect that expression of these proteins by adenovirus had on plasma cholesterol levels is summarized in Table 4. Not surprisingly, expression of PDZK1 by adenovirus in PDZK1 KO mice resulted in normal cholesterol levels. As was the case for the empty vector control, expression of PDZ2.3.4 in both WT and PDZK1 KO mice did not significantly alter plasma cholesterol levels, even in those individual animals with high levels of PDZ2.3.4 expression. 102 Adenovirus: Ad.EA1 Plasma Collected: Day 0 Day 4 Ad.PDZK1 Day 0 Day 4 Ad.PDZ2.3.4 Day 0 Day 4 None Day 0 Day 4 WT 103.3 ± 16.94 n=5 107.3 ± 24.70 n=5 96.90 ± 17.76 n=5 76.23 ± 16.42 n=5 107.4 ± 16.42 n=5 97.82 ± 18.92 n=5 91.19 ± 7.439 n=3 87.50 ± 7.236 n= 3 PDZK1 KO 239.7 t 19.40 n=5 231.7 ± 24.70 n=5 241.7 ± 15.58 n=5 145.8 ± 50.99 n=5 229.2 ± 19.63 n=5 214.1 ± 16.90 n=5 * Table 4. Effect of Ad.EA1, Ad.PDZK1, Ad.PDZ2.3.4 hepatic expression on plasma cholesterol levels in WT and PDZK1 KO mice. Plasma cholesterol levels for each genotype before and after injection of Ad.EA1, Ad.PDZK1, and Ad.PDZ2.3.4 are shown as the mean ± the standard deviation. Total plasma cholesterol levels were determined in individual samples by enzymatic assay, and results from the indicated numbers of animals (n) were pooled by genotype, adenovirus and condition. *Indicates that cholesterol levels in PDZK1 KO mice before injection of Ad.PDZK1 versus after is statistically significantly different, P=0.0095). Given that our work with other PDZK1 truncation mutants suggests that interactions between the PDZ domains C-terminal to PDZ1 and other cellular components are involved in SR-BI protein abundance and localization, it seemed likely that overexpression of the PDZ2, PDZ3, and PDZ4 domains might compete for these interactions, thereby giving a dominant negative phenotype. It is unclear why PDZ2.3.4 does not exhibit an effect on hepatic SR-BI function in WT mice. It's possible that either PDZ2.3.4 is not expressed at high enough concentrations, or that the local concentration near the membrane is not high enough to effectively compete with endogenous PDZK1 because of PDZ2.3.4's inability to bind SR-BI. [PDZK1 recruitment to the plasma membrane may require binding to PDZ1 target proteins, such as SR-BI.] It's also possible that the PDZ2.3.4 construct encodes a protein that does not properly fold, and therefore is not functional. 103 Experimental Procedures Generation of PDZ1.2.3.4, MUT1, MUT2, PDZ2.3.4 transgenic mice: PDZ1.2.3.4, MUT1, MUT2, PDZ2.3.4 transgenic mice were generated using the pLIV-LE6 plasmid, kindly provided by Dr. John M. Taylor (Gladstone Institute of Cardiovascular Disease, University of California, San Francisco). The pLiv-LE6 plasmid contains the promoter, first exon, first intron, and part of the second exon of the human apoE gene, and the polyadenylation sequence, and a part of the hepatic control region of the apoE/C-I gene locus (4). PDZ1.2.3.4, MUTI and MUT2 transgenic mice were generated and genotyped as described previously in chapters 2 and 3. Two founder lines were generated for PDZ1.2.3.4, and three founder lines each were generated for MUT1 and MUT2. Animals: All mice on a 25:75 FVB/N: 129Sv genetic background were maintained on a normal chow diet (5) and ~6-12 week old male mice were used for experiments. All procedures on transgenic and non-transgenic mice were performed in accordance with the guidelines of the Beth Israel Deaconess Medical Center and the Massachusetts Institute of Technology Committee on Animal Care. Blood and tissue sampling, processing, and analysis: Plasma and liver samples were collected and processed and total plasma cholesterol levels and individual size fractionated fast performance liquid chromatography (FPLC) cholesterol profiles were obtained as previously described in chapters 2 and 3. Immunoblotting: protein samples from total liver lysates were fractionated by SDS-PAGE, transferred to polyvinylidene difluoride membranes and incubated with either a rabbit polyclonal anti-SR-BI antipeptide antibody (mSR-B1495-112) (1:1000) or a rabbit polyclonal anti-PDZK antipeptide antibody (1:20000) (JBC, 2008), followed by an anti-rabbit IgG conjugated to horseradish peroxidase (Invitrogen, 1:10000), and visualized by ECL chemiluminescence (GE Healthcare/Amersham, #RPN2132). Immunoblotting using polyclonal anti-E-COP (1:5000) (6) antibody was used as loading control. Production of PDZK1 point-mutants and in vitro binding studies: A plasmid containing the complete PDZK1 cDNA was used for these experiments. Single amino acid mutations were produced using the Quick-Change II site-directed mutagenesis kit from Stratagene (Cedar Creek, TX). Non-mutated PDZK1, MUTI (Alal4Lys) and MU2 (Ala20Tyr) were subcloned into pGEX-4T-3 vector (Pharmacia), in order to produce the corresponding GST-fusion proteins. Biotinylated peptides corresponding to the carboxy terminus of SR-BI were obtained from Genemed Synthesis, Inc. (San Francisco, CA): an SR-BI 30mer terminal peptide and an SR-BI 27mer terminal peptide missing the last three carboxy terminal amino acids known to be necessary for the interaction with the first PDZ domain of PDZKI: AKL (negative control). Peptides (0.5 mg) were incubated with avidin-agarose beads (0.5 ml in PBS) for 2 hours at room temperature. Unbound peptide was washed away with PBS. The Bead-peptide complexes (0.2 ml) were incubated with 6 mg of wild-type or mutated GST-PDZK1 fusion proteins overnight at 370C, washed with PBS, boiled in DTT-containing SDS loading buffer and analyzed by SDS gel electrophoresis. Proteins were visualized using Coomassie blue staining. 104 RT-PCR ofPDZ2.3.4-Tg mRNA: Tissue sampling, RNA extraction and RT-PCR was performed on samples from PDZ2.3.4-Tg mice as previously described (7). Statistical Analysis: Data are shown as the means _--standard deviation. Statistically significant differences were determined by either pairwise comparisons of values using the unpaired t test, with (if variances differed significantly) or without Welch's correction, or by one-way ANOVA followed by the Tukey-Kramer multiple comparison post-test when comparing three or more sets of data to each other. Comparisons of plasma cholesterol levels before and after injection of adenoviruses were performed by the paired t test. Mean values for experimental groups are considered statistically significantly different for P < 0.05 for both types of tests. Generation of Adenoviral Constructs: Full-length PDZK1 and five truncation mutant constructs of PDZK1 were generated by PCR, cloned into the pShuttle-CMV vector, and sequenced. Primers used for these procedures were the same as those used to generate the transgenic constructs. These constructs include PDZK1, the PDZl domain alone; PDZ1.2; PDZ1.2.3; PDZ2.3.4; and a deletion of the 3 C-terminal amino acids that comprise a PDZbinding domain (pTEM) (see Figure 1). Expression of all constructs was verified by transient transfection in HEK293 cell (Fugene 6 Transfection reagent, Roche) and/or by adenovirus expression. Cell lysates were prepared by resuspending cells in SDS lysis buffer (4% SDS, 20% glycerol, 100 mM Tris, pH 6.8) in the presence of protease inhibitors, boiling at 1000 C for 5 min, followed centrifugation at 16,000xg for 5 min at 40 C for 5 min. The protein concentrations of these lysate supernatants were then determined using the bicinchoninic acid (BCA) assay (Pierce). Lysates were then denatured at 1000 C for 10 minutes in the presence of 2% SDS and 100mM P3-mercaptoethanol immediately before fractionation by gel electrophoresis and analysis by immunoblotting. Immunoblotting analysis was performed as described for transgenic mice, except for the use of a chicken anti-PDZK1 polyclonal antibody (1:300) and a horseradish peroxidase-conjugated anti-chicken IgG antibody (1:10,000). Generating, Amplifying, Purifying, and Injecting Adenoviruses: PDZK1, PDZ1, PDZ1.2, PDZ1.2.3, PDZ2.3.4 and pTEM constructs were inserted into the EAl adenovirus vector as previously described (36). These adenoviral vectors were grown and amplified in HEK293 cell cultures, purified by Cesium Chloride gradient, and viral concentration estimated by OD 2 60 readings as previously described (9). Purified Ad.PDZ1.2, Ad.PDZ2.3.4, Ad.PDZKl, and Ad.EA1 were stored at -800 C. Ad.PDZ1, Ad.PDZ1.2.3, and Ad.pTEM are in intermediate stages of amplification. Ad.PDZ2.3.4, Ad.PDZK1, and Ad.EA1 were injected into 5 WT and 5 PDZK1 KO mice (3-6 months old) each by tail vein injection (1xl0 1 viral particles per injection) on Day 0. Plasma was collected before injection, and plasma and tissues were collected on Day 4 and analyzed as previously described in Chapters 2 and 3. 105 References 1. Nakamura, T., Shibata, N., Nishimoto-Shibata, T., Feng, D., Ikemoto, M., Motjima, K., Iso-o, N., Tsukamoto, K., Tsujimoto, M., Arai, H. (2005) Proc. Natl. Acad. Sci. U.S.A. 102, 13404-13409 2. Rigotti, A., Trigatti, B. L., Penman, M., Rayburn, H., Herz, J., and Krieger, M. (1997) Proc. Natl. Acad. Sci. U. S. A. 94, 12610-12615 3. Doyle, D., Lee, A., Lewis, J., Kim, E., Sheng, M., and MacKinnon, R. (1996) Cell 85, 1067-1076 4. Simonet, W. S., Bucay, N., Lauer, S. J., and Taylor, J. M. (1993) J. Biol. Chem. 268, 8221-8229 5. Kocher, O., Pal, R., Roberts, M., Cirovic, C., and Gilchrist, A. (2003) Mol. Cell Biol. 23, 1175-118 6. Guo, Q., Penman, M., Trigatti, B. L., and Krieger, M. (1996) J. Biol. Chem. 271, 11191-11196 7. Kocher, O., Yesilaltay, A., Cirovic, C., Pal, R., Rigotti, A., Krieger, M. (2003) J. Biol. Chem. 278, 52820-52825 8. Silver, D. L. (2002) J. Biol. Chem. 277, 34042-34047 9. Kozarsky, K., Donahee, M., Rigotti, A., Iqbal, S., Edelman, E., and Krieger, M. (1997) Nature 387, 414-417 106 Chapter Five CONCLUSIONS AND FUTURE INVESTIGATIONS 107 108 Summary of Findings CPDZK1 is a four PDZ-domain containing cytoplasmic adaptor protein that binds the SR-BI terminus of the HDL receptor SR-BI by its first PDZ domain (1). PDZK1 regulates Loss of expression in a tissue-specific manner, via an unknown post-transcriptional mechanism. PDZK1 expression in vivo results in a dramatic reduction in hepatic SR-BI protein levels, but only a mild reduction in SR-BI abundance in the intestines, and no change in steroidogenic tissues (2). Given that PDZK1 comprises multiple structural features not known to interact its Cdirectly with SR-BI, including three PDZ domains, at least one phosphorylation site on terminal tail, and a putative PDZ-binding motif at its C-terminus; it seems probable that 116 components mediated by these domains might play a role in interactions with other cellular PDZKl-dependent regulation of hepatic SR-BI expression. (Phosphorylation Site) PDZK1 -c - W 519 utative PDZBinding Motif) (SR-BI Bli(ding) 116 -C POZI (SR-BI Bilding) 220 PDZ1.2 C W (SR-BI Bliding) 220 PDZI.2.3 I 359 -C l (SR-BI BiQlng) PDZ1.2.3.4 (SR-BI . -l . 461 -C Bilading) (Phosphorylation MUT2 1 N W W W utatlve PDZBinding Motif) Ala20Tyr PDZ2.3.4 Sig MC Site) 1 N- (Phosphorvlatlon Site) / l \ 44 IC utative PDZBinding Motif) Figure 1. Diagrams of wild-type and mutant PDZK1 protein structures. 109 The objective of the work detailed in this thesis was to tease out the roles that these various structural features play in regulating hepatic SR-BI through the expression of multiple PDZK1 truncation mutants in the livers of WT and PDZK1 KO mice (Figure 1). This work has been a collaborative effort between the Krieger lab at MIT and the Kocher lab at BIDMC. First (in Chapter 2), transgenic overexpression of full-length PDZK1 in the livers of PDZK1 KO mice was shown to complement their defect in SR-BI function. SR-BI in these mice was restored to normal protein levels and localization, and the plasma cholesterol levels and lipoprotein distribution were restored from the high levels seen in nontransgenic PDZK1 KO mice (carried in abnormally large HDL particles) to the levels and distribution observed in nontransgenic WT mice. We did not observe any change in SR-BI protein levels, localization or function in WT mice overexpressing PDZK1 (~21-fold above endogenous PDZK1 levels in nontransgenic WT mice). A 24-fold overexpression of the PDZ1 domain of PDZK1 (the domain that binds the Cterminus) in the livers of PDZK1 KO mice was shown to partially restore SR-BI abundance. However, this SR-BI protein was mislocalized intracellularly. As a consequence, this increase in SR-BI abundance did not affect the high plasma cholesterol levels or the abnormal lipoprotein size distribution. Furthermore, overexpression of PDZ1 in the livers of WT mice displayed a dramatic increase in plasma cholesterol levels carried in abnormally large HDL particles, a phenotype virtually identical to that seen in PDZK1 KO mice. This loss of function was accompanied by a decrease in SR-BI protein abundance to levels similar to that observed in PDZK1 KO [PDZl-Tg] mice. As seen in PDZK1 KO [PDZl-Tg] mice, the SR-BI protein in WT [PDZ1-Tg] mice was mislocalized intracellularly. These results suggest that binding of the PDZ1 domain to SR-BI affected SR-BI abundance and localization, but was not sufficient for normal SR-BI function. Thus, structural features of PDZK1 in addition to the PDZ1 domain are necessary for normal PDZKl-dependent regulation of SR-BI. Effects of expression of the PDZ1.2-Tg (composed of the first and second PDZ domains of PDZK1), PDZ1.2.3-Tg, and pTEM-Tg (which lacks the final three amino acids constituting a putative PDZ-binding motif) on hepatic SR-BI in WT and PDZK1 KO mice were investigated next (in Chapter 3). The effects of overexpression of pTEM-Tg in the livers of PDZK1 KO mice on SR-BI were similar to overexpression of full-length PDZK1, indicating that the C-terminal PDZ-binding motif was not necessary for normal PDZKl-dependent SR-BI expression, localization, and function. Overexpression of pTEM-Tg in WT mice resulted in a small decrease in plasma cholesterol levels, without a significant increase in SR-BI protein levels or a change in localization. Whether this was due to an increase in SR-BI activity is not clear, nor is it known how pTEM might facilitate an increase in SR-BI activity. While overexpression of the PDZK1Tg did not result in such a decrease in plasma cholesterol levels, it is important to note that the pTEM-Tg is overexpressed at higher levels (24-44-fold overexpression) than the PDZKl-Tg (21fold overexpression). Unlike expression of the PDZl-Tg in WT mice, expression of PDZl.2-Tg and PDZl.2.3Tg in WT mice did not result in a dominant negative phenotype. PDZ1.2-Tg expression in WT mice did result in a small, but statistically significant, decrease in endogenous PDZK1 protein levels. It is not known what the mechanism behind this effect on PDZK1 protein level is, though 110 one might speculate that PDZ1.2 and endogenous PDZK1 interact (form heterodimers) which causes the endogenous PDZK1 protein to be unstable. It is also not clear if PDZl.2 might have been able to affect SR-BI expression through a decrease in endogenous levels of PDZK1 had PDZ1.2 been expressed at higher levels. Similarly, PDZ1.2.3-Tg expression may have been too low to exhibit a dominant negative phenotype. As was the case with PDZ 1-Tg expression, expression of the PDZl.2-Tg and PDZ1.2.3-Tg in the livers of PDZK1 KO mice partially restored SR-BI abundance. Also, as in PDZK1 KO [PDZ1-Tg] mice, the SR-BI protein that was present in PDZK1 KO [PDZl.2-Tg] mice was mislocalized intracellularly. In contrast, PDZK1 KO [PDZ1.2.3-Tg] mice exhibited a marked increase in steady-state cell-surface localization, which was accompanied by a small, but statistically significant, decrease in plasma cholesterol levels. These results demonstrated that the expression of the third PDZ domain of PDZK1, in the context of the first two PDZ domains, can influence the intracellular localization of SR-BI, and suggested that cellular components that bind to these domains could also play a role in SR-BI's intracellular localization. Furthermore, we conclude from these investigations that a structural feature or features C-terminal to the PDZ three domain (but N-terminal to the PDZ-binding motif) is required for normal SR-BI regulation, and that these structural features likely influence hepatic SR-BI regulation through their interactions with other cellular components. The results of these studies lead to the question: what structural features C-terminal to PDZ3 on PDZK1 are required for normal SR-BI expression and function? We have begun to explore this question by generating the PDZ1.2.3.4 transgene and expressing it in the livers of WT and PDZK1 KO mice. Though our results are preliminary, the cholesterol data from these mice indicate that expression of all four PDZ domains of PDZK1 does not result in a change in plasma cholesterol levels or lipoprotein size distribution in WT mice, but does restore the plasma cholesterol levels and lipoprotein size distribution to normal in PDZK1 KO mice. If these results bear out, and further investigations demonstrate that PDZ1.2.3.4 restores normal hepatic SR-BI abundance, localization and function in PDZK1 KO mice, this would indicate that the first four PDZ domains of PDZK1, expressed without the C-terminal tail, are sufficient to restore normal hepatic SR-BI function. This would suggest that those cellular components that bind to the fourth domain play a critical role in PDZK 1-dependent regulation of hepatic SR-BI. It would also suggest that the C-terminal tail of PDZK1 is not necessary for hepatic SR-BI expression and function. We have also begun the analysis of additional mutants of PDZK1 that lack the ability to bind the C-terminus SR-BI (the point mutant MUT2, and the truncation mutant PDZ2.3.4) (in Chapter 4). Results from these experiments are not conclusive at this time, but may also prove informative with additional work. There are several models that could explain why the PDZl.2.3 transgene resulted in partial restoration of hepatic SR-BI protein abundance and localization in PDZK1 KO mice, but overexpression of the PDZ1.2.3.4 transgene resulted in normal SR-BI function, and therefore likely expression and localization. For example, protein interactions through both the PDZ3 and PDZ4 domains of PDZK1 might be crucial for normal SR-BI expression and localization. But if PDZ4 and its bound protein are required to stabilize the interaction between PDZ3 and its partner, this might explain why PDZ1.2.3 gave partial restoration of SR-BI expression and localization. Additionally, dimerization of PDZK1 may play a role in its regulation of hepatic 111 SR-BI, and might explain the partial restoration of hepatic SR-BI expression and localization in PDZ1.2.3-Tg mice. Though the C-terminal PDZ-binding motif of PDZK1 is not necessary for hepatic SR-BI expression, PDZ domains are known to dimerize through other less common mechanisms, such as by binding internal sequences or through interactions between the 13A strands of their individual PDZ domains (3-7). Though there is no evidence that PDZK1 homodimerizes, other PDZ proteins are known to form homodimers (3). If homodimerization of PDZK1 were required for normal SR-BI localization and expression, it is possible that PDZ1.2.3 gave partial restoration of SR-BI expression and localization because this truncation mutant is able to weakly dimerize. However, if PDZ1.2.3.4 is capable of dimerizing tightly, this would result in the full restoration hepatic SR-BI function seen in preliminary results. Investigations into whether or not PDZK1 is found in a homodimeric form would give insight into this possible model. There are a number of points in the life of an SR-BI protein that PDZK1 may exert its effect on hepatic SR-BI abundance and regulation. Expression of PDZ1 results in increased hepatic SR-BI protein levels, presumably through binding to the C-terminus of SR-BI. This suggests that binding of the PDZ1 domain to SR-BI may result in greater SR-BI protein stability, possibly by blocking degradation of SR-BI in the endoplasmic reticulum or by blocking degradation in the late endosome or lysosome. If SR-BI is degraded in the late endosome or lysosome, it may get there either by direct transport, or by endocytosis of SR-BI from the plasma membrane. PDZK1 may affect hepatic SR-BI expression and localization by targeting SR-BI to the cell surface or by affecting its endocytosis (blocking endocytosis or promoting recycling back to the cell surface). In addition, it is important to note that hepatocytes are polarized cells, and hepatic SR-BI is found mainly on the basolateral surface (8). It is possible that the localization of SR-BI to the basolateral surface, not just to the plasma membrane, is necessary for normal protein levels. Localization of proteins to the apical/ canalicular surface of hepatocytes is maintained by direct transport of an apical protein from the Trans Golgi Network (TGN) to the apical membrane, or, more commonly, by transcytosis of apical proteins from the basolateral surface, through the early endosome and a subapical compartment, to the apical/canalicular surface (9). PDZ proteins have been shown to play a role in the localization of proteins in polarized cells (10). In fact, loss of PDZK1 is known to result in the mislocalization of hepatic Oatplal to an intracellular compartment, rather than the basolateral surface, where it is normally localized (11). It is possible that loss of PDZK1 results in loss of basolateral localization of hepatic SR-BI, leading to increased endocytosis/ transcytosis and degradation. Interestingly, PDZK1 binds proteins localized to the apical brush border surface in kidney cells, but binds SR-BI and Oatplal, both basolateral proteins, in hepatocytes (1, 8, 11). Therefore, there may not be an intrinsic sorting signal on PDZK1 for the apical or basolateral surfaces, but localization of PDZK1 may be due solely to protein interactions (10). This again brings up the possibility that interactions between PDZK1 and other proteins may affect hepatic SR-BI localization. Future Investigations From the results in all the transgenic lines examined in this thesis, it seems very likely that interactions between PDZK1 and other proteins via the PDZ domains are likely to play a crucial role in regulating hepatic SR-BI. Therefore, the next logical question is: what proteins in 112 the liver, in addition to SR-BI, bind hepatic PDZK1 and, together with PDZK1, control SR-BI expression and localization? Given that expression of the first three PDZ domains of PDZK1 have been shown to control hepatic SR-BI levels and localization, it seems likely that other proteins, interacting with the PDZ3 and possibly PDZ2 domains, play a key role in regulating SR-BI cell-surface localization. Additionally, our initial results suggest that expression of all four PDZ domains of PDZK1 is sufficient to restore hepatic SR-BI function. Proteins that interact with the PDZ4 domain might play a critical role in regulating hepatic SR-BI. Identifying these proteins will give insight into the mechanisms behind PDZKI's regulation of SR-BI. In addition, insights into binding partners of PDZK1 in the liver might shed light on the post-transcriptional mechanisms by which ciprofibrate, the PPARcc agonist, and an atherogenic diet containing cholate and high levels of cholesterol suppress PDZK1 and SR-BI protein levels (12, 13). Elucidation of these mechanisms may provide good drug targets for increasing hepatic SR-BI expression and HDL-mediated reverse cholesterol transport. It would also be valuable to further explore what role, if any, the C-terminal tail (amino acids 455 - 519) of PDZK1 plays in the regulation of hepatic SR-BI. Previous work by Nakamura et al. demonstrated a correlation between increased phosphorylation of PDZK1 and an increase in hepatic SR-BI and PDZK1 protein levels in WT rats (14). If our preliminary results from the PDZ1.2.3.4-Tg mice bear out, then this phosphorylation is not necessary for normal SRBI function, at least in the context of an overexpressed PDZ1.2.3.4 protein. However, even if this is true, it is possible that phosphorylation of PDZK1 might be used to integrate as yet unknown signaling pathways in the liver into the PDZK -dependent post-transcriptional regulation SR-BI. Furthermore, it is unclear what roles PDZK1's structural features play in the PDZK 1dependent activation of eNOS via SR-BI and HDL. In a study by Zhu et al, knock-down of PDZK1 abundance or expression of a PDZ1.2 equivalent in WT endothelial cells was found to inhibit activation of Src by SR-BI/HDL. Src is a known player in the activation of eNOS by SRBI/HDL (15). Therefore, some structural feature or features of PDZK1 C-terminal to the PDZ2 domain is necessary for SR-BI/HDL-mediated eNOS activation. Expression of the truncation mutants examined in this thesis in endothelial cells would give greater insight into the mechanism behind this pathway for eNOS activation. Given that PDZK1 regulates endothelial SR-BI in a different manner than hepatic SR-BI, it is quite possible that the structural features that are key to regulating SR-BI function in these two tissues would differ. For example, though we conclude from our studies of pTEM-Tg expression that the putative PDZ-binding motif at the C-terminus of PDZK1 is not necessary for normal hepatic SR-BI expression on the cell-surface and function, this does not preclude a role for hetero- or homodimerization of PDZK1 through this motif in other PDZK 1-dependent mechanisms, such as regulating SR-BI in endothelial cells. These PDZK1 truncation mutants could also be used to examine their effects on other PDZK1 binding partners. PDZK1 is known to affect the intracellular localization and activity of a hepatic organic anion transporter, Oatplal (11). PDZK1 also binds numerous proteins in the intestines, kidneys, and cell lines (eg. CFTR) (see Table 2 in Introduction) (16). By expressing these truncation mutants, it might be possible to discern how PDZK 1 affects these proteins and what structural features of PDZK 1 are involved in the regulation of these hepatic and nonhepatic proteins. 113 Finally, PDZK1 does not affect SR-BI expression and function equally in all tissues. Loss of PDZK1 expression results in a moderate (50%) decrease in SR-BI abundance in intestinal epithelial cells, and no change in SR-BI expression, localization or function in steroidogenic tissue, such as the adrenal gland, ovaries and testes (2). It is not known if this lack of PDZK1dependence for SR-BI expression is due to some intrinsic difference in the mechanism of regulation of SR-BI between cell types. However, it is attractive to speculate that other 'PDZKllike' adaptor proteins might be at work in these extrahepatic tissues and that these adaptor proteins act as a partial or full substitute for PDZK1. Identification of such adaptor proteins would provide greater insight into the mechanisms behind extrahepatic SR-BI regulation. 114 References 1. Ikemoto, M., Arai, H., Feng, D., Tanaka, K., Aoki, J., Dohmae, N., Takio, K., Adachi, H., Tsujimoto, M., Inoue, K. (2000) Proc. Natl. Acad. Sci. U. S. A. 97, 6538-6543 2. Kocher, O., Yesilaltay, A., Cirovic, C., Pal, R., Rigotti, A., Krieger, M. (2003) J. Biol. Chem. 278, 52820-52825 3. Hung, A. and Sheng, M. (2002) JBiol Chem. 277, 5699-5702 4. Hillier, B. J., Christopherson, K. S., Prehoda, K. E., Bredt, D. S., and Lim, W. A. (1999) Science 284, 812-815 5. Im, Y. J., Lee, J. H., Park, S. H., Park, S. J., Rho, S. H., Kang, G. B., Kim, E., and Eom, S. H. (2003) J Biol. Chem. 278, 48099-48104 6. Im, Y. J., Park, S. H., Rho, S. H., Lee, J. H., Kang, G. B., Sheng, M., Kim, E., and Eom, S. H. (2003) J Biol. Chem. 278, 8501-8507 7. Fanning, A., Lye, M., Anderson, J., and Lavie, A. (2007) J. Biol. Chem. 282, 3771037716 8. Rigotti, A., Miettinen, H. E., and Krieger, M. (2003) Endocr. Rev. 24, 357-387 9. Wan, L., Boyer, J.L. (2004) Hepatology 39, 892-899 10. Brone, B., Eggermont, J. (2005) J Cell Physiol 288, C20-C29 11. Zhu, W., Saddar, S., Seetharam, D., Chambliss, K., Longoria, C., Silver, D., Yuhanna, I., Shaul, P., and Mineo, C. (2008) Circ. Res. 102, 480-487 12. Mardones, P., Pilon, A., Bouly, M., Duran, D., Nishimoto, T., Arai, H., Kozarsky, K., Altayo, M., Miquel, J., Luc, G., Clavey, V., Staels, B., and Rigotti, A. (2003) J. Biol. Chem. 278, 7884-7890 13. Niemeier, A., Kovacs, W., Strobl, W., Stangl, H. (2008) Atherosclerosis In Press 14. Nakamura, T., Shibata, N., Nishimoto-Shibata, T., Feng, D., Ikemoto, M., Motjima, K., Iso-o, N., Tsukamoto, K., Tsujimoto, M., Arai, H. (2005) Proc. Natl. Acad. Sci. U.S.A. 102, 13404-13409 15. Wang, P., Wang, J., Xiao, Y., Murray, J., Novikoff, P., Angeletti, R., George A. Orr, Lan, D., Silver, D., Wolkoff, A. (2005) J. Biol. Chem. 280, 30143-30149 16. Yesilaltay, A., Kocher, O., Rigotti, A. and Krieger, M. (2005) Curr Opin Lipidol 16, 147-152 115 116 APPENDIX 1 ISOLATING GENES RELATED TO THE FUNCTION OF SR-BI, AN HDL RECEPTOR The work described in this appendix was performed during my first three years in the Krieger Lab. After a lack of positive results, this project was deemed too risky, and was discontinued in favor of a different project. I performed all of the experiments described, except for generating the transduced MX-mSR-BI cell line, which was done by Roger Lawrence, a former member of Robert Rosenberg's lab. 117 118 Summary As discussed in the introduction and later chapters, the mechanisms behind regulation of SR-BI-mediated lipid uptake are not clear. Though PDZK1 has been shown to regulate SR-BI in the liver, it is not clear how SR-BI protein function is regulated in other tissues. Are there other adaptor proteins that influence SR-BI function in extrahepatic tissues? Are there other proteins necessary for SR-BI-mediated lipid uptake and efflux? What proteins control SR-BI's trafficking and localization? To gain a better understanding of the mechanisms underlying SR-BI function, I attempted to identify gene products and pathways that are necessary for SR-BI to function in the cell using somatic cell genetics. SR-BI-expressing Chinese hamster ovary (CHO) cell mutants were generated and mutants that lacked SR-BI-mediated lipid uptake from HDL were isolated. To generate an SR-BI expressing cell line, LDL receptor-deficient CHO cells, called LDLA7 cells, were transduced with the pMX-mSR-BI retrovirus vector. LDL receptor-deficient cells were employed to allow SR-BI-mediated uptake of lipid from LDL particles to be examined in any mutants generated. These cells were subcloned and tested for mSR-BI cDNA copy number by Southern blot. To reduce the likelihood of isolating mutants in the SR-BI gene, an LDLA7 [MX-mSR-BI] subclone (called MX8) that contained multiple copies (at least three) of the SR-BI gene was used. These cells also exhibited high SR-BI selective uptake activity, as determined by Dil uptake from DiI-labeled HDL by flow cytometry. DiI is a fluorescent lipid and is a good surrogate for cholesteryl ester when analyzing lipid uptake from HDL (1). Eighteen independently mutagenized populations were generated and sorted. The mutagenesis was performed with ethyl methanesulfonate (EMS), which is known to generate predominately point mutations. Since the functional loss of a protein with a broad function (affecting more proteins than just SR-BI) could be lethal, it is preferable to have temperaturesensitive mutants; and creating point mutations with EMS increases the likelihood of this. To isolate mutants in SR-BI-mediated lipid uptake, mutagenized cells were incubated at 39.50C (the non-permissive temperature), labeled with DiI-HDL, and sorted by fluorescence-activated cell sorting (FACS). Cells were sorted for low DiI uptake by collecting the least fluorescent cells (-0. 1% of untreated MX8 cell intensity). By sorting for uptake negative cells at the nonpermissive temperature before looking for SR-BI uptake activity at the permissive temperature, this allowed for the isolation of both temperature-sensitive and non-temperature-sensitive mutants. From the eighteen original mutagenized populations, three mutant populations were isolated that exhibited a loss of Dil-uptake. These mutants were not temperature-sensitive, and all had lost SR-BI cell surface expression (determined by fluorescent antibody labeling), and had little or no SR-BI expression in total cell lysates (determined by immunoblotting). One subcloned mutant cell population, MX8B-2, showed no detectable SR-BI protein expression by metabolic labeling. Another mutant subclone, MX8F-2, had reduced SR-BI expression, and the remaining SR-BI protein was Endoglycosidase -H sensitive, indicating that there was no defect in endoplasmic reticulum to medial Golgi transport. The phenotype in these cells was rescued by transient transfection of the SR-BI gene. The third mutant, MX8D, which was not subcloned, had an even greater reduction in SR-BI expression, and, again, all of the SR-BI protein was EndoH sensitive. Therefore, it was determined that the loss of or great reduction in SR-BI expression in these mutants was due to a defect within the pMX-SR-BI gene, and probably not due to a mutation in proteins affecting SR-BI-mediated lipid uptake. 119 Due to the lack of positive results, the large amount of time it took to attempt new approaches, and the generally risky nature of the project, this project was not continued. Experimental Procedures Generation of MX8 cells and Mutant Isolation: LDLA7 CHO cells were transduced by pMX-mSR-BI retrovirus as previously described (2), and subcloned. To test for the number of SR-BI cDNA copies, genomic DNA from subcloned CHO cells was isolated and doubledigested (15 ýtg DNA/reaction) with Sph I (25 units) (cuts once within mSR-BI cDNA) and Mfe I (50 units) (does not cut within mSR-BI cDNA) or Bcl I (cuts once within mSR-BI cDNA) and BsiW I (does not cut within mSR-BI cDNA). Digested DNA was run on a 0.7% TBE agarose gel (with a Lambda/ HindIII marker), depurinated with 0.25 M hydrochloric acid, denatured in a 1.5 M NaC1, 0.5 M NaOH solution, and transferred to Hybond N+ nylon membrane (Amersham) by capillary blotting. 32 P-dCTP-labeled probe (corresponding to nucleotides 1180-1600 of the mSRBI cDNA sequence) was generated using the Ready-To-Go DNA labeling beads (Amersham) kit and protocol. Hybridization of probe to the blot was performed using ExpressHyb Hybridization solution and protocol (Clonetech), and detected by autoradiography. To mutagenize the cells, MX8 cells were set at approximately 400,000 per T75 flask on day 0, and incubated overnight at 340 C in Hams F12 medium + glutamine (2 mM), penicillin (100 units/ml), streptomycin (100 pg/ml) and 5% (v/v) fetal bovine serum (Medium A). On day 1, cells were incubated with Medium A + 400 ýtg/ml EMS for -20 hours. Media was then removed and cells were washed extensively (5xl0mls phosphate buffered saline (PBS). Medium A was added and cells were allowed to recover and grow for 12-15 days at 340 C. To isolate mutants by FACS sorting, LDLA7 and MX8 cells (mutagenized populations and controls) were set at approximately 2.5 x 106/100 mm dish on day 0 and incubated at 340 C. On day 1, the cells were switched to the non-permissive temperature (39.5o C) and incubated for 12 hours before labeling with DiI-HDL (5-10 ptg/ml) in Hams F12 + glutamine (2 mM), penicillin (100 units/ml), streptomycin (100 pg/ml) + 5% fatty-acid free bovine serum albumin or 3% newborn calf lipoprotein deficient serum (Medium B) for 1.5 hrs at 39.5' C. Cells were washed, trypsinized, and resuspended in HEPES + penicillin (100 units/ml), streptomycin (100 pg/ml) + 5% fatty-acid free bovine serum albumin or 3% newborn calf lipoprotein deficient serum. Cells were sorted by FACS and the least fluorescent cells (-0. 1% of untreated MX8 cell intensity) were collected in Medium A. These cells were then cultured at 340 C before sorting again. Populations enriched in mutants were subcloned by sorting directly into 96-well plates at I cell/ well. FACS Analysis of Mutants: Sorted mutagenized populations were analyzed by FACS to examine their DiI-HDL uptake activity and SR-BI cell-surface localization. DiI-HDL uptake analysis was performed as described for sorting, except incubations at both 39.5' C and 340 C were performed to determine if mutants were temperature-sensitive. SR-BI cell-surface localization analysis was performed by incubating cells with an anti-SR-BI antibody, KKBI, which binds the extracellular domain of SR-BI (3) (at 1:1000 in Medium B) at 39.50 C or 34' C 120 for 1 hour, followed by an incubation with a FITC-conjugated goat anti-rabbit IgG (1:1000 in Medium B) for 1 hour. Immunoblotting, Pulse-labeling and Endoglycosidase-H analysis: Immunoblotting was performed as described in Chapters 2, 3, and 4. Endoglycosidase-H analysis was performed as described in Chapter 2. Metabolic labeling of cells was performed as previously described (4). References 1. Acton, S., Rigotti, A., Landshulz, K., Xu, S., Hobbs, H., Krieger, M. (1996) Science 271, 518-520 2. Gu, X., Lawrence, R., Krieger, M. (2000) J. Biol. Chem. 275, 9120-9130 3. Gu, X., Kozarsky, K., and Krieger, M. (2000) J. Biol. Chem. 275, 29993-30001 4. Hobbie, L., Fisher, A., Lee, S., Flint, A., Krieger, M. (1994) J Biol. Chem. 269, 2095820970 121