Endocytic adaptors Arh and Dab2 control homeostasis of circulatory cholesterol

Wensi Tao, Robert Moore, Yue Meng, Elizabeth R Smith, Xiang Xi Xu

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


High serum cholesterol (hypercholesterolemia) strongly associates with cardiovascular diseases as the atherogenic LDLs promote atheroma development in arteries (atherosclerosis). LDL clearance from the circulation by LDL receptor (LDLR)-mediated endocytosis by hepatic and peripheral tissues and subsequent feedback regulation of endogenous synthesis of cholesterol is a key determinant of serum LDL level. Human mutation analysis revealed that autosomal recessive hypercholesterolemia (ARH), an LDLR endocytic adaptor, perturbs LDLR function and thus impacts serum cholesterol levels. In our genetic analysis of mutant mice, we found that deletion of another LDLR endocytic adaptor, Disabled-2 (Dab2), only slightly affected serum cholesterol levels. However, elimination of both arh and dab2 genes in mice resulted in profound hypercholesterolemia similar to that resulting from ldlr homozygous deletion. In the liver, Dab2 is expressed in sinusoid endothelial cells but not in hepatocytes. When deleting both Dab2 and Arh, HMGCoA reductase level increased to the level similar to that of ldlr knockout. Thus, in the absence of Arh, Dab2 in liver endothelial cells regulates cholesterol synthesis in hepatocytes. We conclude that the combination of Arh and Dab2 is responsible for the majority of adaptor function in LDLR endocytosis and LDLR-mediated cholesterol homeostasis.- Wensi, T., R. Moore, Y. Meng, E. R. Smith, and X-X. Xu. Endocytic adaptors Arh and Dab2 control homeostasis of circulatory cholesterol. J. Lipid Res. 2016. 57: 809-817. 2016 by the American Society for Biochemistry and Molecular Biology, Inc.

Original languageEnglish (US)
Pages (from-to)809-817
Number of pages9
JournalJournal of Lipid Research
Issue number5
StatePublished - May 2016


  • Autosomal recessive hypercholesterolemia
  • Disabled-2
  • Endocytic trafficking
  • Low density liproprotein
  • Low density liproprotein receptor
  • Serum cholesterol

ASJC Scopus subject areas

  • Biochemistry
  • Endocrinology
  • Cell Biology


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