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Article
Nature Medicine  7, 1332 - 1338 (2001)
doi:10.1038/nm1201-1332

SCAP ligands are potent new lipid-lowering drugs

Thierry Grand-Perret, Anne Bouillot, Aurélie Perrot, Stéphane Commans, Max Walker & Marc Issandou

GlaxoSmithKline, 91951 Les Ulis cedex, France

Correspondence should be addressed to Thierry Grand-Perret tgp28876@gsk.com
Upregulation of low-density lipoprotein receptor (LDLr) is a key mechanism to control elevated plasma LDL-cholesterol levels. Here we identify a new class of compounds that directly binds to the sterol regulatory element-binding protein (SREBP) cleavage-activating protein (SCAP). We show that a 14C-labeled, photo-activatable analog specifically labeled both SCAP and a truncated form of SCAP containing the sterol-sensing domain. When administered to hyperlipidemic hamsters, SCAP ligands reduced both LDL cholesterol and triglycerides levels by up to 80% with a three-fold increase in LDLr mRNA in the livers. Using human hepatoma cells, we show that these compounds act through the sterol-responsive element of the LDLr promoter and activate the SCAP/SREBP pathway, leading to increased LDLr expression and activity, even in presence of excess of sterols. These findings have led to the identification of a class of compounds that represent a promising new class of hypolipidemic drugs.

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Nature Medicine
ISSN: 1078-8956
EISSN: 1546-170X
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