Human plasma low-density lipoproteins (LDL), a risk factor for cardiovascular disease, transfer cholesterol from plasma to liver cells via the LDL receptor (LDLr). Here, we report the structures of LDL and its complex with the LDL receptor extracellular domain (LDL · LDLr) at extracellular pH determined by cryoEM. Difference imaging between LDL · LDLr and LDL localizes the site of LDLr bound to its ligand. The structural features revealed from the cryoEM map lead to a juxtaposed stacking model of cholesteryl esters (CEs). High density in the outer shell identifies protein-rich regions that can be accounted for by a single apolipoprotein (apo B-100, 500 kDa) leading to a model for the distribution of its α-helix and β-sheet rich domains across the surface. The structural relationship between the apo B-100 and CEs appears to dictate the structural stability and function of normal LDL.apolipoprotein B-100 | cholesteryl ester | electron cryomicroscopy | LDL receptor Low-density lipoproteins (LDL), which are heterogeneous with respect to composition, shape, size, density, and charge (1, 2), are the major carriers of cholesterol in human plasma. LDL is removed from plasma by hepatic LDL receptors (LDLr), which maintain cholesterol homeostasis (3). LDLr variants with impaired binding to LDL cause familial hypercholesterolemia that leads to premature atherosclerotic coronary artery disease in affected patients (4). The extracellular domain of LDLr binds to LDL via apo B-100, a 4,536 amino acid polypeptide, after which the complex (LDL · LDLr) undergoes endocytosis, lysosomal degradation of LDL, and receptor recycling to the cell surface (1,3,4). Thus, interactions between LDL and LDLr are integral to the cholesterol homeostasis that regulates plasma LDL levels.LDL exhibits a thermal liquid crystalline-to-isotropic transition of its cholesteryl esters (CEs) between 25 and 35°C (5). Although several models of LDL attempt to integrate its structure and biology (5-9), a reliable three-dimensional structure of LDL or the LDL · LDLr complex has not yet been reported. Herein, we present a model of LDL and the complex, LDL · LDLr, of LDL-bound LDL receptor extracellular domain (1-699 a.a.) at extracellular pH determined by electron cryomicroscopy (cryoEM), a technique that preserves the native structure of the particles.
Result and DiscussionCryoEM micrographs of LDL embedded in vitreous ice contain spherical, ellipsoidal, and discoidal particles with internal striations (Fig. 1A and B). Since the LDL preparation is heterogeneous, our reconstruction was computed from ∼8; 500 particle images of LDL particles that were computationally selected from an original pool over ∼48; 000 particle images. The convergence of the structure from this subpopulation of particle images provides a statistically defined and robust density map displaying the most prominent and reliable structural features of LDL (Fig. 1C, and Figs. S1, 2). The reconstructed LDL subpopulation is approximately a flattened ellipsoid with planar opposing faces (∼250 Å ...