The ERAD pathway mediates cross talk between two control points in cholesterol synthesis: HMG CoA reductase and squalene monooxygenase

R Rebecca A. Faulkner (Department of Molecular Genetics, University of Texas Southwestern Medical Center) Y Youngah Jo (Department of Molecular Genetics, University of Texas Southwestern Medical Center) K Kristina Garland-Brasher (Department of Molecular Genetics, University of Texas Southwestern Medical Center) R Russell A. DeBose-Boyd (Department of Molecular Genetics, University of Texas Southwestern Medical Center)

Abstract

Two key enzymes, HMG CoA reductase (HMGCR) and squalene monooxygenase (SM), are subjected to distinct endoplasmic reticulum–associated degradation (ERAD) pathways to maintain cholesterol homeostasis. HMGCR catalyzes conversion of HMG CoA to mevalonate, the first rate-limiting step in cholesterol synthesis. Sterols accelerate ERAD of HMGCR by promoting its binding to Insig proteins, which recruit E3 ubiquitin ligases for ubiquitination and degradation. Downstream, SM catalyzes oxygenation of squalene, committing intermediates to sterol synthesis. Cholesterol stimulates ERAD of SM, but through an Insig-independent mechanism mediated by the E3 ligase MARCH6. Here, we report a mechanism of posttranslational regulation involving a stable complex between HMGCR and SM in sterol-deprived cells. The two enzymes physically interact within ER membranes in an Insig-independent manner, and this interaction protects both proteins from ERAD. Loss of either enzyme destabilizes the other, indicating a costabilization mechanism. These findings uncover a layer of coordination in cholesterol synthesis, suggesting HMGCR and SM function as an integrated complex to ensure synchronization of early and late steps of the pathway.

Article Details

Volume / Issue Vol. 123, Issue 25
Published June 23, 2026
ISSN 0027-8424
Publisher National Academy of Sciences

Authors (4)

R

Rebecca A. Faulkner

Department of Molecular Genetics, University of Texas Southwestern Medical Center

Y

Youngah Jo

Department of Molecular Genetics, University of Texas Southwestern Medical Center

K

Kristina Garland-Brasher

Department of Molecular Genetics, University of Texas Southwestern Medical Center

R

Russell A. DeBose-Boyd

Department of Molecular Genetics, University of Texas Southwestern Medical Center