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Glycosylphosphatidylinositol-anchored high-density lipoprotein-binding protein 1 (GPIHBP1)

Target
GPIHBP1
Molecular classification
Glycosylphosphatidylinositol (GPI)-anchored membrane protein, Ly6/uPAR (LU) domain-containing protein, Lipoprotein transporter (specifically for lipoprotein lipase)
01

Overview

Glycosylphosphatidylinositol-anchored high-density lipoprotein-binding protein 1 (GPIHBP1) is a GPI-anchored membrane protein primarily expressed on capillary endothelial cells, characterized by a Ly6/uPAR (LU) domain and an intrinsically disordered, highly acidic N-terminal domain[1][3][5]. GPIHBP1 is essential for binding, stabilizing, and transporting lipoprotein lipase (LPL) from the subendothelial space across endothelial cells to the capillary lumen, enabling efficient intravascular hydrolysis of triglyceride-rich lipoproteins[1][3][5][6]. Loss of GPIHBP1 function—whether by genetic mutation or by the development of autoantibodies—leads to severe hypertriglyceridemia (familial or acquired chylomicronemia), a life-threatening disorder[1][3][5]. GPIHBP1 has also been implicated in tumor progression and immune microenvironment regulation in colorectal cancer, where its increased expression in advanced tumors is associated with immune evasion and poorer outcomes[2]. There are currently no direct drugs targeting GPIHBP1, but its presence and function are crucial for therapies that rely on LPL-mediated lipid metabolism.

Other names
Glycosylphosphatidylinositol-anchored high-density lipoprotein-binding protein 1GPIHBP1HBP1GPI-HBP1GPI-anchored HDL-binding protein 1High density lipoprotein-binding protein 1Endothelial cell LPL transporterHYPL1DLOC338328
02

Biological functions

Lipid metabolism (specifically, triglyceride-rich lipoprotein processing)Transport and localization of lipoprotein lipase (LPL) to the capillary lumenStabilization of LPL conformation and catalytic activityRegulation of intravascular lipolysisModulation of local immune cell infiltration in tumor microenvironment
03

Disease associations

Familial chylomicronemia (Hypertriglyceridemia)Autoimmune chylomicronemiaColorectal cancer (role in tumor progression and immune evasion)Cardiovascular disease (indirect, via lipid metabolism dysfunction)
04

Safety considerations

Autoimmunity: development of GPIHBP1 autoantibodies can cause severe hypertriglyceridemia and pancreatitisGenetic mutations: loss-of-function mutations lead to lifelong chylomicronemia
05

Biomarkers

GPIHBP1 autoantibodies (for diagnosis of acquired chylomicronemia)GPIHBP1 expression in tumors (as a prognostic factor in colorectal cancer)

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