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. 2019 Feb 28;216(4):807–830. doi: 10.1084/jem.20171438

Figure 10.

Figure 10.

The intramembrane proteases SPPL2a/b control the development of atherosclerosis. SPPL2a and SPPL2b maintain endothelial homeostasis by clearing LOX-1 NTFs generated by ADAM10 and in lysosomes, thereby releasing the LOX-1 ICD. In the absence of SPPL2a/b, LOX-1 NTFs accumulate, enhance oxLDL-induced signaling by full-length LOX-1, and activate MAP kinases in a ligand-independent manner. This promotes endothelial dysfunction and causes a pro-atherogenic and pro-fibrotic phenotype in SPPL2a/b double-deficient mice when challenged with hypercholesterolemia.