HMGCR
3-hydroxy-3-methylglutaryl-coenzyme A reductase
Also known as: HMDH_HUMAN
Cross-references: UniProt · Ensembl · Human Protein Atlas · GeneCards · NCBI Gene
Protein identityUniProt · HPA
- UniProt accession
- P04035
- Gene
- HMGCR
- Ensembl
- ENSG00000113161
- Chromosome
- 5
- Canonical length
- 888 aa
- Protein class
- Enzymes, FDA approved drug targets, Metabolic proteins, Plasma proteins, Predicted intracellular proteins, Predicted membrane proteins, Transporters
- Quaternary structure
- Homotetramer
OverviewNCBI Gene
HMG-CoA reductase is the rate-limiting enzyme for cholesterol synthesis and is regulated via a negative feedback mechanism mediated by sterols and non-sterol metabolites derived from mevalonate, the product of the reaction catalyzed by reductase. Normally in mammalian cells this enzyme is suppressed by cholesterol derived from the internalization and degradation of low density lipoprotein (LDL) via the LDL receptor. Competitive inhibitors of the reductase induce the expression of LDL receptors in the liver, which in turn increases the catabolism of plasma LDL and lowers the plasma concentration of cholesterol, an important determinant of atherosclerosis. Alternatively spliced transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, Aug 2008]
Canonical amino-acid sequenceUniProt
888 residues, UniProt reviewed canonical sequence.
>P04035|HMGCR
1 MLSRLFRMHG LFVASHPWEV IVGTVTLTIC MMSMNMFTGN NKICGWNYEC PKFEEDVLSS
61 DIIILTITRC IAILYIYFQF QNLRQLGSKY ILGIAGLFTI FSSFVFSTVV IHFLDKELTG
121 LNEALPFFLL LIDLSRASTL AKFALSSNSQ DEVRENIARG MAILGPTFTL DALVECLVIG
181 VGTMSGVRQL EIMCCFGCMS VLANYFVFMT FFPACVSLVL ELSRESREGR PIWQLSHFAR
241 VLEEEENKPN PVTQRVKMIM SLGLVLVHAH SRWIADPSPQ NSTADTSKVS LGLDENVSKR
301 IEPSVSLWQF YLSKMISMDI EQVITLSLAL LLAVKYIFFE QTETESTLSL KNPITSPVVT
361 QKKVPDNCCR REPMLVRNNQ KCDSVEEETG INRERKVEVI KPLVAETDTP NRATFVVGNS
421 SLLDTSSVLV TQEPEIELPR EPRPNEECLQ ILGNAEKGAK FLSDAEIIQL VNAKHIPAYK
481 LETLMETHER GVSIRRQLLS KKLSEPSSLQ YLPYRDYNYS LVMGACCENV IGYMPIPVGV
541 AGPLCLDEKE FQVPMATTEG CLVASTNRGC RAIGLGGGAS SRVLADGMTR GPVVRLPRAC
601 DSAEVKAWLE TSEGFAVIKE AFDSTSRFAR LQKLHTSIAG RNLYIRFQSR SGDAMGMNMI
661 SKGTEKALSK LHEYFPEMQI LAVSGNYCTD KKPAAINWIE GRGKSVVCEA VIPAKVVREV
721 LKTTTEAMIE VNINKNLVGS AMAGSIGGYN AHAANIVTAI YIACGQDAAQ NVGSSNCITL
781 MEASGPTNED LYISCTMPSI EIGTVGGGTN LLPQQACLQM LGVQGACKDN PGENARQLAR
841 IVCGTVMAGE LSLMAALAAG HLVKSHMIHN RSKINLQDLQ GACTKKTALocalizationUniProt · AlphaFold · HPA
Whether an antibody against HMGCR can act on the native protein depends on physical access: surface and secreted proteins are reachable by circulating antibodies, intracellular proteins usually are not.
- Antibody reachability
- Other membrane
- Secreted
- No
- Transmembrane segments
- 8
- Mean surface accessibility (rSASA)
- 0.35
- Highest tissue expression
- 99 nTPM
Expression across tissuesHPA
Tissue
- liver: 99 nTPM
- skin: 52 nTPM
- cerebral cortex: 48 nTPM
- esophagus: 47 nTPM
- colon: 42 nTPM
- adrenal gland: 39 nTPM
Single-cell type
- endometrial luminal cells: 468 nCPM
- epididymal principal cells: 261 nCPM
- endometrial glandular cells: 198 nCPM
- retinal ganglion cells: 197 nCPM
- suprabasal keratinocytes: 176 nCPM
- urothelial cells: 163 nCPM
Immune cell
- neutrophil: 29 nTPM
- myeloid DC: 17 nTPM
- classical monocyte: 15 nTPM
- NK-cell: 13 nTPM
- non-classical monocyte: 11 nTPM
- basophil: 10 nTPM
Brain region
- pons: 66 nTPM
- hypothalamus: 64 nTPM
- cerebral cortex: 58 nTPM
- midbrain: 56 nTPM
- hippocampal formation: 55 nTPM
- basal ganglia: 53 nTPM
DiseaseUniProt · ClinVar · IEDB · PubMed
Four sources answering four different questions about HMGCR.
Disease | AllUniProt
Conditions HMGCR is implicated in, by any mechanism.
- Muscular dystrophy, limb-girdle, autosomal recessive 28 (LGMDR28) MIM:620375
Disease | GeneticClinVar
7 pathogenic / likely-pathogenic of 99 ClinVar records.
Conditions with pathogenic or likely-pathogenic variants.
- Muscular dystrophy, limb-girdle, autosomal recessive 28
- Limb-girdle muscular dystrophy
Disease | AutoantibodyPubMed
Conditions in which antibodies against HMGCR are reported. Each links to that disease's full target list.
Showing 4 of 5 — disease pages carrying at least 10 antigens.
ReferencesPubMed · IEDB
Publications for HMGCR from three distinct lines of evidence, kept separate because they answer different questions: whether antibodies are directed at the protein, whether a B-cell epitope has been mapped on it, and whether a T-cell epitope has. Each is labelled with its source.
Reference: AutoantibodyPubMed
168 publications
- Autoantibodies against 3-hydroxy-3-methylglutaryl-coenzyme A reductase in patients with statin-associated autoimmune myopathy.
2011 · Arthritis Rheum · RCR 16.4 · 505 citations - Immune-mediated necrotizing myopathy: clinical features and pathogenesis.
2020 · Nat Rev Rheumatol · RCR 12.3 · 220 citations - Clinical features and prognosis in anti-SRP and anti-HMGCR necrotising myopathy.
2016 · J Neurol Neurosurg Psychiatry · RCR 9.9 · 231 citations - High risk of cancer in autoimmune necrotizing myopathies: usefulness of myositis specific antibody.
2016 · Brain · RCR 8.7 · 191 citations - Anti-HMGCR autoantibodies in European patients with autoimmune necrotizing myopathies: inconstant exposure to statin.
2014 · Medicine (Baltimore) · RCR 8.2 · 212 citations
Show 20 more of 168 total
- Clinical Features and Treatment Outcomes of Necrotizing Autoimmune Myopathy.
2015 · JAMA Neurol · RCR 7.9 · 180 citations - Antibody levels correlate with creatine kinase levels and strength in anti-3-hydroxy-3-methylglutaryl-coenzyme A reductase-associated autoimmune myopathy.
2012 · Arthritis Rheum · RCR 6.9 · 199 citations - Inflammatory myopathy with anti-signal recognition particle antibodies: case series of 100 patients.
2015 · Orphanet J Rare Dis · RCR 6.9 · 167 citations - Necrosis in anti-SRP+ and anti-HMGCR+myopathies: Role of autoantibodies and complement.
2018 · Neurology · RCR 6.8 · 150 citations - In vivo pathogenicity of IgG from patients with anti-SRP or anti-HMGCR autoantibodies in immune-mediated necrotising myopathy.
2019 · Ann Rheum Dis · RCR 6.6 · 137 citations - Diagnosis and classification of idiopathic inflammatory myopathies.
2016 · J Intern Med · RCR 6.5 · 153 citations - Statin-induced myalgia and myositis: an update on pathogenesis and clinical recommendations.
2018 · Expert Rev Clin Immunol · RCR 6.5 · 132 citations - Anti-HMGCR Myopathy.
2018 · J Neuromuscul Dis · RCR 6.1 · 117 citations - Longitudinal Course of Disease in a Large Cohort of Myositis Patients With Autoantibodies Recognizing the Signal Recognition Particle.
2017 · Arthritis Care Res (Hoboken) · RCR 6.1 · 118 citations - Pathogenic role of anti-signal recognition protein and anti-3-Hydroxy-3-methylglutaryl-CoA reductase antibodies in necrotizing myopathies: Myofiber atrophy and impairment of muscle regeneration in necrotizing autoimmune myopathies.
2017 · Ann Neurol · RCR 6 · 137 citations - Performance of the 2017 European Alliance of Associations for Rheumatology/American College of Rheumatology Classification Criteria for Idiopathic Inflammatory Myopathies in Patients With Myositis-Specific Autoantibodies.
2022 · Arthritis Rheumatol · RCR 5.5 · 58 citations - Rarity of anti-3-hydroxy-3-methylglutaryl-coenzyme A reductase antibodies in statin users, including those with self-limited musculoskeletal side effects.
2012 · Arthritis Care Res (Hoboken) · RCR 5.5 · 156 citations - Focused HLA analysis in Caucasians with myositis identifies significant associations with autoantibody subgroups.
2019 · Ann Rheum Dis · RCR 4.9 · 99 citations - Subsets of Idiopathic Inflammatory Myositis Enriched for Contemporaneous Cancer Relative to the General Population.
2023 · Arthritis Rheumatol · RCR 4.6 · 34 citations - Statin-associated autoimmune myopathy and anti-HMGCR autoantibodies.
2013 · Muscle Nerve · RCR 4.4 · 112 citations - Anti-HMGCR myopathy may resemble limb-girdle muscular dystrophy.
2019 · Neurol Neuroimmunol Neuroinflamm · RCR 4.3 · 89 citations - Treatment of refractory immune-mediated necrotizing myopathy with efgartigimod.
2024 · Front Immunol · RCR 4.3 · 21 citations - Clinical and genetic associations of autoantibodies to 3-hydroxy-3-methyl-glutaryl-coenzyme a reductase in patients with immune-mediated myositis and necrotizing myopathy.
2015 · Muscle Nerve · RCR 4.3 · 101 citations - Anti-HMGCR antibodies as a biomarker for immune-mediated necrotizing myopathies: A history of statins and experience from a large international multi-center study.
2016 · Autoimmun Rev · RCR 4.2 · 100 citations - Clinical course and treatment of anti-HMGCR antibody-associated necrotizing autoimmune myopathy.
2015 · Neurol Neuroimmunol Neuroinflamm · RCR 4.2 · 99 citations
Sources: PubMed — antigen-level antibody evidence from a custom retrieval. Records matching a controlled set of autoantibody terms (the MeSH descriptors Autoantibodies and Autoantigens, with title and abstract term variants) were obtained through NCBI E-utilities, and their titles and abstracts parsed for constructions that direct an antibody at a named protein rather than for co-occurrence. Captured names were resolved against UniProt nomenclature and each antigen adjudicated individually against the source text. Bibliographic records from PubMed and MeSH, U.S. National Library of Medicine; citation metrics from NIH iCite (Hutchins et al., PLoS Biology 2016). Titles link to PubMed; abstracts are not reproduced here. The NLM does not endorse this analysis.
Genetic constraint and essentialitygnomAD · DepMap
Does the body need this protein intact? Low LOEUF or a strong DepMap dependency means loss or blockade of the protein is likely to be felt.
- gnomAD LOEUF (loss-of-function intolerance)
- 0.26
- gnomAD pLI
- 1
- gnomAD missense Z
- 3.76
- DepMap mean gene effect
- -1.05
- DepMap dependency class
- common
Cancer expressionTCGA
Across TCGA tumor cohorts, this protein is over-expressed in roughly 4% of surveyed tumor types (aggregate summary; per-cohort expression, alteration, and survival load in the interactive view).
OntologyGO
Biological processes
- cholesterol biosynthetic process
- coenzyme A metabolic process
- isoprenoid biosynthetic process
- long-term synaptic potentiation
- negative regulation of amyloid-beta clearance
- negative regulation of protein catabolic process
- negative regulation of protein secretion
- regulation of ERK1 and ERK2 cascade
- sterol biosynthetic process
- visual learning
Molecular functions
- coenzyme A binding
- GTPase regulator activity
- NADPH binding
- hydroxymethylglutaryl-CoA reductase (NADPH) activity
Cellular components
Protein domainsUniProt · Pfam · InterPro
- Sterol-sensing domain
- HMGCR/SNAP/NPC1-like, sterol-sensing domain
- Sterol-sensing domain of SREBP cleavage-activation
- Hydroxymethylglutaryl-CoA reductase, class I/II
- Hydroxymethylglutaryl-CoA reductase, eukaryotic/archaeal type
- Hydroxymethylglutaryl-CoA reductase, metazoan
- Hydroxymethylglutaryl-CoA reductase, class I/II, NAD/NADP-binding domain superfamily
- Hydroxymethylglutaryl-CoA reductase, class I/II, substrate-binding domain superfamily
- Hydroxymethylglutaryl-CoA reductase, class I/II, catalytic domain superfamily
- Hydroxymethylglutaryl-CoA reductase, class I/II, conserved site
- Hydroxymethylglutaryl-CoA reductase, N-terminal
- Hydroxymethylglutaryl-coenzyme A reductase
KeywordsUniProt
- Cholesterol biosynthesis
- Cholesterol metabolism
- Endoplasmic reticulum
- Glycoprotein
- Isopeptide bond
- Limb-girdle muscular dystrophy
- Lipid biosynthesis
- Lipid metabolism
- Membrane
- NADP
- Oxidoreductase
- Peroxisome
- Phosphoprotein
- Steroid biosynthesis
- Steroid metabolism
- Sterol biosynthesis
- Sterol metabolism
- Transmembrane
- Transmembrane helix
- Ubl conjugation
InteractionsUniProt · HPA
Protein binding partners of HMGCR in the human serome: UniProt-annotated complex subunits plus reported interactors. Each links to its own Seroatlas record.
Antibody and autoantibody relevanceSeroatlas analysis
Seroatlas reads HMGCR as an antibody target. Whether an autoantibody or antibody against HMGCR could matter depends on whether native HMGCR is physically reachable, whether the body needs it intact, and whether it acts in a disease-relevant tissue.
HMGCR is annotated as predominantly intracellular. Intracellular proteins are common autoantibody markers, becoming visible to the immune system after cell injury or altered processing, but are usually markers of disease rather than direct drivers.
Annotation status
The present source text does not explicitly label HMGCR as an autoantigen. Seroatlas presents hypothesis context only and does not manufacture a known-serology claim.
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