Valvular & structural heart disease

PRMT3-Mediated Arginine Methylation Stabilizes PCSK9 to Promote Aortic Valve Calcification

CirculationPublished Mechanistic study

Authors' conclusion

We identify a previously unrecognized posttranslational mechanism regulating PCSK9 stability in valve interstitial cells during calcific aortic valve disease and establish a link between PRMT3-mediated arginine methylation and valve-specific lipid-osteogenic coupling.

Study context

Population
Human aortic valve leaflets and VICs from patients; high-cholesterol diet-fed ApoE-/- mice with Prmt3 haploinsufficiency

Main finding

As reported in the abstract

  • PRMT3 expression significantly upregulated during aortic valve calcification
  • RUNX2 recruited P300 to promote PRMT3 expression via H3K27 acetylation
  • Prmt3 haploinsufficiency markedly ameliorated aortic valve calcification in ApoE-/- mice (reduced leaflet thickness and calcium deposition; lower peak jet velocity and mean gradient, larger valve area; lower OPN and Osx)
  • Anticalcific effects with PRMT3 inhibition (SGC707) and PRMT3 degradation (PROTAC)
  • PRMT3 promoted osteogenic differentiation of human VICs through its enzymatic activity
  • PRMT3 asymmetrically dimethylated PCSK9 at R582, prolonging PCSK9 half-life
  • Methylation prevented CHIP binding to PCSK9 at K575, abrogating ubiquitination-mediated PCSK9 degradation and accelerating calcification

Original publication

PRMT3-Mediated Arginine Methylation Stabilizes PCSK9 to Promote Aortic Valve Calcification. Circulation. Published 9 March 2026. doi:10.1161/circulationaha.125.078830

Summarised from the published abstract; every number is checked against it

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