... reac-tion in which the first binding step, representing bind-ing to the EGF-A domain, is followed by binding of PCSK9 to a second site within the receptor. In thismodel, dimeric and monomeric receptor ... PCSK9 binding to HepG2 cells. First, the number of LDLRs on HepG2cells increased following growth in the absence of lipo-proteins, and there was a corresponding increase in the binding of [125I]TC-PCSK9 ... observation is in marked contrast to what isseen in many receptor systems, including the insulinreceptor [26], where lowering of the pH leads to disso-ciation of ligand from receptor. The reduced...