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"Endogenous and exogenous ubiquitination, in addition to in vitro ubiquitination assays, have revealed that SR-A is deubiquitinated by USP53 through its deubiquitinating enzyme via K48-linked polyubiquitination, which inhibits protein degradation via the 26S proteasome pathway.Thus, herein, we demonstrate that low shear stress-induced endothelial DKK1 promotes the formation of co-cultured SMC-derived foam cells, which is primarily mediated by the USP53-inhibited proteasomal degradation of SR-A."