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Updated: May 13, 2026

Enrichment of Mammalian Tissues and Xenopus Oocytes with Cholesterol
Published on: March 25, 2020
Discovery of oxysterol-derived pharmacological chaperones for NPC1: implication for the existence of second
Kenji Ohgane1, Fumika Karaki, Kosuke Dodo
1Institute of Molecular and Cellular Biosciences, The University of Tokyo, Bunkyo-ku, Tokyo 113-0032, Japan. ohgane@me.com
Abstract:
Niemann-Pick type C1 (NPC1) is a polytopic endosomal membrane protein required for efflux of LDL-derived cholesterol from endosomes, and mutations of this protein are associated with Niemann-Pick disease type C, a fatal neurodegenerative disease. At least one prevalent mutation (I1061T) has been shown to cause a folding defect, which results in failure of endosomal localization, leading to a loss-of-function phenotype. Here, we show that several oxysterols and their derivatives act as pharmacological chaperones; binding of these compounds to I1061T NPC1 corrects the localization/maturation defect of the mutant protein. Further, these compounds alleviate intracellular cholesterol accumulation in patient-derived fibroblasts, suggesting that they may have therapeutic potential. These oxysterol derivatives bind to a domain of NPC1 that is different from the known N-terminal sterol-binding domain; i.e., there is an additional sterol-binding site on NPC1.
Insights
Certain oxysterols act as pharmacological chaperones for the Niemann-Pick type C1 (NPC1) protein, correcting defects caused by the I1061T mutation and reducing cholesterol buildup in Niemann-Pick disease cells.
Area of Science:
- Biochemistry
- Cell Biology
- Genetics
Background:
- Niemann-Pick type C1 (NPC1) is crucial for cholesterol efflux from endosomes.
- Mutations in NPC1 cause Niemann-Pick disease type C, a fatal neurodegenerative disorder.
- The I1061T mutation leads to NPC1 misfolding and loss-of-function.
Purpose of the Study:
- To identify compounds that can correct the NPC1 folding defect.
- To investigate the therapeutic potential of these compounds for Niemann-Pick disease.
Main Methods:
- Screening of oxysterols and derivatives as potential pharmacological chaperones.
- Assessing the effect of compounds on I1061T NPC1 localization and maturation in cells.
- Evaluating intracellular cholesterol levels in patient-derived fibroblasts.
Main Results:
- Several oxysterols and derivatives function as pharmacological chaperones for I1061T NPC1.
- These compounds restore proper localization and maturation of the mutant NPC1 protein.
- Treatment with these compounds reduces cholesterol accumulation in patient cells.
- Oxysterol derivatives bind to a novel sterol-binding site on NPC1.
Conclusions:
- Oxysterols can serve as effective pharmacological chaperones for mutant NPC1.
- This approach shows therapeutic promise for Niemann-Pick disease type C.
- NPC1 possesses an additional sterol-binding site beyond the known N-terminal domain.
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