Transcript, protein, metabolite and cellular studies in skin fibroblasts demonstrate variable pathogenic impacts of NPC1 mutations.

Background: Niemann-Pick type C (NP-C) is a rare neurovisceral genetic disorder caused by mutations in the NPC1 or the NPC2 gene. NPC1 is a multipass-transmembrane protein essential for egress of cholesterol from late endosomes/lysosomes. To evaluate impacts of NPC1 mutations, we examined fibroblast...

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Publicado en:Orphanet Journal of Rare Diseases Vol. 15; no. 1; pp. 1 - 13
Autores principales: Musalkova, Dita, Majer, Filip, Kuchar, Ladislav, Luksan, Ondrej, Asfaw, Befekadu, Vlaskova, Hana, Storkanova, Gabriela, Reboun, Martin, Poupetova, Helena, Jahnova, Helena, Hulkova, Helena, Ledvinova, Jana, Dvorakova, Lenka, Sikora, Jakub, Jirsa, Milan, Vanier, Marie T., Hrebicek, Martin
Formato: research Journal Article
Publicado: BioMed Central 4/5/2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/5/2020
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      pub: BioMed Central
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        142576128
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        NLM32248828
        142576128
        10.1186/s13023-020-01360-5
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        142576128
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        atl: Transcript, protein, metabolite and cellular studies in skin fibroblasts demonstrate variable pathogenic impacts of NPC1 mutations.
      aug:
        au:
          Musalkova, Dita
          Majer, Filip
          Kuchar, Ladislav
          Luksan, Ondrej
          Asfaw, Befekadu
          Vlaskova, Hana
          Storkanova, Gabriela
          Reboun, Martin
          Poupetova, Helena
          Jahnova, Helena
          Hulkova, Helena
          Ledvinova, Jana
          Dvorakova, Lenka
          Sikora, Jakub
          Jirsa, Milan
          Vanier, Marie T.
          Hrebicek, Martin
        affil: Research Unit for Rare Diseases, Department of Pediatrics and Adolescent Medicine, First Faculty of Medicine, Charles University and General University Hospital, Ke Karlovu 2, 120 00, Prague 2, Czech Republic
      sug:
        subj:
          Carrier Proteins
          Membrane Glycoproteins
          Membrane Glycoproteins Metabolism
          Mutation
          Adolescence
          Human
          Intracellular Signaling Peptides and Proteins
          Fibroblasts Metabolism
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Scales
          Adolescent: 13-18 years
      ab: Background: Niemann-Pick type C (NP-C) is a rare neurovisceral genetic disorder caused by mutations in the NPC1 or the NPC2 gene. NPC1 is a multipass-transmembrane protein essential for egress of cholesterol from late endosomes/lysosomes. To evaluate impacts of NPC1 mutations, we examined fibroblast cultures from 26 NP-C1 patients with clinical phenotypes ranging from infantile to adult neurologic onset forms. The cells were tested with multiple assays including NPC1 mRNA expression levels and allele expression ratios, assessment of NPC1 promoter haplotypes, NPC1 protein levels, cellular cholesterol staining, localization of the mutant NPC1 proteins to lysosomes, and cholesterol/cholesteryl ester ratios. These results were correlated with phenotypes of the individual patients.Results: Overall we identified 5 variant promoter haplotypes. Three of them showed reporter activity decreased down to 70% of the control sequence. None of the haplotypes were consistently associated with more severe clinical presentation of NP-C. Levels of transcripts carrying null NPC1 alleles were profoundly lower than levels of the missense variants. Low levels of the mutant NPC1 protein were identified in most samples. The protein localised to lysosomes in cultures expressing medium to normal NPC1 levels. Fibroblasts from patients with severe infantile phenotypes had higher cholesterol levels and higher cholesterol/cholesteryl ester ratios. On the contrary, cell lines from patients with juvenile and adolescent/adult phenotypes showed values comparable to controls.Conclusion: No single assay fully correlated with the disease severity. However, low residual levels of NPC1 protein and high cholesterol/cholesteryl ester ratios associated with severe disease. The results suggest not only low NPC1 expression due to non-sense mediated decay or low mutant protein stability, but also dysfunction of the stable mutant NPC1 as contributors to the intracellular lipid transport defect.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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