Impaired autophagy in the lipid-storage disorder niemann-pick type c1 disease

Sovan Sarkar, Bernadette Carroll, Yosef Buganim, Dorothea Maetzel, Alex H.M. Ng, John P. Cassady, Malkiel A. Cohen, Souvik Chakraborty, Haoyi Wang, Eric Spooner, Hidde Ploegh, Joerg Gsponer, Viktor I. Korolchuk, Rudolf Jaenisch*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

222 Scopus citations


Autophagy dysfunction has been implicated in misfolded protein accumulation and cellular toxicity in several diseases. Whether alterations in autophagy also contribute to the pathology of lipid-storage disorders is not clear. Here, we show defective autophagy in Niemann-Pick type C1 (NPC1) disease associated with cholesterol accumulation, where the maturation of autophagosomes is impaired because of defective amphisome formation caused by failure in SNARE machinery, whereas the lysosomal proteolytic function remains unaffected. Expression of functional NPC1 protein rescues this defect. Inhibition of autophagy also causes cholesterol accumulation. Compromised autophagy was seen in disease-affected organs of Npc1 mutant mice. Of potential therapeutic relevance is that HP-β-cyclodextrin, which is used for cholesterol-depletion treatment, impedes autophagy, whereas stimulating autophagy restores its function independent of amphisome formation. Our data suggest that a low dose of HP-β-cyclodextrin that does not perturb autophagy, coupled with an autophagy inducer, mayprovide a rational treatment strategy for NPC1 disease.

Original languageAmerican English
Pages (from-to)1302-1315
Number of pages14
JournalCell Reports
Issue number5
StatePublished - 12 Dec 2013
Externally publishedYes

Bibliographical note

Funding Information:
We thank P. Lobel, D. Sleat, D. Ory, M. Scott, N. Mizushima, T. Yoshimori, T. Johansen, D. Rubinsztein, R. Zoncu, T. Galli, L. Traub, and A. Helenius for valuable reagents; N. Watson, W. Salmon, L. Huang, L. Itskovich, G. Sahay, and V. Baru for technical assistance; Keck Microscopy Facility; Peter G. Pentchev Research Fellowship from the NNPD Foundation (to D.M.); and BBSRC New Investigator Award (to V.I.K.). S.S. is also a Former Fellow of Hughes Hall at University of Cambridge, UK. This work was supported by NIH grants R37-CA084198 and R01-CA087869. R.J. is an advisor to Stemgent and Fate Therapeutics.


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