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Drug-induced increase in lysobisphosphatidic acid reduces the cholesterol overload in Niemann-Pick type C cells and mice.

Dimitri Moreau | Fabrizio Vacca | Stefania Vossio | Cameron Scott | Alexandria Colaco | Jonathan Paz Montoya | Charles Ferguson | Markus Damme | Marc Moniatte | Robert G Parton | Frances M Platt | Jean Gruenberg
EMBO reports | 2019

Most cells acquire cholesterol by endocytosis of circulating low-density lipoproteins (LDLs). After cholesteryl ester de-esterification in endosomes, free cholesterol is redistributed to intracellular membranes via unclear mechanisms. Our previous work suggested that the unconventional phospholipid lysobisphosphatidic acid (LBPA) may play a role in modulating the cholesterol flux through endosomes. In this study, we used the Prestwick library of FDA-approved compounds in a high-content, image-based screen of the endosomal lipids, lysobisphosphatidic acid and LDL-derived cholesterol. We report that thioperamide maleate, an inverse agonist of the histamine H3 receptor HRH3, increases highly selectively the levels of lysobisphosphatidic acid, without affecting any endosomal protein or function that we tested. Our data also show that thioperamide significantly reduces the endosome cholesterol overload in fibroblasts from patients with the cholesterol storage disorder Niemann-Pick type C (NPC), as well as in liver of Npc1-/- mice. We conclude that LBPA controls endosomal cholesterol mobilization and export to cellular destinations, perhaps by fluidifying or buffering cholesterol in endosomal membranes, and that thioperamide has repurposing potential for the treatment of NPC.

Pubmed ID: 31267706

Associated grants

  • Agency: SNF|National Center of Competence in Research Affective Sciences - Chemical Biology, International
  • Agency: LipidX from the Swiss SystemsX.ch Initiative, International
  • Agency: European Union Seventh Framework Programme (FP7), International
    Id: 289278
  • Agency: Department of Health|National Health and Medical Research Council (NHMRC), International
    Id: APP1037320
  • Agency: Department of Health|National Health and Medical Research Council (NHMRC), International
    Id: APP1058565
  • Agency: Department of Health|National Health and Medical Research Council (NHMRC), International
    Id: APP569542
  • Agency: Royal Society, International
  • Agency: Wellcome Trust (Wellcome), International
  • Agency: National Niemann-Pick Disease Foundation (NNPDF), International
  • Agency: Swiss National Science Foundation, Switzerland

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