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Science 20 February 2004:
Vol. 303. no. 5661, pp. 1201 - 1204
DOI: 10.1126/science.1093131

Reports

Niemann-Pick C1 Like 1 Protein Is Critical for Intestinal Cholesterol Absorption

Scott W. Altmann,1* Harry R. Davis, Jr.,1 Li-ji Zhu,1 Xiaorui Yao,1 Lizbeth M. Hoos,1 Glen Tetzloff,1 Sai Prasad N. Iyer,1 Maureen Maguire,2 Andrei Golovko,2 Ming Zeng,2 Luquan Wang,2{dagger} Nicholas Murgolo,2 Michael P. Graziano1

Dietary cholesterol consumption and intestinal cholesterol absorption contribute to plasma cholesterol levels, a risk factor for coronary heart disease. The molecular mechanism of sterol uptake from the lumen of the small intestine is poorly defined. We show that Niemann-Pick C1Like 1(NPC1L1) protein plays a critical role in the absorption of intestinal cholesterol. NPC1L1 expression is enriched in the small intestine and is in the brush border membrane of enterocytes. Although otherwise phenotypically normal, NPC1L1-deficient mice exhibit a substantial reduction in absorbed cholesterol, which is unaffected by dietary supplementation of bile acids. Ezetimibe, a drug that inhibits cholesterol absorption, had no effect in NPC1L1 knockout mice, suggesting that NPC1L1 resides in an ezetimibe-sensitive pathway responsible for intestinal cholesterol absorption.

1 Department of Cardiovascular/Endocrine Research, Schering-Plough Research Institute, 2015 Galloping Hill Road, Kenilworth, NJ, 07033–0539, USA.
2 Department of Discovery Technologies, Schering-Plough Research Institute, 2015 Galloping Hill Road, Kenilworth, NJ, 07033–0539, USA.



{dagger} Present address: GenScript Corporation, 100 Menlo Park Drive, Suite 316, Edison, NJ, 08837, USA.

* To whom correspondence should be addressed. E-mail: scott.altmann{at}spcorp.com

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   Abstract »    Full Text »    PDF »
Cholesterol-regulated Translocation of NPC1L1 to the Cell Surface Facilitates Free Cholesterol Uptake.
L. Yu, S. Bharadwaj, J. M. Brown, Y. Ma, W. Du, M. A. Davis, P. Michaely, P. Liu, M. C. Willingham, and L. L. Rudel (2006)
J. Biol. Chem. 281, 6616-6624
   Abstract »    Full Text »    PDF »
Interaction of single-dose ezetimibe and steady-state cyclosporine in renal transplant patients..
A. J. Bergman, J. Burke, P. Larson, A. O. Johnson-Levonas, L. Reyderman, P. Statkevich, S. E. Maxwell, T. Kosoglou, G. Murphy, K. Gottesdiener, et al. (2006)
J. Clin. Pharmacol. 46, 328-336
   Abstract »    Full Text »    PDF »
Multiple rare variants in NPC1L1 associated with reduced sterol absorption and plasma low-density lipoprotein levels.
J. C. Cohen, A. Pertsemlidis, S. Fahmi, S. Esmail, G. L. Vega, S. M. Grundy, and H. H. Hobbs (2006)
PNAS 103, 1810-1815
   Abstract »    Full Text »    PDF »
Micellar solubilisation of cholesterol is essential for absorption in humans.
L A Woollett, Y Wang, D D Buckley, L Yao, S Chin, N Granholm, P J H Jones, K D R Setchell, P Tso, and J E Heubi (2006)
Gut 55, 197-204
   Abstract »    Full Text »    PDF »
Role of intestinal sterol transporters Abcg5, Abcg8, and Npc1l1 in cholesterol absorption in mice: gender and age effects.
L.-P. Duan, H. H. Wang, A. Ohashi, and D. Q.-H. Wang (2006)
Am J Physiol Gastrointest Liver Physiol 290, G269-G276
   Abstract »    Full Text »    PDF »
Mutations of a Drosophila NPC1 Gene Confer Sterol and Ecdysone Metabolic Defects.
M. L. Fluegel, T. J. Parker, and L. J. Pallanck (2006)
Genetics 172, 185-196
   Abstract »    Full Text »    PDF »
Inhibition of cholesterol absorption by the combination of dietary plant sterols and ezetimibe: effects on plasma lipid levels.
L. Jakulj, M. D. Trip, T. Sudhop, K. von Bergmann, J. J. P. Kastelein, and M. N. Vissers (2005)
J. Lipid Res. 46, 2692-2698
   Abstract »    Full Text »    PDF »
A Drosophila model of the Niemann-Pick type C lysosome storage disease: dnpc1a is required for molting and sterol homeostasis.
X. Huang, K. Suyama, J. Buchanan, A. J. Zhu, and M. P. Scott (2005)
Development 132, 5115-5124
   Abstract »    Full Text »    PDF »
Plant sterols and stanols: effects on mixed micellar composition and LXR (target gene) activation.
J. Plat, J. A. Nichols, and R. P. Mensink (2005)
J. Lipid Res. 46, 2468-2476
   Abstract »    Full Text »    PDF »
Intestinal cholesterol absorption is substantially reduced in mice deficient in both ABCA1 and ACAT2.
R. E. Temel, R. G. Lee, K. L. Kelley, M. A. Davis, R. Shah, J. K. Sawyer, M. D. Wilson, and L. L. Rudel (2005)
J. Lipid Res. 46, 2423-2431
   Abstract »    Full Text »    PDF »
The Forgotten Majority: Unfinished Business in Cardiovascular Risk Reduction.
P. Libby (2005)
J. Am. Coll. Cardiol. 46, 1225-1228
   Abstract »    Full Text »    PDF »
Carotenoid Transport Is Decreased and Expression of the Lipid Transporters SR-BI, NPC1L1, and ABCA1 Is Downregulated in Caco-2 Cells Treated with Ezetimibe.
A. During, H. D. Dawson, and E. H. Harrison (2005)
J. Nutr. 135, 2305-2312
   Abstract »    Full Text »    PDF »
Supratherapeutic Response to Ezetimibe Administered with Cyclosporine.
S. L Koshman, L. D Lalonde, I. Burton, W. J Tymchak, and G. J Pearson (2005)
Ann. Pharmacother. 39, 1561-1565
   Abstract »    Full Text »    PDF »
Caveolin-1 Is Not Required for Murine Intestinal Cholesterol Transport.
M. A. Valasek, J. Weng, P. W. Shaul, R. G. W. Anderson, and J. J. Repa (2005)
J. Biol. Chem. 280, 28103-28109
   Abstract »    Full Text »    PDF »
A simple and rapid method to measure cholesterol binding to P450s and other proteins.
N. Mast and I. A. Pikuleva (2005)
J. Lipid Res. 46, 1561-1568
   Abstract »    Full Text »    PDF »
Evidence for multiple complementary pathways for efficient cholesterol absorption in mice.
J. Iqbal and M. M. Hussain (2005)
J. Lipid Res. 46, 1491-1501
   Abstract »    Full Text »    PDF »
The target of ezetimibe is Niemann-Pick C1-Like 1 (NPC1L1).
M. Garcia-Calvo, J. Lisnock, H. G. Bull, B. E. Hawes, D. A. Burnett, M. P. Braun, J. H. Crona, H. R. Davis Jr., D. C. Dean, P. A. Detmers, et al. (2005)
PNAS 102, 8132-8137
   Abstract »    Full Text »    PDF »



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