Skip to main content
Log in

Cholesterol and oxygenated cholesterol concentrations are markedly elevated in peripheral tissue but not in brain from mice with the Niemann–Pick type C phenotype

  • Published:
Journal of Inherited Metabolic Disease

Abstract

Niemann–Pick disease type C (NP-C) is a rare genetic disorder characterized by progressive neurodegeneration, frequent developmental delay and early death. Tissues of affected individuals accumulate large quantities of free cholesterol in lysosomes. Because cytotoxic oxygenated derivatives of cholesterol are known to form readily when cholesterol concentrations are elevated, we searched for these compounds in liver, kidney, spleen and brain from mice with the NP-C phenotype. In order of abundance, we identified 7α- and 7β-hydroxycholesterol, 5α,6α-epoxycholestan-3β-ol, 4β-hydroxycholesterol, cholest-4-en-3β,7α-diol and cholest-4-en-3β,6β-diol in most tissue samples. Cholesterol concentrations in affected mice were increased 3-fold in kidney and 7- to 8-fold in spleen and liver compared to controls (all p<0.001) but were unchanged in brain. Although oxysterol levels were markedly elevated in non-brain tissue, the oxysterol and cholesterol concentrations increased proportionally so that oxysterols expressed as percentage of total sterols were the same for all animals (0.34±0.19% averaged over all organs in affected animals vs 0.40±0.42% in control mice). In contrast to peripheral tissue, we could not detect any increase in either absolute or relative oxysterol levels in the brains of affected and control mice (49±61 vs 53±43 μg/g wet weight and 0.45±0.52 vs 0.47±0.37%, respectively). Thus, brain sterols are normal in NP-C mice and it is unlikely that an accumulation of cytotoxic oxygenated derivatives of cholesterol could account for the progressive neuropathology seen in the disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

REFERENCES

  • Argoff CE, Kaneski CR, Blanchette-Mackie EJ, et al (1990) Type C Niemann-Pick disease: documentation of abnormal LDL processing in lymphocytes. Biochem Biophys Res Commun 171: 38-45.

    Google Scholar 

  • Aringer L (1980) Oxidation of 3-oxygenated Δ4 and steroids by soybean lipoxygenase Δ5-C27 and rat liver microsomes. Lipids 15: 563-571.

    Google Scholar 

  • Aringer L, Nordström L (1981) Chromatographic properties and mass spectrometric fragmentation of Biomed Mass Spectrom 8: 183-203. C27-, C28-, C29-steroids.

    Google Scholar 

  • Bhuvaneswaran C, Morris MD, Shio H, Fowler S (1982) Lysosome lipid storage disorder in NCTR-BALB/c mice. III. Isolation and analysis of storage inclusions from liver. Am J Pathol 108: 160-170.

    Google Scholar 

  • Björkhem I, Reihnér E, Angelin B, Ewerth S, A-kerlund J-E, Einarsson K (1987) On the possible use of the serum level of 7α-hydroxycholesterol as a marker for increased activity of the cholesterol 7α-hydroxylase in humans. J L ipid Res 28: 889-894.

    Google Scholar 

  • Björkhem I, Andersson O, Diczfalusy U, et al (1994) Atherosclerosis and sterol 27-hydroxylase: evidence of a role of this enzyme in elimination of cholesterol from human macrophages. Proc Natl Acad Sci USA 91: 8592-8596.

    Google Scholar 

  • Blanchette-Mackie EJ, Dwyer NK, Amende LM, et al (1988) Type-C Niemann-Pick disease: low density lipoprotein uptake is associated with premature cholesterol accumulation in the Golgi complex and excessive cholesterol storage in lysosomes. Proc Natl Acad Sci USA 85: 8022-8026.

    Google Scholar 

  • Boissonneault GA, Hennig B, Ouyang C-M (1991) Oxysterols, cholesterol biosynthesis, and monolayer endothelial cell monolayer barrier function. Proc Soc Exp Biol Med 196: 338-343.

    Google Scholar 

  • Brooks CJW, Steel G, Gilbert JD, Harland WA (1971) Lipids of human atheroma. Part 4. Characterization of a new group of polar sterol esters from human atherosclerotic plaques. Atherosclerosis 13: 223-237.

    Google Scholar 

  • Brown AJ, Dean RT, Jessup W (1996) Free and esterified oxysterol: formation during copperoxidation of low density lipoprotein and uptake by macrophages. J L ipid Res 37: 320-335.

    Google Scholar 

  • Brown DE, Thrall MA, Walkley SU, et al (1996) Metabolic abnormalities in feline Niemann-Pick type C heterozygotes. J Inher Metab Dis 19: 319-330.

    Google Scholar 

  • Brown MS, Goldstein JL (1983) Lipoprotein metabolism in the macrophage: implications for cholesterol deposition in atherosclerosis. Annu Rev Biochem 52: 223-261.

    Google Scholar 

  • Carstea ED, Morris JA, Coleman KG, et al (1997) Niemann-Pick C1 disease gene: homology to mediators of cholesterol homeostasis. Science 277: 228-231.

    Google Scholar 

  • Colles SM, Irwin KC, Chisholm GM (1966) Roles of multiple oxidized LDL lipids in cellular injury: dominance of 7β-hydroperoxycholesterol. J L ipid Res 37: 2018-2028.

    Google Scholar 

  • Danielsson H, Einarsson K (1964) The enzymatic formation of 7α—hydroxycholesterol from cholesterol in rat liver homogenates. Acta Chem Scand 18: 831-835.

    Google Scholar 

  • Dumontel C, Girod C, Dijoud F, Dumez Y, Vanier MT (1993) Fetal Niemann-Pick disease type C: ultrastructural and lipid findings in liver and spleen. V irchows Arch A, Pathol Anat Histopathol 422: 253-259.

    Google Scholar 

  • Dzeletovic S, Breuer O, Lund E, Diczfalusy U (1995) Determination of cholesterol oxidation products in human plasma by isotope dilution-mass spectrometry. Anal Biochem 225: 73-80.

    Google Scholar 

  • Greer WL, Riddell DC, Byers DM, et al (1997) Linkage of Niemann-Pick disease type D to the same region of human chromosome 18 as Niemann-Pick type C. Am J Hum Genet 61: 139-142.

    Google Scholar 

  • Heinecke JW, Rosen H, Chait A (1987) Iron and copper promote modification of low-density lipoprotein by human arterial smooth muscle cells in culture. J Clin Invest 74: 1890-1894.

    Google Scholar 

  • Hessler JR, Morel DW, Lewis LJ, Chisolm GM (1983) Lipoprotein oxidation and lipoprotein induced cytoxicity. Arteriosclerosis 3: 215-222.

    Google Scholar 

  • Hodis HN, Crawford DW, Sevanian A (1991) Cholesterol feeding increases plasma and aortic tissue cholesterol oxide levels in parallel: further evidence for the role of cholesterol oxidation in atherosclerosis. Atherosclerosis 89: 117-126.

    Google Scholar 

  • Honda A, Shoda J, Tanaka Y, Matsuzaki Y, Osuga T (1991) Simultaneous assay of the activities of two key enzymes in cholesterol metabolism by gas chromatography-mass spectrometry. J Chromatogr 565: 53-66.

    Google Scholar 

  • Hultén LM, Lindmark H, Diczfalusy U, et al (1996) Oxysterols present in atherosclerotic tissue decrease the expression of lipoprotein lipase messenger RNA in human-derived macrophages. J Clin Invest 97: 461-468.

    Google Scholar 

  • Imai H, Wetherssen NT, Taylor CB, Lee KT (1976) Angiotoxicity and arteriosclerosis due to contaminants of USP-grade cholesterol. Arch Pathol Lab Med 100: 565-572.

    Google Scholar 

  • Kandutsch AA, Chen HW (1973) Inhibition of sterol synthesis in cultured mouse cells by 7α-hydroxycholesterol, 7β-hydroxycholesterol, and 7-ketocholesterol. J Biol Chem 248: 8408-8417.

    Google Scholar 

  • Kelly DA, Portmann B, Mowat AP, Sherlock S, Lake BD (1993) Niemann-Pick disease type C: diagnosis and outcome in children, with particular reference to liver disease. J Pediatr 123: 242-247.

    Google Scholar 

  • Liscum L, Ruggiero RM, Faust JR (1989) The intracellular transport of low density lipoprotein-derived cholesterol is defective in Niemann-Pick type C fibroblasts. J Cell Biol 108: 1625-1636.

    Google Scholar 

  • Loftus SK, Morris JA, Carstea ED, et al (1997) Murine model of Niemann-Pick C disease: mutation in a cholesterol homeostasis gene. Science 277: 232-235.

    Google Scholar 

  • Lütjohann D, Breuer O, Ahlborg G, et al (1996) Cholesterol homeostasis in human brain: evidence for an age-dependent flux of 24S-hydroxycholesterol from brain into the circulation. Proc Natl Acad Sci USA 93: 9799-9804.

    Google Scholar 

  • Maerker G, Unruh J Jr (1986) Cholesterol oxides I. Isolation and determination of some cholesterol oxidation products. J Am Oil Chem Soc 63: 767-771.

    Google Scholar 

  • Martin JJ, Lowenthal A, Ceuterick C, Vanier MT (1984) Juvenile dystonic lipidosis (variant of Niemann-Pick disease type C). J Neurol Sci 66: 33-45.

    Google Scholar 

  • Miyawaki S, Mitsuoka S, Sakiyama T, Kitagawa T (1982) Sphingomyelinosis, a new mutation in the mouse: a model of Niemann-Pick disease in humans. J Hered 73: 257-263.

    Google Scholar 

  • Morris MD, Bhuvaneswaran C, Shio H, Fowler S (1982) Lysosome lipid storage disorder in NCTR-BALB/c mice. I. Description of the disease and genetics. Am J Pathol 108: 140-149.

    Google Scholar 

  • Novikov DK, Kosykh VA, Antonov IV, Lakeev IuV, Repin VS (1990) Study of HDL2-dependent synthesis of bile acids in culture of rabbit hepatocytes: effects of oxidized cholesterol derivatives. Biulleten Eksperimentalnoi Biologii i Meditsiny 110: 267-269.

    Google Scholar 

  • Oda H, Yamashita H, Kosahara K, Kuroki S, Nakayama F (1990) Esterified and total 7ahydroxycholesterol in human serum as an indicator for hepatic bile acid synthesis. J L ipid Res 31: 2209-2218.

    Google Scholar 

  • Parthasarathy S, Wieland E, Steinberg D (1989) A role for endothelial cell lipoxygenase in the oxidative modification of low density lipoprotein. Proc Natl Acad Sci USA 86: 1046-1050.

    Google Scholar 

  • Pentchev PG, Boothe AD, Kruth HS, Weintroub H, Stivers J, Brady RO (1984) A genetic storage disorder in BALB/C mice with a metabolic block in esterification of exogenous cholesterol. J Biol Chem 259: 5784-5791.

    Google Scholar 

  • Pentchev PG, Comly ME, Kruth HS, et al (1985) A defect in cholesterol esterification in Niemann-Pick disease (type C) patients. Proc Natl Acad Sci USA 82: 8247-8251.

    Google Scholar 

  • Pentchev PG, Comly ME, Kruth HS, Patel S, Proestel M, Weintroub H (1986) The cholesterol storage disorder of the mutant BALB/c mouse. A primary genetic lesion closely linked to defective esterification of exogenously derived cholesterol and its relationship to human type C Niemann-Pick disease. J Biol Chem 261: 2772-2777.

    Google Scholar 

  • Pentchev PG, Vanier MT, Suzuki K, Patterson MC (1995) Niemann-Pick disease type C: a cellular lipidosis. In Scriver CR, Beaudet AL, Sly WS, Valle DD, eds. The Metabolic and Molecular Bases of Inherited Disease. New York: McGraw-Hill, 2625-2639.

    Google Scholar 

  • Philippart M, Martin L, Martin JJ, Menkes JH (1969) Niemann-Pick Disease. Morphologic and biochemical studies in the visceral form with late central nervous system involvement (Crocker's group C). Arch Neurol 20: 227-238.

    Google Scholar 

  • Rao BG, Spence MW (1977) Niemann-Pick disease type D: lipid analysis and studies on sphingomyelinases. Ann Neurol 1: 385-392.

    Google Scholar 

  • Sakiyama T, Tsuda M, Kitagawa T, Fujita R, Miyawaki S (1982) A lysosomal storage disorder in mice: a model of Niemann-Pick disease. J Inher Metab Dis 5: 239-240.

    Google Scholar 

  • Saucier SE, Kandutsch AA, Taylor FR, Spencer TA, Phirwa S, Gayen AK (1985) Identification of regulatory oxysterols, 24(S),25-epoxycholesterol and 25-hydroxycholesterol, in cultured fibroblasts. J Biol Chem 260: 14571-14579.

    Google Scholar 

  • Saucier SE, Kandutsch AA, Phirwa S, Spencer TA (1987) Accumulation of regulatory oxysterols, 32-oxolanosterol and 32-hydroxylanosterol in mevalonate-treated cell cultures. J Biol Chem 262: 14056-14062.

    Google Scholar 

  • Sevanian A, Hodis HH, Hwang J, McLeod LL, Peterson H (1995) Characterization of endothelial cell injury by cholesterol oxidation products found in oxidized LDL. J L ipid Res 36: 1971-1986.

    Google Scholar 

  • Shio H, Fowler S, Bhuvaneswaran C, Morris MD (1982) Lysosome lipid storage disorder in NCTR-BALB/c mice. II. Morphologic and cytochemical studies. Am J Pathol 108: 150-159.

    Google Scholar 

  • Smith LL, Johnson BH (1989) Biological activities of oxysterols. Free Radical Biol Med 7: 285-332.

    Google Scholar 

  • Sokol J, Blanchette-Mackie J, Kruth HS, et al (1988) Type C Niemann-Pick disease. Lysosomal accumulation and defective intracellular mobilization of low density lipoprotein cholesterol. J Biol Chem 263: 3411-3417.

    Google Scholar 

  • Steinberg D, Parthasarathy S, Carew TE, Khoo JC, Witztum JL (1989) Beyond cholesterol. Modifications of low-density lipoprotein that increase its atherogenicity. N Engl J Med 320: 915-924.

    Google Scholar 

  • Suzuki K, Johnson AB, Marquet E, Suzuki K (1968) A case of juvenile lipidosis: electron microscopic, histochemical and biochemical studies. Acta Neuropathol 11: 122-139.

    Google Scholar 

  • Tamasawa N, Tamasawa A, Takebe K, Hayakari M (1994) The effect of dietary 7-ketocholesterol, inhibitor of sterol synthesis, on hepatic microsomal cholesterol 7 alphahydroxylase activity in rat. Biochim Biophys Acta 1214: 20-26.

    Google Scholar 

  • Tint GS, Salen G (1977) Evidence for the early reduction of the 24,25 double bond in the conversion of lanosterol to cholesterol in cerebrotendinous xanthomatosis. Metabolism 26: 721-729.

    Google Scholar 

  • Tint GS, Dayal B, Batta AK, et al (1981) Fecal bile acids and sterols of Alligator mississippiensis. Gastroenterology 80: 114-119.

    Google Scholar 

  • Tint GS, Irons M, Elias ER, et al (1994) Defective cholesterol biosynthesis associated with the Smith-Lemli-Opitz syndrome. N Engl J Med 330: 107-113.

    Google Scholar 

  • Vanier MT (1983) Biochemical studies in Niemann-Pick disease I: major sphingolipids of liver and spleen. Biochim Biophys Acta 750: 178-184.

    Google Scholar 

  • van Lier JE, Kan G, Langlois R, Smith LL (1972) On the role of sterol hydroperoxides in steroid metabolism. Biochem Soc Symp 34: 21-43.

    Google Scholar 

  • Witztum JL, Steinberg D (1991) Role of oxidized low density lipoprotein in atherosclerosis. J Clin Invest 88: 1785-1792.

    Google Scholar 

  • Yamashita H, Kuroki S, Nakayama F (1989) Assay of cholesterol 7α-hydroxylase utilizing a silica cartridge column and 5α-cholestane-3β,6β-diol as an internal standard. J Chromatogr 496: 255-268.

    Google Scholar 

  • Yoshida T, Honda A, Tanaka N, Matsuzaki Y, He B, Osuga T (1993) Simultaneous determination of mevalonate and 7α-hydroxycholesterol in human plasma by gas chromatography-mass spectrometry as indices of cholesterol and bile acid biosynthesis. J Chromatogr 613: 185-193.

    Google Scholar 

  • Zhang H, Basra HJK, Steinbrecher UP (1990) Effects of oxidatively modified LDL on cholesterol esterification in cultured macrophages. J L ipid Res 31: 1361-1369.

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tint, G.S., Pentchev, P., Xu, G. et al. Cholesterol and oxygenated cholesterol concentrations are markedly elevated in peripheral tissue but not in brain from mice with the Niemann–Pick type C phenotype. J Inherit Metab Dis 21, 853–863 (1998). https://doi.org/10.1023/A:1005474803278

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1005474803278

Keywords

Navigation