" /> Niemann-pick disease, type c1 - CISMeF





Preferred Label : Niemann-pick disease, type c1;

Symbol : NPC1;

CISMeF acronym : NPC; NPC1;

Type : Phenotype, molecular basis known;

Alternative titles and symbols : Niemann-pick disease, type C; Niemann-pick disease with cholesterol esterification block; Niemann-pick disease, subacute juvenile form; Niemann-pick disease, chronic neuronopathic form; Niemann-pick disease without sphingomyelinase deficiency; Neurovisceral storage disease with vertical supranuclear ophthalmoplegia; NPC;

Included titles and symbols : Niemann-pick Disease, type D; Niemann-pick disease, nova scotian type;

Description : Niemann-Pick type C (NPC) disease is an autosomal recessive lipid storage disorder characterized by progressive neurodegeneration. Approximately 95% of cases are caused by mutations in the NPC1 gene, referred to as type C1; 5% are caused by mutations in the NPC2 gene (601015), referred to as type C2 (607625). The clinical manifestations of types C1 and C2 are similar because the respective genes are both involved in egress of lipids, particularly cholesterol, from late endosomes or lysosomes (Vance, 2006). Historically, Crocker (1961) delineated 4 types of Niemann-Pick disease: the classic infantile form (type A; 257200), the visceral form (type B; 607616), the subacute or juvenile form (type C), and the Nova Scotian variant (type D). Types C1 and D are indistinguishable except for the occurrence of type D in patients of Nova Scotian Acadian ancestry. Since then, types E and F have also been described (see 607616), and phenotypic variation within each group has also been described.;

Inheritance : Autosomal recessive;

Molecular basis : Caused by mutation in the NPC intracellular cholesterol transporter 1 gene (NPC1, 607623.0001);

Laboratory abnormalities : Normal or mildly reduced sphingomyelinase activity; Low cholesterol esterification rates; Abnormal cholesterol homeostasis; Foam cells in visceral organs and CNS; Foam cells contain polymorphic cytoplasmic inclusions consisting of lamellar osmiophilic membranes on electron microscopy;

Prefixed ID : #257220;

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03/05/2025


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