Treatment trials in Niemann-Pick type C disease

Metab Brain Dis. 2021 Dec;36(8):2215-2221. doi: 10.1007/s11011-021-00842-0. Epub 2021 Oct 1.

Abstract

Niemann-Pick type C (NPC) disease is a genetically determined neurodegenerative metabolic disease. It belongs to the lysosomal storage diseases and its main cause is impaired cholesterol transport in late endosomes or lysosomes. It is an autosomal recessive inherited disease that results from mutations in the NPC1 or NPC2 genes. The treatment efforts are focused on the slowing its progression. The only registered drug, devoted for NPC patients is Miglustat. Effective treatment is still under development. NPC disease mainly affects the nervous system, and the crossing of the blood-brain barrier by medicines is still a challenge, therefore the combination therapies of several compounds are increasingly being worked on. The aim of this paper is to present the possibilities in treatment of Niemann-Pick type C disease. The discussed research results relate to animal studies.

Keywords: Arimoclomol; Gene Therapy; HP-β-CD; Miglustat; NPC; Niemann-Pick Type C disease; Therapy; Vorinostat.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Cholesterol / metabolism
  • Endosomes / metabolism
  • Humans
  • Lysosomes / metabolism
  • Niemann-Pick C1 Protein / genetics
  • Niemann-Pick Disease, Type C* / genetics

Substances

  • Niemann-Pick C1 Protein
  • Cholesterol