NPC1 Gene: Niemann-Pick Disease Type C1

A comprehensive biomedical overview of the NPC1 gene, its function, associated diseases, expression, mutations, and clinical significance.

Gene Information Card

Symbol NPC1
Full Name NPC intracellular cholesterol transporter 1
Gene Type protein-coding
Chromosomal Location 18q11.2
NCBI Gene ID 4864 ncbi.nlm.nih.gov/gene/4864
Ensembl ID ENSG00000141458
UniProt ID O15118
OMIM ID 607623
HGNC ID 7897
Aliases NPC, SLC65A1, Niemann-Pick disease, type C1

Description

The NPC1 gene encodes a large transmembrane protein that resides in the late endosome/lysosome and is essential for the intracellular trafficking of cholesterol and lipids. Mutations in NPC1 cause Niemann-Pick disease type C1 (NPC1), an autosomal recessive lysosomal storage disorder characterized by progressive neurodegeneration and hepatosplenomegaly. The protein functions in concert with NPC2 to mediate cholesterol export from lysosomes.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Niemann-Pick disease type C1 (NPC1) Loss-of-function mutations in NPC1 impair cholesterol and lipid trafficking, leading to lysosomal accumulation of unesterified cholesterol and glycosphingolipids. OMIM 257220; ClinVar; multiple publications
Niemann-Pick disease type C (broader phenotype) NPC1 mutations account for ~95% of NPC cases; the remainder are due to NPC2 mutations. OMIM; GeneReviews
Hepatocellular carcinoma (potential association) Altered NPC1 expression may affect cholesterol homeostasis and tumor progression, but evidence is preliminary. COSMIC; limited studies

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 10.2 Medium
Brain 8.5 Medium
Lung 6.3 Low
Kidney 5.1 Low
Spleen 7.8 Medium
Cell Line Expression
Cell Line nTPM Notes
HepG2 12.4 Liver cancer cell line; high expression
SH-SY5Y 9.8 Neuroblastoma; moderate expression
A549 7.2 Lung carcinoma; moderate
HeLa 6.5 Cervical carcinoma; moderate
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.3182T>C (p.I1061T) Missense ~15-20% of NPC1 alleles in Western populations Common pathogenic variant; causes protein misfolding and reduced function
c.3019C>T (p.R1007C) Missense Rare Pathogenic; disrupts sterol-sensing domain
c.3599A>G (p.N1200S) Missense Rare Pathogenic; affects protein stability
c.1628delC (frameshift) Frameshift Rare Loss-of-function; leads to truncated protein
Mutation functional classification

Loss of Function (LOF)

Most NPC1 mutations are loss-of-function, leading to impaired cholesterol export from lysosomes. This results in lysosomal lipid accumulation and cellular dysfunction.

Gain of Function (GOF)

No gain-of-function mutations have been reported for NPC1; all known pathogenic variants are loss-of-function.

Dominant Negative (DN)

NPC1 is autosomal recessive; no dominant-negative effects are documented. Heterozygous carriers are typically asymptomatic.

Gene Ontology (GO)

• cholesterol binding • lipid transporter activity
• sterol transporter activity • late endosome membrane
• lysosomal membrane • cholesterol homeostasis
• intracellular cholesterol transport • response to sterol depletion

Pathways

Cholesterol metabolism
Sphingolipid metabolism
Lysosomal transport
NPC1/NPC2-mediated cholesterol transport

Protein Summary

The NPC1 protein is a 1278-amino-acid glycoprotein with 13 transmembrane domains, a sterol-sensing domain, and a luminal N-terminal domain that binds cholesterol. It localizes to late endosomes/lysosomes and interacts with NPC2 to facilitate cholesterol egress. Mutations cause Niemann-Pick type C1, a neurodegenerative lysosomal storage disease.

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