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2016 ; 6
(ä): 31750
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PEG-lipid micelles enable cholesterol efflux in Niemann-Pick Type C1
disease-based lysosomal storage disorder
#MMPMID27572704
Brown A
; Patel S
; Ward C
; Lorenz A
; Ortiz M
; DuRoss A
; Wieghardt F
; Esch A
; Otten EG
; Heiser LM
; Korolchuk VI
; Sun C
; Sarkar S
; Sahay G
Sci Rep
2016[Aug]; 6
(ä): 31750
PMID27572704
show ga
2-Hydroxy-propyl-?-cyclodextrin (HP?CD), a cholesterol scavenger, is currently
undergoing Phase 2b/3 clinical trial for treatment of Niemann Pick Type C-1
(NPC1), a fatal neurodegenerative disorder that stems from abnormal cholesterol
accumulation in the endo/lysosomes. Unfortunately, the extremely high doses of
HP?CD required to prevent progressive neurodegeneration exacerbates ototoxicity,
pulmonary toxicity and autophagy-based cellular defects. We present unexpected
evidence that a poly (ethylene glycol) (PEG)-lipid conjugate enables cholesterol
clearance from endo/lysosomes of Npc1 mutant (Npc1(-/-)) cells. Herein, we show
that distearyl-phosphatidylethanolamine-PEG (DSPE-PEG), which forms 12-nm
micelles above the critical micelle concentration, accumulates heavily inside
cholesterol-rich late endosomes in Npc1(-/-) cells. This potentially results in
cholesterol solubilization and leakage from lysosomes. High-throughput screening
revealed that DSPE-PEG, in combination with HP?CD, acts synergistically to efflux
cholesterol without significantly aggravating autophagy defects. These well-known
excipients can be used as admixtures to treat NPC1 disorder. Increasing PEG chain
lengths from 350 Da-30 kDa in DSPE-PEG micelles, or increasing DSPE-PEG content
in an array of liposomes packaged with HP?CD, improved cholesterol egress, while
Pluronic block copolymers capable of micelle formation showed slight effects at
high concentrations. We postulate that PEG-lipid based nanocarriers can serve as
bioactive drug delivery systems for effective treatment of lysosomal storage
disorders.