Niemann-Pick C1 protein (NPC1) is a late-endosomal membrane protein involved in trafficking of LDL-derived cholesterol, Niemann-Pick disease type C, and Ebola virus infection. NPC1 contains 13 transmembrane segments (TMs), five of which are thought to represent a "sterol-sensing domain" (SSD). Although present also in other key regulatory proteins of cholesterol biosynthesis, uptake, and signaling, the structure and mechanism of action of the SSD are unknown. Here we report a crystal structure of a large fragment of human NPC1 at 3.6 Å resolution, which reveals internal twofold pseudosymmetry along TM 2-13 and two structurally homologous domains that protrude 60 Å into the endosomal lumen. Strikingly, NPC1's SSD forms a cavity that is accessible from both the luminal bilayer leaflet and the endosomal lumen; computational modeling suggests that this cavity is large enough to accommodate one cholesterol molecule. We propose a model for NPC1 function in cholesterol sensing and transport.endosomal membrane | cholesterol traffic | sterol-sensing domain | crystal structure | allostery C holesterol is a critical component of cellular membranes, and it is either synthesized de novo or supplied from the diet. Although amphiphilic, cholesterol is only poorly soluble in water. Therefore, cholesterol associates with soluble proteins for transport between compartments (1), either as a single molecule or in the form of large lipoprotein particles (2). Cholesterol also functions as a covalently attached ligand in hedgehog-mediated signal transduction (3). Not surprisingly, many proteins involved in cholesterol biosynthesis, transport, or signaling pathways are polytopic, integral membrane proteins (4). Structures of the critical transmembrane region of these polytopic membrane proteins have thus far not been determined, except for an NADPH-dependent reductase in the cholesterol biosynthetic pathway (5), the structure of which yielded insights into the mechanism of intramembrane catalysis.A subgroup of the polytopic integral membrane proteins of cholesterol-related pathways shares a highly conserved region comprised of five transmembrane segments (TMs) that are thought to represent a key regulatory element in response to cholesterol in the bilayer (6). This transmembrane region has been termed the "sterol-sensing domain" (SSD) (7,8). Because crystal structures of these SSDs have not been determined, it has remained unclear precisely how an SSD detects cholesterol in the bilayer and conveys this information to the rest of the protein to influence its activity, stability, or trafficking.Niemann-Pick C1 protein (NPC1) is an SSD-containing, ubiquitous, cholesterol-trafficking protein in the cholesterol uptake pathway (9). Cholesterol is transported throughout the body as cholesterol esters that are packaged into lipoprotein particles including "low-density lipoprotein" (LDL) (2, 10). LDL is endocytosed and transported to late endosomes and lysosomes, where the ∼25-nm particle is subject to lipolysis by lysosomal acid lipase (11,12)...