“…Thus, although cholesterol accumulates in LEs/Ls, there is a defi cit of cholesterol in the ER so that the sterol response element-binding protein (SREBP) pathway ( 33 ) is enhanced, and the synthesis and uptake of cholesterol are increased ( 9,34 ). The impaired traffi cking of cholesterol in NPC-defi cient cells profoundly affects multiple cellular functions such as regulation of lysosomal calcium homeostasis ( 35 ), oxidative stress ( 36,37 ), and vesicle traffi cking pathways mediated by Rab proteins ( 28,29 ), as well as fusion of LEs/Ls ( 38 ). NPC1 defi ciency is particularly detrimental for the functioning of LEs/Ls in the brain ( 39 ).…”