1993
DOI: 10.1212/wnl.43.1_part_1.61
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The effect of cholesterol‐lowering agents on hepatic and plasma cholesterol in Niemann‐Pick disease type C

Abstract: Niemann-Pick disease type C (NP-C) is a neurovisceral lipidosis characterized by defective intracellular trafficking of cholesterol and lysosomal accumulation of unesterified cholesterol, believed to be an offending metabolite. We studied the effect of cholesterol-lowering agents on hepatic and plasma cholesterol levels in NP-C by randomly assigning 25 patients with NP-C to one of five treatment regimens containing different combinations of cholestyramine, lovastatin, nicotinic acid, or dimethyl sulfoxide (DMS… Show more

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Cited by 95 publications
(56 citation statements)
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“…Although the lipid profiles of NPC-deficient patients have been reported previously to be normal (1,42), the only data in the literature are for total plasma cholesterol levels (43). With the help of the Ara Parseghian Medical Research Foundation, we obtained the fasting lipid profiles of 21 NPC1 Ϫ/Ϫ patients ( Table I).…”
Section: Hdl Levels Are Low In Npc1mentioning
confidence: 99%
“…Although the lipid profiles of NPC-deficient patients have been reported previously to be normal (1,42), the only data in the literature are for total plasma cholesterol levels (43). With the help of the Ara Parseghian Medical Research Foundation, we obtained the fasting lipid profiles of 21 NPC1 Ϫ/Ϫ patients ( Table I).…”
Section: Hdl Levels Are Low In Npc1mentioning
confidence: 99%
“…In plants, a connection between membrane sterol composition and cell polarity has not been reported previously. However, several sterols structurally related to cholesterol are present in plants, sitosterol being the most abundant (Patterson et al, 1993). Campesterol, the next abundant sterol, is a precursor of brassinosteroids, which are involved in the control of plant growth and development (Altmann, 1998;Clouse and Feldmann, 1999).…”
Section: Introductionmentioning
confidence: 99%
“…The early work of Pentchev and others showed that NPC-diseased cells are laden with LDL-derived free unesterified cholesterol and other lipids in their lysosomes, which was thought to be the direct cause of NPC disease pathology (2)(3)(4). Therapeutic interventions aimed at limiting the biosynthesis and/or uptake of cholesterol and other lipids have been quite effective in reducing the hyperaccumulation phenotype; however, such approaches have not been successful in significantly decreasing NPC disease progression in various human and animal disease models (5)(6)(7)(8). Accordingly, the true functional role of NPC1 has been controversial and is, perhaps, unknown (9).…”
mentioning
confidence: 99%