Abstract
Sphingosine is a major storage compound in Niemann-Pick type C disease (NP-C), although the pathological role(s) of this accumulation have not been fully characterized. Here we found that sphingosine kinase (SphK) activity is reduced in NP-C patient fibroblasts and NP-C mouse Purkinje neurons (PNs) due to defective vascular endothelial growth factor (VEGF) levels. Sphingosine accumulation due to inactivation of VEGF/SphK pathway led to PNs loss via inhibition of autophagosome-lysosome fusion in NP-C mice. VEGF activates SphK by binding to VEGFR2, resulting in decreased sphingosine storage as well as improved PNs survival and clinical outcomes in NP-C cells and mice. We also show that induced pluripotent stem cell (iPSC)-derived human NP-C neurons are generated and the abnormalities caused by VEGF/SphK inactivity in these cells are corrected by replenishment of VEGF. Overall, these results reveal a pathogenic mechanism in NP-C neurons where defective SphK activity is due to impaired VEGF levels.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Adaptor Proteins, Signal Transducing / metabolism*
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Animals
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Autophagy / genetics
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Bone Marrow Cells / cytology
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Carrier Proteins / genetics*
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Cell Line
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Humans
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Induced Pluripotent Stem Cells / metabolism
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Intracellular Signaling Peptides and Proteins
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Male
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Membrane Glycoproteins / genetics*
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Mesenchymal Stem Cells / cytology
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Mesenchymal Stem Cells / metabolism
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Mice
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Mice, Inbred BALB C
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Mice, SCID
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Mice, Transgenic
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Microspheres
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Niemann-Pick C1 Protein
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Niemann-Pick Disease, Type C / genetics*
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Phthalazines / pharmacology
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Protein Kinase Inhibitors / pharmacology
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Purkinje Cells / metabolism
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Pyridines / pharmacology
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RNA Interference
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RNA, Small Interfering
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Sphingosine
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Vascular Endothelial Growth Factor A / biosynthesis
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Vascular Endothelial Growth Factor A / genetics
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Vascular Endothelial Growth Factor A / metabolism*
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Vascular Endothelial Growth Factor A / pharmacology*
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Vascular Endothelial Growth Factor Receptor-2 / antagonists & inhibitors
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Vascular Endothelial Growth Factor Receptor-2 / genetics
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Vascular Endothelial Growth Factor Receptor-2 / metabolism
Substances
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Adaptor Proteins, Signal Transducing
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Carrier Proteins
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Intracellular Signaling Peptides and Proteins
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Membrane Glycoproteins
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NPC1 protein, human
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Niemann-Pick C1 Protein
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Phthalazines
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Protein Kinase Inhibitors
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Pyridines
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RNA, Small Interfering
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SPHKAP protein, human
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VEGFA protein, human
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Vascular Endothelial Growth Factor A
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vatalanib
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Kdr protein, mouse
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Vascular Endothelial Growth Factor Receptor-2
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Sphingosine