Niemann-Pick disease type C, severe perinatal form
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Summary
Niemann-Pick disease type C, severe perinatal form (MONDO:0016306) is a disease with 2 cohort genes.
At a glance
- Cohort genes: 2
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | Niemann-Pick disease type C, severe perinatal form |
| Mondo ID | MONDO:0016306 |
| Orphanet | 216972 |
| UMLS | C5680866 |
| MedGen | 1842349 |
| GARD | 0020504 |
| Is cancer (heuristic) | no |
Data availability: 2 GenCC gene-disease records.
Disease family
Classification path: disease › human disease › disease by body system or component › immune system disorder › lymphoid system disorder › lymphatic system disorder › histiocytosis › non-Langerhans cell histiocytosis › Niemann-Pick disease › Niemann-Pick disease type C › Niemann-Pick disease type C, severe perinatal form
Related subtypes (6): Niemann-Pick disease, type C1, Niemann-Pick disease, type C2, Niemann-Pick disease type C, severe early infantile neurologic onset, Niemann-Pick disease type C, late infantile neurologic onset, Niemann-Pick disease type C, juvenile neurologic onset, Niemann-Pick disease type C, adult neurologic onset
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 21 · Orphanet: 10 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| NPC1 | Definitive | Autosomal recessive | Niemann-Pick disease, type C1 | 10 |
| NPC2 | Definitive | Autosomal recessive | Niemann-Pick disease, type C2 | 11 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| NPC2 | Orphanet:216972 | Niemann-Pick disease type C, severe perinatal form |
| NPC2 | Orphanet:216975 | Niemann-Pick disease type C, severe early infantile neurologic onset |
| NPC2 | Orphanet:216978 | Niemann-Pick disease type C, late infantile neurologic onset |
| NPC2 | Orphanet:216981 | Niemann-Pick disease type C, juvenile neurologic onset |
| NPC2 | Orphanet:216986 | Niemann-Pick disease type C, adult neurologic onset |
| NPC1 | Orphanet:216972 | Niemann-Pick disease type C, severe perinatal form |
| NPC1 | Orphanet:216975 | Niemann-Pick disease type C, severe early infantile neurologic onset |
| NPC1 | Orphanet:216978 | Niemann-Pick disease type C, late infantile neurologic onset |
| NPC1 | Orphanet:216981 | Niemann-Pick disease type C, juvenile neurologic onset |
| NPC1 | Orphanet:216986 | Niemann-Pick disease type C, adult neurologic onset |
Cohort genes → proteins
2 cohort genes, 2 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 2 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| NPC2 | HGNC:14537 | ENSG00000119655 | P61916 | NPC intracellular cholesterol transporter 2 | gencc |
| NPC1 | HGNC:7897 | ENSG00000141458 | O15118 | NPC intracellular cholesterol transporter 1 | gencc |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| NPC2 | NPC intracellular cholesterol transporter 2 | Intracellular cholesterol transporter which acts in concert with NPC1 and plays an important role in the egress of cholesterol from the lysosomal compartment. |
| NPC1 | NPC intracellular cholesterol transporter 1 | Intracellular cholesterol transporter which acts in concert with NPC2 and plays an important role in the egress of cholesterol from the endosomal/lysosomal compartment. |
Protein-family classification
Druggable: 0 · Difficult: 0 · Unknown: 2 · Druggable fraction: 0.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Other/Unknown | 2 | 1.8× | 0.312 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| NPC2 | Other/Unknown | no | ML_dom, Ig_E-set, ML_Npc2-like | |
| NPC1 | Other/Unknown | no | SSD, NPC1-like, NPC1_N |
Expression context
Cohort genes with no expression data: 0.
2 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 2 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cauda epididymis | 1 |
| corpus epididymis | 1 |
| epididymis | 1 |
| adrenal tissue | 1 |
| oocyte | 1 |
| secondary oocyte | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| NPC2 | 296 | ubiquitous | marker | corpus epididymis, cauda epididymis, epididymis |
| NPC1 | 292 | ubiquitous | marker | secondary oocyte, oocyte, adrenal tissue |
Protein interactions among cohort
Intra-cohort edges: 1.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| NPC1 | 2,648 |
| NPC2 | 1,706 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| NPC1 | NPC2 | intact, string_interaction |
Structural data
PDB: 2 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| NPC1 | O15118 | 20 |
| NPC2 | P61916 | 2 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 2. Enrichment computed across 2 evidence-associated genes (2 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| LDL clearance | 2 | 543.8× | 6e-06 | NPC2, NPC1 |
| Neutrophil degranulation | 1 | 11.5× | 0.085 | NPC2 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 2 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| cholesterol storage | 2 | 2407.4× | 5e-06 | NPC2, NPC1 |
| intracellular cholesterol transport | 2 | 1296.3× | 1e-05 | NPC2, NPC1 |
| cholesterol transport | 2 | 732.7× | 2e-05 | NPC2, NPC1 |
| cholesterol efflux | 2 | 526.6× | 3e-05 | NPC2, NPC1 |
| cholesterol metabolic process | 2 | 195.9× | 2e-04 | NPC2, NPC1 |
| cholesterol homeostasis | 2 | 156.0× | 2e-04 | NPC2, NPC1 |
| regulation of isoprenoid metabolic process | 1 | 8426.0× | 5e-04 | NPC2 |
| cyclodextrin metabolic process | 1 | 8426.0× | 5e-04 | NPC1 |
| gene expression | 2 | 79.9× | 6e-04 | NPC2, NPC1 |
| intracellular lipid transport | 1 | 2808.7× | 0.001 | NPC1 |
| glycolipid transport | 1 | 2808.7× | 0.001 | NPC2 |
| membrane raft organization | 1 | 1685.2× | 0.002 | NPC1 |
| intracellular sterol transport | 1 | 1685.2× | 0.002 | NPC2 |
| sterol transport | 1 | 1404.3× | 0.002 | NPC1 |
| establishment of protein localization to membrane | 1 | 936.2× | 0.003 | NPC1 |
| intestinal cholesterol absorption | 1 | 702.2× | 0.003 | NPC1 |
| programmed cell death | 1 | 648.1× | 0.003 | NPC1 |
| negative regulation of epithelial cell apoptotic process | 1 | 601.9× | 0.003 | NPC1 |
| negative regulation of macroautophagy | 1 | 561.7× | 0.003 | NPC1 |
| cellular response to steroid hormone stimulus | 1 | 526.6× | 0.003 | NPC1 |
| bile acid metabolic process | 1 | 495.6× | 0.003 | NPC1 |
| cellular response to low-density lipoprotein particle stimulus | 1 | 443.5× | 0.004 | NPC1 |
| response to cadmium ion | 1 | 366.4× | 0.004 | NPC1 |
| lysosomal transport | 1 | 351.1× | 0.004 | NPC1 |
| phospholipid transport | 1 | 351.1× | 0.004 | NPC2 |
| adult walking behavior | 1 | 247.8× | 0.006 | NPC1 |
| symbiont entry into host cell | 1 | 200.6× | 0.007 | NPC1 |
| glycoprotein biosynthetic process | 1 | 168.5× | 0.008 | NPC1 |
| negative regulation of TORC1 signaling | 1 | 162.0× | 0.008 | NPC1 |
| macroautophagy | 1 | 120.4× | 0.010 | NPC1 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 1
Druggability breadth: 1 of 2 evidence-associated genes (50%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| NPC1 | NABUMETONE |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| NPC1 | 90 | 4 |
| NPC2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| NABUMETONE | 4 | NPC1 |
| PHENELZINE | 4 | NPC1 |
| AMLEXANOX | 4 | NPC1 |
| IDARUBICIN | 4 | NPC1 |
| RABEPRAZOLE SODIUM | 4 | NPC1 |
| NITAZOXANIDE | 4 | NPC1 |
| NICLOSAMIDE | 4 | NPC1 |
| NITROXOLINE | 4 | NPC1 |
| NICARDIPINE | 4 | NPC1 |
| DAUNORUBICIN HYDROCHLORIDE | 4 | NPC1 |
| INDOPROFEN | 4 | NPC1 |
| CYCLOSPORINE | 4 | NPC1 |
| TERFENADINE | 4 | NPC1 |
| DIGOXIN | 4 | NPC1 |
| PRAZOSIN | 4 | NPC1 |
| MAPROTILINE | 4 | NPC1 |
| DIGITOXIN | 4 | NPC1 |
| HYDRALAZINE | 4 | NPC1 |
| EBASTINE | 4 | NPC1 |
| DEQUALINIUM | 4 | NPC1 |
| DOXORUBICIN HYDROCHLORIDE | 4 | NPC1 |
| VINBLASTINE SULFATE | 4 | NPC1 |
| FLUOXETINE | 4 | NPC1 |
| DITHIAZANINE IODIDE | 4 | NPC1 |
| TRIFLUOPERAZINE | 4 | NPC1 |
| PACLITAXEL | 4 | NPC1 |
| NORTRIPTYLINE | 4 | NPC1 |
| MIBEFRADIL | 4 | NPC1 |
| FLUSPIRILENE | 4 | NPC1 |
| KETOROLAC | 4 | NPC1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| NPC1 | 18 | Binding:13, Functional:5 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 2; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| NABUMETONE | 4 | NPC1 |
| PHENELZINE | 4 | NPC1 |
| AMLEXANOX | 4 | NPC1 |
| IDARUBICIN | 4 | NPC1 |
| RABEPRAZOLE SODIUM | 4 | NPC1 |
| NITAZOXANIDE | 4 | NPC1 |
| NICLOSAMIDE | 4 | NPC1 |
| NITROXOLINE | 4 | NPC1 |
| NICARDIPINE | 4 | NPC1 |
| DAUNORUBICIN HYDROCHLORIDE | 4 | NPC1 |
| INDOPROFEN | 4 | NPC1 |
| CYCLOSPORINE | 4 | NPC1 |
| TERFENADINE | 4 | NPC1 |
| DIGOXIN | 4 | NPC1 |
| PRAZOSIN | 4 | NPC1 |
| MAPROTILINE | 4 | NPC1 |
| DIGITOXIN | 4 | NPC1 |
| HYDRALAZINE | 4 | NPC1 |
| EBASTINE | 4 | NPC1 |
| DEQUALINIUM | 4 | NPC1 |
| DOXORUBICIN HYDROCHLORIDE | 4 | NPC1 |
| VINBLASTINE SULFATE | 4 | NPC1 |
| FLUOXETINE | 4 | NPC1 |
| DITHIAZANINE IODIDE | 4 | NPC1 |
| TRIFLUOPERAZINE | 4 | NPC1 |
| PACLITAXEL | 4 | NPC1 |
| NORTRIPTYLINE | 4 | NPC1 |
| MIBEFRADIL | 4 | NPC1 |
| FLUSPIRILENE | 4 | NPC1 |
| KETOROLAC | 4 | NPC1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | NPC1 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 1 | NPC2 |
Undrugged target profiles
1 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| NPC2 | 0 | NPC1 |
Clinical trials & evidence
Clinical trials
Clinical trials: 0.