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The target of ezetimibe is Niemann-Pick C1-Like 1 (NPC1L1)
Abstract
Ezetimibe is a potent inhibitor of cholesterol absorption that has been approved for the treatment of hypercholesterolemia, but its molecular target has been elusive. Using a genetic approach, we recently identified Niemann-Pick C1-Like 1 (NPC1L1) as a critical mediator of cholesterol absorption and an essential component of the ezetimibe-sensitive pathway. To determine whether NPC1L1 is the direct molecular target of ezetimibe, we have developed a binding assay and shown that labeled ezetimibe glucuronide binds specifically to a single site in brush border membranes and to human embryonic kidney 293 cells expressing NPC1L1. Moreover, the binding affinities of ezetimibe and several key analogs to recombinant NPC1L1 are virtually identical to those observed for native enterocyte membranes. K D values of ezetimibe glucuronide for mouse, rat, rhesus monkey, and human NPC1L1 are 12,000, 540, 40, and 220 nM, respectively. Last, ezetimibe no longer binds to membranes from NPC1L1 knockout mice. These results unequivocally establish NPC1L1 as the direct target of ezetimibe and should facilitate efforts to identify the molecular mechanism of cholesterol transport.
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Ezetimibe blocks the intestinal cholesterol transporter NPC1L1 that mediates cholesterol absorption.
“Ezetimibe blocks the intestinal cholesterol transporter Niemann Pick C1-Like 1 (NPC1L1) that mediates cholesterol absorption6”
From Pathways and Molecular Mechanisms Governing LDL Receptor Regulation (2025) · cites this paper as [6]
The Results and Discussion establish NPC1L1 as ezetimibe’s direct target and say that ezetimibe binding blocks intestinal cholesterol absorption. But the same section says it remains unresolved whether NPC1L1 is the cholesterol transporter itself or a regulatory component that indirectly affects transport. Calling it the transporter overstates the paper’s finding. (LLM, conf=0.90)
Experimental — accuracy not yet measuredNPC1L1 is a target of the drug ezetimibe.
“NPC1L1 is a target of the drug ezetimibe (EZ) (8–10).”
From Aster-dependent nonvesicular transport facilitates dietary cholesterol uptake (2023) · cites this paper as [8]
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Metadata
- Authors
- Garcia-Calvo, M., Lisnock, J., Bull, H. G., Hawes, B. E., Burnett, D. A., Braun, M. P., Crona, J. H., Davis, H. R., Dean, D. C., Detmers, P. A., Graziano, M. P., Hughes, M., MacIntyre, D. E., Ogawa, A., O'Neill, K. A., Iyer, S. P. N., Shevell, D. E., Smith, M. M., Tang, Y. S., Makarewicz, A. M., Ujjainwalla, F., Altmann, S. W., Chapman, K. T., & Thornberry, N. A.
- Affiliations
- Departments of Metabolic Disorders, Drug Metabolism Labeled Compound Synthesis, Immunology, Pharmacology, Medicinal Chemistry, and Target Validation, Merck Research Laboratories, Rahway, NJ 07065; and Departments of Cardiovascular/Metabolic Diseases, Chemistry, and Discovery Technologies, Schering-Plough Research Institute, Kenilworth, NJ 07033
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2005-05-31
- Volume
- 102
- Issue
- 23
- Pages
- 8132-8137
- ISSN
- 0027-8424
- 1091-6490
- Cited by
- 670
- References
- 1
- Language
- en
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