Ent for both LAMP-1 and 22 (LAMPnull) displayed prominent, inherent cholesterol accumulation (Figure 6A), in agreement with an earlier study [30]. Analysis of cholesterol content demonstrated that LAMPnull cells contained a significantly higher amount of unesterified cholesterol compared to wt MEFs (13.061.8 vs. 8.862.0 mg cholesterol/mg protein; p#0.05), while cells deficient for either LAMP-1 or LAMP-2 did not differ from wt cells. Moreover, LAMPnull cells demonstrated a lower sensitivity than wt MEFs to H2O2-induced cell death (Figure 6B and C). U18666A buy TA-01 treatment did not change the cholesterol content, as shown by filipin staining of LAMPnull MEFs. This explains why the oxidative stress sensitivity of LAMPnull cells was not altered by U18666A pre-treatment (Figure 6A ). In contrast to U18666A treatment or NPC1 mutation, cholesterol accumulation in LAMPnull MEFs is not accompanied by the storage of other lipids [31]. Therefore, in these cells, neither sphingolipids nor LAMP proteins could influence lysosomal stability. Finally, we reduced the cholesterol content of LAMPnull cells by MbCD pre-treatment. Such treatment reduced filipin staining and sensitized cells to H2O2-induced apoptosis (Figure 6A ). Thus, we confirm that cholesterol accumulation protects cells from apoptosis, and the potential protective effects of accompanying lipids can be excluded.KS-176 DiscussionIn this study we have demonstrated that cholesterol accumulation stabilizes lysosomes and confers protection from acute toxic insults induced by a lysosomotropic detergent, photo-oxidation or oxidative stress. We provide novel mechanistic insights by showing that neither sphingolipids, known to accumulate together with cholesterol in lysosomes, nor LAMP proteins are involved in this 
protective activity. A recent study suggested that unesterified cholesterol modulates cellular susceptibility to ROS-induced LMP by providing an alternative target for 15755315 oxidants, thus lowering the probability of damage to other lysosomal components [21]. Our data regarding H2O2 exposure is consistent with this idea. However, because our current study shows that cholesterol also confers protection in cells exposed to the lysosomotropic compound MSDH, although MSDH does not appear to induce ROS production [32], an alternative explanation is that the higher cholesterol content alters the architecture of the lysosomal membrane, making it less sensitive to the effect of the lysosomotropic detergent or oxidants. In our study, lysosomal cholesterol levels were also shown 
to influence the sensitivity of lysosomes to photo-oxidation. LAMP expression did, however, not influence the stability of lysosomes in our experimental system, although it was previously demonstrated that knockdown of either LAMP-1 or LAMP-2 is sufficient to sensitize cells to photo-oxidation-induced lysosomal destabilization [23]. LAMP-1 and 22 are estimated to constitute approximately 50 of all lysosomal membrane proteins [33]. Jaattela and colleagues showed that down-regulation of �� ?LAMP proteins in human cancer cells sensitizes them to lysosomal cell death pathways induced by various anticancer drugs, indicating that LAMP proteins protect the lysosomal membrane [23]. Knockdown of either LAMP-1 or LAMP-2 was sufficient tosensitize cells to LMP in their experimental model. We found increased expression of LAMP proteins in NPC-deficient cells in this study and in U18666A-treated cells [20]. It is possible that the increased expression.Ent for both LAMP-1 and 22 (LAMPnull) displayed prominent, inherent cholesterol accumulation (Figure 6A), in agreement with an earlier study [30]. Analysis of cholesterol content demonstrated that LAMPnull cells contained a significantly higher amount of unesterified cholesterol compared to wt MEFs (13.061.8 vs. 8.862.0 mg cholesterol/mg protein; p#0.05), while cells deficient for either LAMP-1 or LAMP-2 did not differ from wt cells. Moreover, LAMPnull cells demonstrated a lower sensitivity than wt MEFs to H2O2-induced cell death (Figure 6B and C). U18666A treatment did not change the cholesterol content, as shown by filipin staining of LAMPnull MEFs. This explains why the oxidative stress sensitivity of LAMPnull cells was not altered by U18666A pre-treatment (Figure 6A ). In contrast to U18666A treatment or NPC1 mutation, cholesterol accumulation in LAMPnull MEFs is not accompanied by the storage of other lipids [31]. Therefore, in these cells, neither sphingolipids nor LAMP proteins could influence lysosomal stability. Finally, we reduced the cholesterol content of LAMPnull cells by MbCD pre-treatment. Such treatment reduced filipin staining and sensitized cells to H2O2-induced apoptosis (Figure 6A ). Thus, we confirm that cholesterol accumulation protects cells from apoptosis, and the potential protective effects of accompanying lipids can be excluded.DiscussionIn this study we have demonstrated that cholesterol accumulation stabilizes lysosomes and confers protection from acute toxic insults induced by a lysosomotropic detergent, photo-oxidation or oxidative stress. We provide novel mechanistic insights by showing that neither sphingolipids, known to accumulate together with cholesterol in lysosomes, nor LAMP proteins are involved in this protective activity. A recent study suggested that unesterified cholesterol modulates cellular susceptibility to ROS-induced LMP by providing an alternative target for 15755315 oxidants, thus lowering the probability of damage to other lysosomal components [21]. Our data regarding H2O2 exposure is consistent with this idea. However, because our current study shows that cholesterol also confers protection in cells exposed to the lysosomotropic compound MSDH, although MSDH does not appear to induce ROS production [32], an alternative explanation is that the higher cholesterol content alters the architecture of the lysosomal membrane, making it less sensitive to the effect of the lysosomotropic detergent or oxidants. In our study, lysosomal cholesterol levels were also shown to influence the sensitivity of lysosomes to photo-oxidation. LAMP expression did, however, not influence the stability of lysosomes in our experimental system, although it was previously demonstrated that knockdown of either LAMP-1 or LAMP-2 is sufficient to sensitize cells to photo-oxidation-induced lysosomal destabilization [23]. LAMP-1 and 22 are estimated to constitute approximately 50 of all lysosomal membrane proteins [33]. Jaattela and colleagues showed that down-regulation of �� ?LAMP proteins in human cancer cells sensitizes them to lysosomal cell death pathways induced by various anticancer drugs, indicating that LAMP proteins protect the lysosomal membrane [23]. Knockdown of either LAMP-1 or LAMP-2 was sufficient tosensitize cells to LMP in their experimental model. We found increased expression of LAMP proteins in NPC-deficient cells in this study and in U18666A-treated cells [20]. It is possible that the increased expression.