FB2026_03 , released September 17, 2026
Human Disease Model Report: Niemann-Pick disease, type A and B
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General Information
Name
Niemann-Pick disease, type A and B
FlyBase ID
FBhh0001128
Disease Ontology Term
Parent Disease
Overview

This report describes a model of Niemann-Pick disease, type A and B (NPD-A, NPD-B), also known as sphingomyelinase deficiency. Niemann-Pick disease type A and B are subtypes of Niemann-Pick disease and are frequently described as a single entity with a clinical spectrum; both exhibit autosomal recessive inheritance. The gene implicated in both diseases is SMPD1, which encodes a lysosomal acid sphingomyelinase that converts sphingomyelin to ceramide. In Drosophila, there is a single high-scoring ortholog, Dmel\Asm, for which an amorphic allele created by targeted recombination, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated. There are two additional orthologs of SMPD1 in Drosophila, CG15534 and CG15533.

The human SMPD1 gene has not been introduced into flies.

A variant implicated in human disease introduced (as analogous mutation in fly gene): R571L in the fly Dmel\Asm, gene (corresponds to R498L in the human SMPD1 gene) has been introduced into flies. See the 'Disease-Implicated Variants' table below. A variant analogous to a disease-implicated mutation in the human SMPD1 gene has also been introduced into Dmel\CG7049 by homologous recombination; however, it has not yet been characterized.

Loss of function alleles of Dmel\Asm are lethal before adulthood, and exhibit defects in gas-filling of trachea. This gas-filling defect is also observed in tracheal-specific RNAi-mediated knockdown of Dmel\Asm. Flies bearing the Dmel\AsmR571L mutation also exhibit a tracheal gas-filling defect.

[updated Jan. 2025 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: Niemann-Pick disease
Symptoms and phenotype

Multiple types of Niemann-Pick disease include the classic infantile form (type A; MIM:257200), the visceral form (type B; MIM:607616), and the subacute or juvenile form (type C; MIM:257220 and MIM:607625). [from MIM:257220; 2016.09.09]

Niemann-Pick disease comprises a group of lipid metabolism and lysosomal storage diseases with a wide range of symptoms and variable severity. Abnormal lipid metabolism causes a buildup of harmful amounts of lipids in various organs, primarily the liver, spleen, brain, and bone marrow. Affected organs, symptoms, and treatments vary based on the specific sub-type. However, every type is severe and can shorten a person's life expectancy. [http://www.healthline.com/health/niemann-pick-disease; 2016.09.26]

Specific Disease Summary: Niemann-Pick disease, type A and B
OMIM report

[NIEMANN-PICK DISEASE, TYPE A](https://omim.org/entry/257200)

Human gene(s) implicated

[SPHINGOMYELIN PHOSPHODIESTERASE 1, ACID LYSOSOMAL; SMPD1](https://omim.org/entry/607608)

Symptoms and phenotype

Niemann-Pick disease types A and B are caused by an inherited deficiency of acid sphingomyelinase activity. The clinical phenotype ranges from a severe infantile form with neurologic degeneration resulting in death usually by 3 years of age (type A, MIM:257200) to a later-onset nonneurologic form (type B, MIM:607616) that is compatible with survival into adulthood. Since intermediate cases also have been reported, the disease is best regarded a single entity with a clinical spectrum (summary by Schuchman, 2007; pubmed:17632693). [from MIM:257200 and MIM:607616; 2019.11.02]

Genetics

Niemann-Pick disease type A is caused by homozygous or compound heterozygous mutation in the sphingomyelin phosphodiesterase-1 gene (SMPD1). [from MIM:257200; 2019.11.02]

Cellular phenotype and pathology
Molecular information

SMPD1 encodes a lysosomal acid sphingomyelinase that converts sphingomyelin to ceramide; it also has phospholipase C activity. [Gene Cards, SMPD1; 2019.11.02]

Acid sphingomyelinase is a lipid hydrolase that cleaves the cell membrane sphingolipid sphingomyelin into ceramide. Ceramide has a key role as a lipid mediator that participates in regulation of cell death and survival (Taniguchi and Okazaki, 2014; pubmed:24355909).

External links
Disease synonyms
acid sphingomyelinase deficiency
Niemann-Pick disease, type A
Niemann-Pick disease, type B
NPD-A
NPD-B
Search term: lipid storage disease
Search term: lysosomal storage disorder
sphingomyelinase deficiency
sphingomyelin lipidosis
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to many: 1 human to 3 Drosophila.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Acid sphingomyelinase (Asm) encodes a lysosomal-secreted acid sphingomyelinase which converts exosomal membrane vesicles to a lipid film in Drosophila airways, just before birth. The film is necessary for gas filling of the airways and animal survival. [Date last reviewed: 2024-04-04]
      Cellular component (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      High-scoring ortholog of human SMPD1; other low-scoring orthologs of SMPD1 in fly (3 Drosophila to 1 human). Dmel\CG3376 shares 37% identity and 53% similarity with the human gene.

      Orthologs and Alignments from DRSC
      DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
      Other Genes Used: Viral, Bacterial, Synthetic (0)
        Summary of Physical Interactions (0 groups)
        Alleles Reported to Model Human Disease (Disease Ontology) (0 alleles)
        Alleles Representing Disease-Implicated Variants
        Genetic Tools, Stocks and Reagents
        Sources of Stocks
        Contact lab of origin for a reagent not available from a public stock center.
        Bloomington Stock Center Disease Page
        Related mammalian, viral, bacterial, or synthetic transgenes
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila transgenes
        Allele
        Transgene
        Publicly Available Stocks
        RNAi constructs available
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila classical alleles
        Allele
        Allele class
        Mutagen
        Publicly Available Stocks
        amorphic allele - molecular evidence
        CRISPR/Cas9
        amorphic allele - molecular evidence
        CRISPR/Cas9
        loss of function allele
        CRISPR/Cas9
        References (7)