The biochemical and morphological aspects of BALB/c mice with many fea
tures of the Niemann-Pick disease type C in man (NP-C mouse) have been
studied extensively. However, the pulmonary pathology has not been st
udied extensively and we describe here some unique ultrastructural fea
tures; of the lung in the NP-C mouse. Ultrastructurally, macrophages i
n younger mice contained osmiophilic dense granules and annulolamellar
structures, but larger multilamellar concentric structures increased
in the macrophages of older mice. In contrast, endothelial cells and t
ype I pneumocytes showed membrane-bound bodies with dense granules and
vesicular or vesiculogranular structures as well as amorphous materia
ls. Type II pneumocytes were unremarkable throughout. Our study sugges
ts that endothelial cells and type I pneumocytes are the major site of
meta belie derangement resulting in pronounced morphological changes
with granular and round membranous structures in the lungs of NP-C mou
se. Alveolar macrophages with multilamellar concentric structures may
be a result of disturbed disposal of surfactant material from type II
pneumocytes rather than that from storage material of type I pneumocyt
e.