Diagnostic filipin testing was performed at the time of individual diagnostic process as described in Vanier et al. [20] A main difference with the direct steady-state procedure was that dual culture slides (Lab-Tek chambers) with cells from each fibroblast line were first incubated in medium supplemented with 10% lipoprotein-deficient serum (LPDS) for 3 days, and then challenged for 24 h with (1) medium supplemented with LPDS and 50 μg/ml purified human LDL and (2) medium supplemented with 10% fresh total human serum, prior to filipin staining. A control and a typical NP-C cell lines were included in each diagnostic experiment. Fluorescence microscopic examination was performed using a selective DAPI filter and expert visual evaluation done as discussed by Vanier and Latour [18].
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