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Updated: Aug 30, 2026

High-Density Lipoprotein-Specific Phospholipid Efflux Assay
Published on: September 30, 2025
In vivo modulation of HDL phospholipid has opposing effects on SR-BI- and ABCA1-mediated cholesterol efflux
Patricia G Yancey1, Masa-aki Kawashiri, Ryan Moore
1Division of Gastroenterology and Nutrition, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Insights
Altering high-density lipoprotein (HDL) phospholipid content in vivo reciprocally impacts cholesterol efflux via scavenger receptor class BI (SR-BI) and ATP binding cassette transporter 1 (ABCA1), depending on lipase activity.
Area of Science:
- Lipid metabolism
- Cardiovascular research
- Biochemistry
Background:
- High-density lipoprotein (HDL) plays a crucial role in reverse cholesterol transport.
- Scavenger receptor class BI (SR-BI) and ATP binding cassette transporter 1 (ABCA1) are key mediators of cholesterol efflux from cells to HDL.
- The phospholipid (PL) composition of HDL influences its function in cholesterol transport.
Purpose of the Study:
- To investigate the in vivo effects of modulating HDL phospholipid content on SR-BI and ABCA1-mediated cholesterol efflux.
- To determine how different lipases, endothelial lipase (EL) and phosphatidylserine phospholipase (PS-PLA1), impact HDL function and cholesterol efflux pathways.
Main Methods:
- Overexpression of endothelial lipase (EL) or phosphatidylserine phospholipase (PS-PLA1) in human apolipoprotein A-I (apoA-I) transgenic mice.
- Measurement of serum phospholipid/apoA-I ratio, total cholesterol, HDL cholesterol, and HDL size.
- Assessment of cholesterol efflux potential via SR-BI and ABCA1 using mouse serum.
Main Results:
- EL overexpression significantly reduced HDL phospholipids, cholesterol, and SR-BI-mediated efflux, while increasing ABCA1-mediated efflux.
- PS-PLA1 overexpression increased HDL phospholipids, cholesterol, HDL size, and SR-BI-mediated efflux, while decreasing ABCA1-mediated efflux.
- Serum parameters showed significant positive correlations with SR-BI efflux and inverse correlations with ABCA1 efflux.
Conclusions:
- In vivo modulation of HDL phospholipid content reciprocally affects SR-BI and ABCA1-mediated cholesterol efflux.
- The type of lipase acting on HDL determines the primary cholesterol efflux pathway utilized.
- The extent of lipolysis influences the efficiency of cholesterol removal via these pathways.
Abstract:
The effects of in vivo modulation of HDL phospholipid (PL) on scavenger receptor class BI (SR-BI)- and ATP binding cassette transporter 1 (ABCA1)-mediated efflux were examined by overexpressing either endothelial lipase (EL) or phosphatidylserine phospholipase (PS-PLA1) in human apolipoprotein A-I (apoA-I) transgenic mice. Overexpression of EL led to large reductions in the serum PL/apoA-I ratio (-60%), total cholesterol (TC; -89%), and HDL cholesterol (-91%). Relative to the serum before overexpression of EL, the efflux potential of the serum via SR-BI decreased by 90% and ABCA1-mediated efflux increased by 63%. In contrast to overexpression of EL, overexpression of PS-PLA1 led to increases in the PL/apoA-I ratio (88%), TC (78%), HDL cholesterol (57%), and HDL size. The efflux potential of the serum increased by 60% via SR-BI and decreased by 57% via ABCA1. There were significant positive correlations between SR-BI-mediated efflux and a number of serum parameters, including PL/apoA-I ratio, PL, TC, free cholesterol (FC), and HDL cholesterol. In striking contrast, the same correlations were seen with ABCA1-mediated efflux, but the relationships were inverse. In summary, in vivo modulation of HDL PL content affects ABCA1- and SR-BI-mediated efflux in a reciprocal manner. These findings indicate that the type of lipase acting on HDL in vivo will determine which FC efflux pathway the HDL serves. Additionally, the extent of lipolysis will determine the efficiency of FC removal via this pathway.
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