Objective-PLTP and apoE play important roles in lipoprotein metabolism and atherosclerosis. It is known that formation of macrophage-derived foam cells (which highly express PLTP and apoE) is the critical step in the process of atherosclerosis. We investigated the relationship between PLTP and apoE in macrophages and the atherogenic relevance in a mouse model. Methods and Results-We transplanted PLTP-deficient mouse bone marrow into apoE-deficient mice (PLTP Key Words: phospholipid transfer protein Ⅲ apoE Ⅲ bone marrow transplantation Ⅲ macrophage Ⅲ lipoprotein Ⅲ atherosclerosis P lasma PLTP is known to be an independent risk factor for coronary artery disease, 1 and is significantly increased in obesity, as well as in diabetes. 2,3 Moreover, PLTP deficiency decreases, 4 and PLTP overexpression increases, 5,6 atherosclerosis in mouse models, so that it is considered a potential target for pharmacological or gene therapy. However, research toward this goal is hampered by the fact that the mechanism of the atherogenicity of PLTP is not completely understood. This is a multifunctional protein that is expressed in a variety of tissues, with some of its effects considered proatherogenic, 7,8 and others antiatherogenic. 9 -11 ApoE is a multifunctional protein that is synthesized by the liver and several peripheral tissues and cell types. 12,13 ApoE serves as a ligand for receptor-mediated uptake of lipoproteins through the LDL receptor, the LDL receptor-related protein, and heparan sulfate proteoglycans. 14 ApoE also plays a key role in intracellular lipid metabolism, influencing processes such as the assembly and secretion of lipoproteins 15,16 and cholesterol efflux to HDL. 17 The relationship between PLTP and apoE is mostly unknown. In type 2 diabetes, PLTP activity was positively correlated with plasma apoE levels. 18 Of the circulating PLTP mass only a minor portion is in the active form in normolipidemic subjects. 19 It has been reported that active PLTP in plasma is associated with apoE but not with apoA-I, 20 and apoE proteoliposomes can convert inactive PLTP into active one. 21 There is a hypothesis that transfer of active PLTP from apoE-containing lipoproteins to apoA-I-containing ones results in the conversion of active PLTP to inactive PLTP. 20 However, this is not confirmed by a recent report, indicating that active plasma PLTP is associated primarily with apoA-I but not apoE-containing lipoproteins. 22 The formation of foam cells from lipid-accumulated macrophages is a critical step in atherogenesis. Both macrophages and macrophage-derived foam cells express PLTP. 23 It has recently been shown that PLTP is highly expressed in macrophages from atherosclerotic lesions. 24,25 Macrophages synthesize and secrete apoE, which makes contribution to the apoE pool in the blood circulation and associates with plasma lipoproteins and accelerates their clearance in vivo. 26,27 Macrophage-derived apoE can also act as a cholesterol acceptor to Original