Human apoE is found in the plasma associated with VLDL and HDL. It is a 34 kDa protein that is posttranslationally modified, mostly by glycosylation. The mature protein contains 299 amino acids and is encoded on chromosome 19. The gene was first sequenced in 1985 (5). The mouse protein is 70% homologous. apoE is the primary ligand for the removal of chylomicron remnants and intermediate density lipoproteins by the liver, functioning to ligate these particles to the LDL receptor (LDLR) and the LDLR-related protein 1 (LRP-1) (6).The understanding of the physiological role of apoE was greatly enhanced by the study of type III hyperlipoproteinemia. Type III hyperlipoproteinemia presents clinically as hypercholesterolemia and hypertriglyceridemia with the presence of cholesterol-enriched VLDL and a high likelihood of premature ischemic heart disease and peripheral vascular disease, as well as xanthomata, especially palmar xanthomata (7). This abnormal VLDL is the result of impaired clearance of remnant lipoproteins; initially demonstrated by the clearance of injected radiolabeled apoB48-and apoB100-containing lipoproteins in these dyslipidemic patients (8). Indeed, the genetics of type III hyperlipoproteinemia or dysfunctional hyperlipoproteinemia revealed the allelic polymorphism of human apoE, initially reported by Utermann, Hees, and Steinmetz (9). This study identified two allelic forms that were designated as E-N for normal apoE and E-D for dysfunctional apoE, with the E-D isoform prevalent in patients with type III hyperlipoproteinemia. Further study of the genetics of the apoE isoforms identified three common allelic variants, E2 (equivalent to the E-D allele), E3 (equivalent to the E-N allele), and E4, encoding apoE2, apoE3, and apoE4, respectively (10). The allele frequencies are 4-13%, 75-85%, and 14-23% for E2, E3, and E4, respectively. APOE2 homozygotes are found in about 2-5% of the human Abstract ApoE is a multifunctional protein that is expressed by many cell types that influences many aspects of cardiovascular physiology. In humans, there are three major allelic variants that differentially influence lipoprotein metabolism and risk for the development of atherosclerosis. Apoe-deficient mice and human apoE isoform knockin mice, as well as hypomorphic Apoe mice, have significantly contributed to our understanding of the role of apoE in lipoprotein metabolism, monocyte/macrophage biology, and atherosclerosis. This brief history of these mouse models will highlight their contribution to the understanding of the role of apoE in these processes. These Apoe / mice have also been extensively utilized as an atherosensitive platform upon which to assess the impact of modulator genes on the development and regression of atherosclerosis. "A golden age for experimental atherosclerosis dawned when Nobuyo Maeda and Jan Breslow knocked out the Apoe gene in mice" (ref. 1, p. 386). These seminal studies were published in 1992, but were preceded by almost 20 years of experimentation on the structure/function of...