In the present study, we investigated whether intestinal sterol efflux transporters Abcg5 and Abcg8 play a major role in determining variations in cholesterol (Ch) absorption efficiency, and we compared the physiological functions of the duodenal, jejunal, and ileal Abcg5 and Abcg8 on the absorption of Ch and sitostanol in inbred mice challenged with various amounts of Ch, sitostanol, hydrophilic, or hydrophobic bile acids. We found that Abcg5 and Abcg8 in the jejunum and ileum, but not in the duodenum, were main factors in determining, in part, variations in Ch absorption efficiency. The jejunal and ileal Abcg5 and The small intestine is a unique organ that provides dietary and reabsorbed biliary cholesterol (Ch) to the body and plays a critical role in the regulation of whole-body Ch balance (1, 2). Because elevated plasma Ch concentrations are important risk factors for cardiovascular diseases, intensive studies have been carried out to search for physical-chemical, biochemical, and genetic determinants of intestinal Ch absorption. Recently, two independent groups (3, 4) used a microarray analysis of mouse intestine and liver genes upregulated by a liver X receptor (LXR) agonist, as well as a positional cloning approach to identify mutations in sitosterolemia patients in either member of an adjacent pair of genes, ABCG5 and ABCG8 , encoding ATP-binding cassette (ABC) transporters expressed in the liver and intestine. By studying their function and expression in some "manufactured" mouse strains treated with or without LXR agonists (5-9), it has been proposed that ABCG5 and ABCG8 could promote efflux of Ch and sitosterol (plant sterol) from the enterocyte back into the intestinal lumen for elimination and mediate biliary sterol secretion in the human. Although a very large number of polymorphic variants in both Abcg5 and Abcg8 among 20 strains of inbred mice have been identified (10), none of these mice showed any detectable levels of plasma sitosterol under chow diet (containing ف 0.01% sitosterol) conditions. Thus, whether the polymorphisms at the Abcg5 and Abcg8 genes and their expression levels in the intestine are an important determinant of intestinal Ch absorption efficiency in healthy inbred mice remains to be investigated. Furthermore, the autosomal recessive disorder sitosterolemia (11-13) is mainly characterized by hyperabsorption of Ch and sitosterol, and reduced secretion of these sterols into bile. In patients with sitosterolemia (14-17), the intestinal absorp-