This article is available online at http://www.jlr.org synthesized, results in its accumulation within the body leading to pathological consequences. Under homeostatic conditions, excess cholesterol accumulated in the peripheral tissues, e.g., arterial wall-associated macrophages, is returned back to the liver via high density lipoprotein (HDL). Liver plays a central role in the regulation of plasma cholesterol concentrations, as it is not only the major site for cholesterol synthesis and secretion of lipoproteins into blood, but it is also the sole organ able to remove cholesterol from the body. In species that do or do not express cholesteryl ester transfer protein (CETP), scavenger receptor BI (SR-BI)-mediated HDL uptake by liver represents the major mechanism for clearance of HDL-cholesterol (HDL-C) and cholesteryl esters (CEs).Hepatic SR-BI facilitates selective cholesterol uptake from HDL particles in which HDL-C as well as CEs are directly transferred to the cells without internalization and hydrolytic disassembly of the HDL particles. Free or unesterifi ed cholesterol (FC) from HDL delivered via SR-BI is thought to be directly secreted into bile without entering the hepatic metabolic pool ( 1, 2 ). Hepatic SR-BI thus regulates plasma HDL-C levels as well as the utilization of this cholesterol for biliary secretion ( 3 ). Pieters et al. ( 4 ) demonstrated that selective uptake of HDL-cholesteryl esters (HDL-CEs) is effi ciently coupled to bile acid synthesis. However, based on unchanged bile acid pool size and composition as well as fecal bile acid excretion in SR-BI Multiple pathways are involved in maintaining wholebody cholesterol homeostasis in adult organisms for which intestinal cholesterol absorption and endogenous cholesterol biosynthesis must be balanced with biliary cholesterol and bile acid secretion. Endogenous synthesis of cholesterol, which occurs predominantly in the liver, is tightly regulated by cholesterol levels. Abbreviations: AdCEH, cholesteryl ester hydrolase expressing adenovirus; AdLacZ,  galactosidase expressing adenovirus; AdSR-BI, scavenger receptor BI expressing adenovirus; CE, cholesteryl ester; CEH, cholesteryl ester hydrolase; CETP, cholesteryl ester transfer protein; FC, free or unesterifi ed cholesterol; HDL-C, HDL-cholesterol; HDL-CE, HDL cholesteryl ester; MOI, multiplicity of infection; NPC1, Niemann-Pick C1; RCT, reverse cholesterol transport; SR-BI, scavenger receptor BI .