1 We administered the 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitor pravastatin at a daily dose of 1 mg kg 71 body weight to cholesterol-fed (0.03%) heterozygous Watanabe heritable hyperlipidaemic rabbits, an animal model for heterozygous familial hypercholesterolaemia. 2 After 12 months of cholesterol treatment, immunohistochemistry with the monoclonal antibody 9D9 was used to detect hepatic low density lipoprotein (LDL) receptors, which were quanti®ed by densitometry. In addition we determined LDL receptor mRNA by competitive reverse transcriptase polymerase chain reaction. The cholesterol precursor lathosterol and the plant sterol campesterol were analysed by gas-liquid chromatography. 3 The drug reduced total plasma cholesterol levels by 51% (P=0.04), when compared to the control group. Unexpectedly, hepatic LDL receptor density and mRNA showed no signi®cant dierences between the groups. Total plasma levels of lathosterol and campesterol also revealed no signi®cant dierences between the groups, if expressed relative to plasma cholesterol. 4 The ®ndings suggest that mechanisms other than induced hepatic LDL receptors are responsible for the cholesterol-lowering eect of pravastatin in this animal model. We propose a reduced cholesterol absorption eciency compatible with similar campesterol levels between both groups observed in our study.