ATP binding cassette protein A1 (ABCA1) plays a major role in cholesterol homeostasis and high density lipoprotein (HDL) metabolism. It is proposed that ABCA1 reorganizes the plasma membrane and generates more loosely packed domains that facilitate apoA-I-dependent cholesterol efflux. In this study, we examined the effects of the cellular sphingomyelin level on HDL formation by ABCA1 by using a Chinese hamster ovary-K1 mutant cell line, LY-A, which has a missense mutation in the ceramide transfer protein CERT. When LY-A cells were cultured in Nutridoma-BO medium and sphingomyelin content was reduced, apoA-I-dependent cholesterol efflux by ABCA1 from LY-A cells increased 1.65-fold compared with that from LY-A/CERT cells stably transfected with human CERT cDNA. Exogenously added sphingomyelin significantly reduced the apoA-I-dependent efflux of cholesterol from LY-A cells, confirming that the decrease in sphingomyelin content in the plasma membrane stimulates cholesterol efflux by ABCA1. The amount of cholesterol available to cold methyl--cyclodextrin (MCD) extraction from LY-A cells was increased by 40% by the expression of ABCA1 and was 1.6-fold higher than that from LY-A/CERT cells. This step in ABCA1 function, making cholesterol available to cold MCD, was independent of apoA-I. These results suggest that the function of ABCA1 could be divided into two steps: (i) a flopping step to move phosphatidylcholine and cholesterol from the inner to outer leaflet of the plasma membrane, where cholesterol becomes available to cold MCD extraction, and (ii) a loading step to load phosphatidylcholine and cholesterol onto apoA-I to generate HDL.
ATP binding cassette protein A1 (ABCA1)2 plays a major role in cholesterol homeostasis and high density lipoprotein (HDL) metabolism (1). It has been reported that apolipoprotein A-I (apoA-I) binds to ABCA1 and cellular-free cholesterol (FC) and phospholipids (PL) are loaded onto apoA-I to form pre- HDL. It is clear that ABCA1 is involved in PL-rich HDL generation in plasma, because plasma PL concentration of Abca1 Ϫ/Ϫ mice was decreased by more than 75%, mostly due to a reduction of HDL (2); however, the molecular mechanism behind ABCA1-mediated pre-HDL formation is still poorly understood.Several models have been proposed for the mechanism of ABCA1-mediated pre- HDL formation: (a) A two-step process model proposed by Fielding et al. (3) and Wang et al. (4) that ABCA1 first mediates PL efflux to apoA-I and this apolipoprotein-PL complex accepts FC in an ABCA1-independent manner; (b) a concurrent process model that FC and PL efflux by ABCA1 to apoA-I are tightly coupled to each other (5); and (c) a phosphatidylserine flopping model that ABCA1 mediates the translocation of phosphatidylserine to the outer leaflet and extracellular exposure of phosphatidylserine promotes apoA-I binding to the cell surface and subsequent translocation of phosphatidylcholine (PC) and cholesterol to apoA-I (6). To explore the mechanism of ABCA1-mediated pre- HDL formation, we purified human ABCA1 a...