Endotoxin provokes an inflammatory state in the infected host. C3H/HeJ mice are tolerant to endotoxin because of an Lps gene mutation. Recent studies have identified that this gene encodes the Toll-like receptor 4. Endotoxin also induces hyperlipidemia and suppresses hepatic low-density lipoprotein (LDL)-receptor expression. In the current study, we investigated whether a defective Lps gene would impair the hepatic LDL-receptor response to endotoxin in C3H/HeJ mice. Eighteen hours after an intraperitoneal injection of endotoxin, the hepatic LDL-receptor expression and the plasma lipoprotein pattern were analyzed. Endotoxin increased plasma triglyceride and apoE in very low-density lipoproteins (VLDL) and intermediate-density lipoproteins, and decreased apoAI in high-density lipoproteins (HDL) in the endotoxin-sensitive mice (C3H/HeN), but not in the endotoxin-resistant mice (C3H/HeJ). These data indicate that a defective Lps gene impairs the endotoxin signaling to alter these lipoproteins. However, the hepatic LDL-receptor response to endotoxin in the endotoxin-resistant mice was similar to that in the endotoxin-sensitive mice. Thus, at a dose of 5 g/mouse, endotoxin reduced hepatic LDL-receptor expression by 35% in C3H/HeN mice and by 52% in C3H/HeJ mice. At a dose of 50 g/mouse, endotoxin reduced hepatic LDL-receptor expression by 61% in C3H/ HeN mice and by 63% in C3H/HeJ mice. It is concluded that endotoxin suppresses hepatic LDL-receptor expression in vivo via a pathway independent of the Toll-like receptor 4. (HEPATOLOGY 1999;30:1252-1256.) Endotoxin is one of the most active bacterial products that mediate gram-negative bacterial septic shock. Endotoxin also profoundly alters the metabolism of plasma lipids and lipoproteins, leading to a hyperlipidemic state. 1,2 In endotoxin-treated animals, plasma triglycerides, and to a lesser extent plasma cholesterol levels, are increased. The endotoxin-induced hyperlipidemia is characterized by accumulation of lipids within very low-density lipoproteins (VLDL) and low-density lipoproteins (LDL), whereas high-density lipopro-teins (HDL) are decreased or unchanged. Both a reduced clearance of VLDL, caused by inhibition of lipoprotein lipase, and a stimulation of hepatic VLDL production contribute to the endotoxin-induced hypertriglyceridemia. This hyperlipid-emic response of the infected host to endotoxin is generally regarded as a part of the host-defense mechanism. 3,4 Other mechanisms may also operate in the development of endo-toxin-induced hyperlipidemia. Thus, in HepG2 cells endo-toxin interferes with cellular LDL uptake by forming complexes with LDL. 5,6 Injection of endotoxin together with 125 I-LDL inhibits 125 I-LDL clearance in rats. 7 Recently, we have shown that endotoxin reduces rat hepatic LDL-receptor expression and increases circulating apoB-containing lipopro-teins in vivo. 8 Endotoxin-induced inhibition of LDL-receptor expression is thus probably also involved in the pathogenesis of endotoxin-induced hyperlipidemia. C3H/HeJ mice are resistant to end...