Abstract-The scavenger receptor class B type I (SR-BI) was the first molecularly well-defined cell-surface HDL receptor to be described. SR-BI mediates selective HDL cholesterol uptake by formation of a productive lipoprotein/receptor complex, which requires specific structural domains and conformation states of apolipoprotein A-I present in HDL particles. SR-BI is abundantly expressed in several tissues, including the liver, where its expression is regulated by various mechanisms, including the transcriptional activity of nuclear receptors. The importance of SR-BI in overall HDL cholesterol metabolism and its antiatherogenic activity in vivo has been definitively established by SR-BI gene manipulation in mice. Remarkably, SR-BI/apolipoprotein E double-knockout mice develop complex coronary artery disease, myocardial infarction, and heart failure. Additional studies should help to define the importance of SR-BI in human health and disease. Key Words: scavenger receptor class B type I Ⅲ selective uptake Ⅲ regulation Ⅲ knockout mouse Ⅲ coronary heart disease S cavenger receptors are cell-surface transmembrane proteins that can bind modified lipoproteins, such as acetylated LDL and oxidized LDL. These receptors were initially reported in cultured macrophages in which they mediate cholesterol uptake from modified lipoproteins, leading to the formation of lipid-loaded macrophages that resemble the characteristic foam cells present in atherosclerotic lesions. 1,2 Because LDL modified by oxidation may play an important role in foam cell formation during atherogenesis, 3 macrophage scavenger receptors have been considered to be potentially key contributors to the pathogenesis of atherosclerotic cardiovascular disease.The wide and complex ligand binding activities of scavenger receptors suggested the existence of multiple classes of these cell-surface proteins. In fact, over the past decade, several classes of cDNAs encoding different types of scavenger receptors, which are expressed in various cell types including macrophages, have been cloned. 2,4 Both in vitro and in vivo experiments have provided strong support for the role of these cell-surface receptors in a variety of physiolog-
SR-BI and Cellular Cholesterol TransportSR-BI was discovered during the study of a novel scavenger receptor activity in Chinese hamster ovary cells (reference 6 and references cited therein). The SR-BI cDNA encodes a 509 amino acid protein, which contains 1 putative membranespanning hydrophobic domain near each end of the protein and a large extracellular region with a cysteine-rich carboxyterminal half and multiple potential N-glycosylation sites. SR-BI is indeed a highly N-glycosylated 82-kDa protein that is also modified by fatty acylation. 6,7 SR-BI binds to a variety of ligands, including modified (acetylated or oxidized) lipoproteins, maleylated bovine serum albumin, advanced glycation end-product modified proteins, anionic phospholipids, and apoptotic cells. 6,8 SR-BI also binds native lipoproteins such as HDL, LDL, and VLDL. 6 Mos...