The expression, function, and regulation of the cholesterol efflux molecule, ABCA1, has been extensively examined in peripheral tissues but only poorly studied in the brain. Brain cholesterol metabolism is of interest because several lines of evidence suggest that elevated cholesterol increases the risk of Alzheimer's disease. We found a largely neuronal expression of ABCA1 in normal rat brain by in situ hybridization. ABCA1 message was dramatically up-regulated in neurons and glia in areas of damage by hippocampal AMPA lesion after 3-7 days. Immunoblot analysis demonstrated ABCA1 protein in cultured neuronal and glial cells, and expression was induced by ligands of the nuclear hormone receptors of the retinoid X receptor and liver X receptor family. ABCA1 was induced by treatment with retinoic acid and several oxysterols, including 22(R)-hydroxycholesterol and 24-hydroxycholesterol. Expression of an ABCA1-green fluorescent protein construct in neuroblastoma cells demonstrated fluorescence in perinuclear compartments and on the plasma membrane. Because the A peptide is important in Alzheimer's disease pathogenesis, we examined whether ABCA1 induction altered A levels. Treatment of neuroblastoma cells with retinoic acid and 22(R)-hydroxycholesterol caused significant increases in secreted A40 (29%) and A42 (65%). Treatment with a nonsteroidal liver X receptor ligand, TO-901317, similarly increased levels of secreted A40 (25%) and A42 (126%). The increase in secreted A levels was reduced by RNAi blocking of ABCA1 expression. These data suggest that the cholesterol efflux molecule ABCA1 may also be involved in the secretion of the membrane-associated molecule, A.ABCA1 encodes an ATP-binding cassette protein that promotes efflux of cholesterol and phospholipids from intracellular compartments to high density lipoprotein, lipid-deficient apoAI, 1 and other apolipoproteins (1). Disruption of ABCA1 byTangier disease mutations in humans or by engineered knockout in mice is associated with a loss of cellular cholesterol efflux, an ablation of circulating high density lipoprotein, and, interestingly, peripheral neuropathies (2-5). Like many genes involved in cholesterol homeostasis, ABCA1 is regulated by the liver X receptors (LXR) (6 -8), nuclear receptors activated by oxysterols. ABCA1 is also regulated by peroxisome proliferatoractivated receptor ␦, which can be activated by fatty acid metabolites (9). Both of these classes of receptors form heterodimers with retinoid X receptors (RXR), which bind retinoic acid; as heterodimers, they alter gene transcription. These systems for ABCA1 induction help decrease cellular cholesterol after cholesterol loading (10). The importance of cerebral cholesterol metabolism in Alzheimer's disease (AD) risk and pathogenesis is supported by genetic, cell culture, mouse model, and epidemiologic data. ApoE in the central nervous system is implicated in supplying appropriate membrane lipid for development, nerve growth, and responses to injury and repair in the central nervous syste...