To identify genes that are transcriptionally activated when human macrophages accumulate excess lipids, we employed the mRNA differential display technique using RNA isolated from human monocyte-macrophages incubated in the absence or presence of acetylated low density lipoprotein and sterols (cholesterol and 25-hydroxycholesterol). These studies identified a mRNA whose levels were highly induced in lipid-loaded macrophages. The mRNA encoded the human White protein, a member of the ATP-binding cassette (ABC) transporter superfamily of proteins. The mRNA levels of ABC8, the murine homolog of the human white gene, were also induced when a murine macrophage cell line, RAW264.7, was incubated with acetylated low density lipoprotein and sterols. Additional studies demonstrated that white/ ABC8 mRNA levels were induced by specific oxysterols that included 25-, 20(S)-, and 22(R)-hydroxycholesterol, and by a retinoid X receptor-specific ligand. Furthermore, the oxysterol-mediated induction of ABC8 expression in mouse peritoneal macrophages was dependent on the presence of the nuclear oxysterol receptors, liver X receptors (LXRs). Macrophages derived from mice lacking both LXR␣ and LXR failed to up-regulate the expression of ABC8 following incubation with 22(R)-hydroxycholesterol. Oxysterol-dependent induction of white/ABC8 mRNA was blocked by actinomycin D but not by cycloheximide treatment of cells. We conclude that the white and ABC8 genes are primary response genes that are transcriptionally activated by specific oxysterols and that this induction is mediated by the LXR subfamily of nuclear hormone receptors. These data strongly support the hypothesis that white/ABC8 has a role in cellular sterol homeostasis.An early event in the development of the fatty streak in the artery wall involves the entry of circulating monocytes into the subendothelial space and their subsequent differentiation into macrophages (1, 2). In the presence of oxidized or modified forms of LDL, 1 these macrophages accumulate cytoplasmic lipid droplets that contain excess cholesteryl esters (1-3). The latter cells are termed macrophage "foam" cells, because the lipid droplets give them a characteristic foamy appearance when viewed under the microscope (1). The importance of monocyte/macrophages in the development of fatty streaks and the more advanced atherosclerotic lesions can be gauged from the effect of deletions or mutations of genes that are involved in either monocyte recruitment into the artery wall or their subsequent differentiation into macrophages. For example, mice defective in monocyte chemoattractant protein-1 (4), the monocyte chemoattractant protein-1 receptor (5), or macrophagecolony-stimulating factor (6, 7) exhibit reduced levels of atherosclerotic lesions when compared with normal mice.Relatively little is known about the alterations in gene expression that occur when macrophages accumulate excess lipids to become macrophage foam cells. In previous attempts to identify such genes, macrophages were incubated with Ac-LDL to pr...