Apolipoprotein E (apoE) is unique among the apoproteins because of its many different functions in biology, ranging from modulation of plasma lipoprotein metabolism, through control of cellular cholesterol homeostasis, to regulation of neuronal function. Although apoE is synthesized by several tissues and cell types, its circulating levels are influenced primarily by the liver. Within the plasma compartment apoE readily redistributes among chylomicrons, remnant particles, and high-density lipoproteins (HDL), where it has functional roles both in directing triglyceride-rich particles to sites of catabolism and clearance and in determining size expansion of the HDL. Its role as a ligand for the receptor-mediated endocytosis of lipoproteins is well established [1-3]. It is recognized by the low-density lipoprotein (LDL) receptor (LDLR) [2,3], the LDLR-related protein 1 (LRP1) [1,4,5], and heparan sulfate proteoglycans (HSPG), either alone [6,7] or in concert with the LRP1 [8]. Additionally, within the periphery apoE interacts with lipoprotein lipase (LPL) and hepatic lipase (HL) to modulate triglyceride hydrolysis [9,10]. Within the cell apoE is known to serve many biologically relevant roles. Studies have suggested that apoE directs the intracellular routing of internalized remnant lipoproteins [11,12] and modulates intracellular lipid metabolism, in particular the hydrolysis and utilization of triglyceride [13]. In hepatocytes, it plays a critical role in the assembly and secretion of VLDL, augmenting the incorporation of triglycerides into newly forming particles [14][15][16]. Finally, apoE is a critical component of the reverse cholesterol transport (RCT) pathway. It promotes cholesterol efflux from macrophages [17-19] and plays major roles in HDL formation, maturation, and hepatic uptake, as well as in the selective uptake of HDL cholesteryl ester by the liver [20][21][22][23]. ApoE is also expressed by macrophage-derived foam cells, while a number of studies support an important antiatherogenic role for macrophage apoE in vivo [24][25][26][27].The unique nature of apoE is also demonstrated by the fact that, after internalization, this apoprotein follows specialized cellular pathways allowing it to exert maximum impact on cellular lipid homeostasis. In particular, studies both in our High-Density Lipoproteins: From Basic Biology to Clinical Aspects. Edited by Christopher J. Fielding