Abstract-The concept that hepatic cholesteryl ester (CE) mass and the rate of cholesterol esterification regulate hepatocyte assembly and secretion of apoB-containing lipoproteins remains controversial. The present study was carried out in HepG2 cells to correlate the rate of cholesterol esterification and CE mass with apoB secretion by CI-1011, an acyl CoA:cholesterol acyltransferase (ACAT) inhibitor that is known to decrease apoB secretion, in vivo, in miniature pigs. HepG2 cells were incubated with CI-1011 (10 nmol/L, 1 mol/L, and 10 mol/L) for 24 hours. ApoB secretion into media was decreased by 25%, 27%, and 43%, respectively (PϽ0.0012). CI-1011 (10 mol/L) inhibited HepG2 cell ACAT activity by 79% (PϽ0.002) and cellular CE mass by 32% (PϽ0.05). In contrast, another ACAT inhibitor, DuP 128 (10 mol/L), decreased cellular ACAT activity and CE mass by 85% (PϽ0.002) and 42% (Pϭ0.01), respectively, but had no effect on apoB secretion into media. To characterize the reduction in apoB secretion by CI-1011, pulse-chase experiments were performed and analyzed by multicompartmental modelling using SAAM II. CI-1011 did not affect the synthesis of apoB or albumin. However, apoB secretion into the media was decreased by 42% (Pϭ0.019). Intracellular apoB degradation increased proportionately (Pϭ0.019). A poB100, synthesized in the liver, is an essential structural component of VLDL and its metabolic products, IDL and LDL. 1,2 ApoB is required for the intracellular assembly and secretion of these lipoproteins, and serves as a ligand for LDL receptor-mediated clearance of these particles from the plasma. 3 Hepatic overproduction of apoB-containing lipoproteins is a major risk factor for atherosclerosis. Therefore, studies designed to understand the processes regulating apoB assembly and secretion from hepatocytes are important. The production of these lipoproteins is complex and requires the coordinated synthesis and assembly of apoB, triglyceride (TG), free and esterified cholesterol (FC; cholesteryl ester, CE), phospholipids (PLs), and other components. Although considerable progress has been made in understanding these processes, many questions remain unresolved.ApoB is thought to be regulated primarily at posttranscriptional levels. The rates of apoB translocation across the endoplasmic reticulum (ER) membrane and intracellular degradation are believed to regulate the amount of apoBcontaining lipoproteins secreted from the liver. 4,5 Therefore, the secretion rate of apoB results from the proportion of newly synthesized apoB molecules that associate with lipid and move through the secretory pathway, versus the proportion that are degraded within the cell shortly after, or during, their synthesis. Although hepatic regulation of apoB secretion is generally considered to occur posttranslationally, transcriptional regulation may also play a minor role. Increased delivery of 25-hydroxycholesterol 6 or VLDL 7 to cultured hepatocytes has been shown to affect mRNA levels and secretion efficiency of apoB.Several factors have been...