in a comprehensive knowledge of the pathways regulating plasma LDL levels and its translation into highly effective existing (e.g., statin) and emerging (e.g., PCSK9 inhibition) LDL-targeted therapeutics ( 2 ). By comparison, our understanding of the regulatory network controlling plasma HDL levels and function has somewhat lagged. Numerous animal studies have demonstrated that raising HDL particle number by HDL infusion or apoA-I overexpression reduces atherosclerosis ( 3, 4 ), yet the development of a therapy that harnesses these protective effects of HDL remains elusive. As our understanding of the complexity of this lipoprotein has grown, it has become clear that a better understanding of the molecular mechanisms regulating not only plasma levels of HDL-cholesterol (HDLC), but also its functionality, will be needed to achieve this goal ( 5 ).In mammals, somatic cells do not catabolize cholesterol, thus the removal of excess cellular cholesterol by HDL is central to the maintenance of sterol homeostasis, both at the cellular and whole-body level. A major component of HDL's atheroprotective function is thought to be the removal of cholesterol from lipid-loaded macrophages in the vessel wall and its delivery to the liver for excretion. This process, termed reverse cholesterol transport (RCT), is a multistep process, beginning with the hydrolysis of cytoplasmic lipid droplet-associated cholesteryl esters by neutral cholesteryl ester hydrolases and/or autophagymediated lysosomal acid lipase ( 6 ). The resulting free cholesterol is then effl uxed from the cell by passive diffusion of cholesterol, as well as active cholesterol transfer onto lipid-poor apoA-I and HDL by the ATP binding cassette transporters A1 (ABCA1) and G1 (ABCG1), respectively. Not only are the ABC transporters required for active macrophage cholesterol effl ux, but ABCA1 is essential for