ABCA1 is a membrane protein that transports phospholipid (PL) and free cholesterol (FC) across cell membranes, to combine with lipid-free apolipoprotein (apo) A-I , forming nascent HDL particles ( 1 ). Mutations in ABCA1 that inactivate its function cause Tangier disease, which is characterized by a severe HDL defi ciency, rapid clearance of apoA-I from plasma, deposition of sterol in macrophage-rich tissues, and premature coronary heart disease ( 2-5 ). ABCA1 is expressed in many cells, but hepatocytes are the single most important cell type in determining plasma HDL concentrations, contributing 70-80% of the HDL pool in mice ( 6, 7 ). Recently, we have shown that ABCA1 expression is necessary and suffi cient for formation of heterogeneous-sized pre- migrating nascent HDL subspecies (pre- 1, 2, 3, and 4 HDL), which vary in size from 7.1 to 15.7 nm ( 8 ). Although electrophoretic mobility (pre- vs. ␣ migration) of discoidal nascent HDLs is dependent on cell type and culture conditions, similar distinct-sized subspecies of nascent HDL are formed by most cell types tested, including fi broblasts ( 9, 10 ), macrophages, hepatocytes, and ABCA1-expressing human embryonic kidney (HEK)293 cells ( 11 ). The importance of nascent HDL size heterogeneity in the physiology and pathophysiology of HDL metabolism is poorly understood.ABCA1 expression also affects plasma VLDL and LDL concentrations. In addition to the near absence of plasma HDL, many homozygous Tangier disease patients have Abstract In Tangier disease, absence of ATP binding cassette transporter A1 (ABCA1) results in reduced plasma HDL and elevated triglyceride (TG) levels. We hypothesized that hepatocyte ABCA1 regulates VLDL TG secretion through nascent HDL production. Silencing of ABCA1 expression in oleate-stimulated rat hepatoma cells resulted in: 1 ) decreased large nascent HDL (>10 nm diameter) and increased small nascent HDL (<10 nm) formation, 2 ) increased large buoyant VLDL1 particle secretion, and 3 ) decreased phosphatidylinositol-3 (PI3) kinase activation. Nascent HDL-containing conditioned medium from rat hepatoma cells or HEK293 cells transfected with ABCA1 was effective in increasing PI3 kinase activation and reducing VLDL TG secretion in ABCA1-silenced hepatoma cells. Addition of isolated large nascent HDL particles to ABCA1-silenced hepatoma cells inhibited VLDL TG secretion to a greater extent than small nascent HDL. Similarly, addition of recombinant HDL, but not human plasma HDL, was effective in attenuating TG secretion and increasing PI3 kinase activation in ABCA1-silenced cells. Collectively, these data suggest that large nascent HDL particles, assembled by hepatic ABCA1, generate a PI3 kinase-mediated autocrine signal that attenuates VLDL maturation and TG secretion. This pathway may explain the elevated plasma TG concentration that occurs in most Tangier subjects and may also account, in part, for the inverse relationship between plasma HDL and TG concentrations in individuals with compromised ABCA1 function. -Chung, S., A. K. Gebre...