The consumption of trans fatty acid (TFA) is linked to the elevation of LDL cholesterol and is considered to be a major health risk factor for coronary heart disease. Despite several decades of extensive research on this subject, the underlying mechanism of how TFA modulates serum cholesterol levels remains elusive. In this study, we examined the molecular interaction of TFAderived phospholipid with cholesterol and the membrane receptor rhodopsin in model membranes. Rhodopsin is a prototypical member of the G-protein coupled receptor family. It has a wellcharacterized structure and function and serves as a model membrane receptor in this study. Phospholipid-cholesterol affinity was quantified by measuring cholesterol partition coefficients. Phospholipid-receptor interactions were probed by measuring the level of rhodopsin activation. Our study shows that phospholipid derived from TFA had a higher membrane cholesterol affinity than their cis analogues. TFA phospholipid membranes also exhibited a higher acyl chain packing order, which was indicated by the lower acyl chain packing free volume as determined by DPH fluorescence and the higher transition temperature for rhodopsin thermal denaturation. The level of rhodopsin activation was diminished in TFA phospholipids. Since membrane cholesterol level and membrane receptors are involved in the regulation of cholesterol homeostasis, the combination of higher cholesterol content and reduced receptor activation associated with the presence of TFAphospholipid could be factors contributing to the elevation of LDL cholesterol.Trans fatty acid (TFA), 1 the stereoisomer of the naturally occurring cis fatty acid (CFA), is considered to be a major health risk factor for coronary heart disease. TFA and CFA are stereoisomers that only differ in the geometry of the CdC double bond. TFA adopts a more linear configuration similar to that of saturated fatty acid, while CFA adopts a bent configuration (illustrated in Figure 1). The linear configuration of TFA allows stronger intermolecular chain-chain interaction, resulting in a higher transition temperature for TFA chain melting (1). TFA is mainly produced by partial hydrogenation of unsaturated oils and is widely found in a variety of foods, including margarines, vegetable shortening, frying oils, etc.(2). The average American consumes more than 5 g of TFA daily, which is equivalent to ∼7% of total fat consumption (3). It is widely documentedȈthat TFA is incorporated in serum lipids, lipoproteins, and adipose tissues in the form of triglyceride, phospholipids, and cholesterol esters (4-10), although the efficiency of incorporation varied among different tissues or lipid forms. The dietary intake of TFA is associated with the elevation of LDL cholesterol (11-15) and increased risk for coronary heart disease (16-18). However, the cause for LDL cholesterol elevation by TFA, or in a more general scope, the cause for LDL cholesterol regulation by fatty acid, is not well-understood. In the past several decades, extensive studies...