The plasma phospholipid transfer protein (PLTP) belongs to the lipid transfer/lipopolysaccharide binding protein (LT/LBP) family, together with the cholesteryl ester transfer protein, the lipopolysaccharide binding protein (LBP) and the bactericidal permeability increasing protein (BPI). In the present study, we used the crystallographic data available for BPI to build a threedimensional model for PLTP. Multiple sequence alignment suggested that, in PLTP, a cluster of hydrophobic residues substitutes for a cluster of positively charged residues found on the surface of LBP and BPI, which is critical for interaction with lipopolysaccharides. According to the PLTP model, these hydrophobic residues are situated on an exposed hydrophobic patch at the N-terminal tip of the molecule. To assess the role of this hydrophobic cluster for the functional activity of PLTP, single point alanine mutants were engineered. Phospholipid transfer from liposomes to high density lipoprotein (HDL) by the W91A, F92A, and F93A PLTP mutants was drastically reduced, whereas their transfer activity toward very low density lipoprotein and low density lipoprotein did not change. The HDL size conversion activity of the mutants was reduced to the same extent as the PLTP transfer activity toward HDL. Based on these results, we propose that a functional solvent-exposed hydrophobic cluster in the PLTP molecule specifically contributes to the PLTP transfer activity on HDL substrates.Lipoprotein metabolism is regulated by the coordinated action of several factors, including lipolytic enzymes, lecithin: cholesterol acyltransferase, cholesteryl ester transfer protein (CETP) 1 and phospholipid transfer protein (PLTP) (1). Although PLTP was originally described as a mediator facilitating phospholipid transfer between lipoprotein particles, it is now recognized as a key factor in the intravascular metabolism and remodeling of HDL (2, 3). PLTP facilitates the transfer of different compounds, including phospholipids, lipopolysaccharides, ␣-tocopherol, and unesterified cholesterol, among lipoprotein classes and between lipoproteins and cells (2). Besides its transfer activity, PLTP enhances formation of largesized HDL and pre- HDL, through apoAI release and HDL fusion (4). Although the physiological role of PLTP has not been completely defined yet, recent in vivo studies conducted with PLTP transgenic and knock-out mice strongly suggest that PLTP contributes to the control and regulation of HDL levels and to the generation of pre- HDL, the initial acceptors of cellular cholesterol (3). PLTP belongs to the lipid transfer/lipopolysaccharide binding protein (LT/LBP) family, together with CETP, lipopolysaccharide binding protein (LBP), and bactericidal permeability increasing protein (BPI) (5). CETP transfers neutral lipids, i.e. cholesteryl esters and triglycerides between various lipoprotein fractions, and has limited phospholipid transfer activity (6). LBP and BPI bind and transfer bacterial endotoxins and lipopolysaccharides (LPS) and thus modulate the ho...