This article is available online at http://www.jlr.org Supplementary key words high density lipoprotein biogenesis • high density lipoprotein size • protein secretionThe inverse relationship between plasma HDL cholesterol concentration and the risk of developing premature atherosclerotic vascular disease has generated interest in understanding the role of HDL-associated apolipoproteins on the atheroprotective function of HDL ( 1-4 ). The presence of apolipoproteins on HDL plays a major role in the structural organization and intravascular metabolism of HDL, particularly with regard to cellular receptor and transporter binding, lipolytic enzyme activity, and lipid exchange or transfer. Human HDL contains two major apolipoproteins, apolipoprotein A-I (apoA-I) and apoA-II, which represent ف 80% and ف 20% of the total protein content of HDL particles, respectively ( 5, 6 ). In addition, human HDL also contains several other minor apolipoproteins, including apoA-IV ( 7, 8 ), the C-apolipoproteins ( 9, 10 ), apoD ( 11 ), apoE ( 12 ), apoJ ( 13 ), and apoL ( 14 ).Pre  HDL is a descriptive term to differentiate HDLs on the basis of electrophoretic mobility in agarose gels ( 15 ). In normolipidemic human plasma, 90-95% of total HDL is ␣ -migrating HDL, and only 5-10% is pre  HDL ( 16, 17 ). Pre  HDLs in human plasma exist as several subpopulations of discrete sizes ( 18 ). The formation of pre  HDL is thought to be important for reverse cholesterol transport (RCT), a process by which excess cholesterol in peripheral tissues is transported to the liver for secretion into bile and elimination from the body in feces. Pre  HDLs have been suggested to be the initial acceptors of excess Abstract Apolipoprotein M (apoM) is a novel apolipoprotein that is reportedly necessary for pre  HDL formation; however, its detailed function remains unknown. We investigated the biogenesis and properties of apoM and its effects on the initial steps of nascent pre  HDL assembly by ABCA1 in HEK293 cells. Transiently transfected apoM was localized primarily in the endomembrane compartment. Pulsechase analyses demonstrated that apoM is ineffi ciently secreted, relative to human serum albumin, and that ف 50% remains membrane-associated after extraction with sodium carbonate, pH 11.5. To investigate the role of apoM in nascent pre  HDL formation, ABCA1-expressing or control cells, transfected with empty vector, apoM, or C-terminal epitope-tagged apoM (apoM-C-FLAG), were incubated with 125 I-apoA-I for 24 h. Conditioned media were harvested and fractionated by fast-protein liquid chromatography (FPLC) to monitor HDL particle size. Pre  HDL particles were formed effectively in the absence of apoM expression; however, increased apoM expression stimulated the formation of larger-sized nascent pre  HDLs. Immunoprecipitation with anti-apoA-I antibody followed by apoM Western blot analysis revealed that little secreted apoM was physically associated with pre  HDL. Our results suggest that apoM is an atypical secretory protein that is not ...