High density lipoprotein (HDL) and low density lipoprotein (LDL) are c
holesterol transport particles whose plasma concentrations are directl
y (LDL) and inversely (HDL) correlated with risk for atherosclerosis.
LDL catabolism involves cellular uptake and degradation of the entire
particle by a well-characterized receptor. HDL, in contrast, selective
ly delivers its cholesterol, but not protein, to cells by unknown rece
ptors. Here it is shown that the class B scavenger receptor SR-BI is a
n HDL receptor. SR-BI binds HDL with high affinity, is expressed prima
rily in liver and nonplacental steroidogenic tissues, and mediates sel
ective cholesterol uptake by a mechanism distinct from the classic LDL
receptor pathway.