Inoculation of mice with cholesterol-rich liposomes containing the adj
uvant monophosphoryl lipid A results in the production of antiserum co
ntaining IgM Ab to cholesterol. The specificity of the Ab was to chole
sterol and structurally similar sterols containing a 3 beta-hydroxyl g
roup. Anti-cholesterol binding activity was significantly diminished i
f the 3 beta-hydroxyl was altered by either epimerization, substitutio
n, oxidation, or esterification. A similar specificity for 3 beta-hydr
oxy-sterols was observed for an anti-cholesterol IgM mAb. Both hyperim
mune serum and the mAb reacted with intact human very-low-/intermediat
e-density lipoprotein (VLDL/IDL) and low-density lipoproteins (LDL), b
ut not high-density lipoproteins (HDL), in an ELISA, but could react w
ith total lipid extracts containing cholesterol that were prepared fro
m all three lipoprotein classes. Functionally, immune serum or the mAb
aggregated and induced a fusion-like reaction with VLDL/IDL and LDL a
t low temperatures: these aggregates result in spherical structures vi
sible with light microscopy. Similarly, binding of anti-cholesterol Ab
to small cholesterol-rich liposomes resulted in the appearance of ves
icular structures with approximately 20- to 200-fold increased diamete
rs. These data demonstrate that the anti-cholesterol Ab recognize unes
terified cholesterol in VLDL/IDL and LDL; high-density lipoprotein cho
lesterol in the intact lipoprotein, however, appears to be protected f
rom reaction with these Ab.