The mechanism for the increase in plasma cholesterol levels in cholest
erol-fed rats following chylomicron transport was investigated in inta
ct animals, in isolated perfused Liver, and in hepatocytes in monolaye
r cultures. Intravenous administration of egg phosphatidylcholine in a
mounts greater than those required to cause a plasma cholesterol respo
nse when given as chylomicrons was without effect. This makes it unlik
ely that increased plasma cholesterol levels resulted from the recruit
ment of tissue cholesterol by the plasma chylomicron phospholipids tha
t persisted in the plasma after triacylglycerol clearance. The hepatic
origin of the increased plasma cholesterol levels was directly confir
med by two hepatic perfusion experiments. When cholesterol-fed rats re
ceived intravenous chylomicrons prior to isolated hepatic perfusion, m
ore cholesterol was secreted by the liver than when the rats were inje
cted intravenously with buffer. Perfusion of apolipoprotein E (ape E)-
rich triacylglycerol emulsions through the livers also enhanced choles
terol secretion. The increase in hepatocyte cholesterol secretion seen
with cholesterol-fed rats was also noted in monolayer cultures follow
ing incubation with apo E rich-triacylglycerol emulsions. The apolipop
rotein or the emulsion alone, or apo E-rich phosphatidylcholine liposo
mes, had no effect. The data confirm previous indirect observations th
at the liver is the source of cholesterol that appears in plasma follo
wing transport of chylomicrons or following a lipid-rich meal in chole
sterol-fed rats. The data also re-emphasize the importance of providin
g apo E with triacylglycerol emulsions to initiate secretion of lower
density lipoproteins by the liver.