Evidence that the high density lipoproteins (HDL) in human plasma are antia
therogenic has stimulated considerable interest in the factors which regula
te their structure and function. Plasma HDL consist of a number of subpopul
ations of particles of varying size, density and composition. This structur
al heterogeneity is caused by the continual remodelling of individual HDL s
ubpopulations by various plasma factors. One of the consequences of this re
modelling is that the HDL subpopulations in plasma are functionally diverse
, particularly in terms of their antiatherogenic properties. This review do
cuments what is currently known about the interaction of HDL with plasma fa
ctors and presents an overview of the remodelling of HDL which occurs as a
consequence of those interactions. (C) 1999 Elsevier Science Ireland Ltd. A
ll rights reserved.