Lipoproteins originating from axon and myelin breakdown in injured peripher
al nerves are believed to supply cholesterol to regenerating axons. We have
used compartmented cultures of rat sympathetic neurons to investigate the
utilization of lipids from lipoproteins for axon elongation. Lipids and pro
teins from human low density lipoproteins (LDL) and high density lipoprotei
ns (HDL) were taken up by distal axons and transported to cell bodies, wher
eas cell bodies/proximal axons internalized these components from only LDL,
not HDL. Consistent with these observations, the impairment of axonal grow
th, induced by inhibition of cholesterol synthesis, was reversed when LDL o
r HDL were added to distal axons or when LDL, but not HDL, were added to ce
ll bodies. LDL receptors (LDLRs) and LR7/8B (apoER2) were present in cell b
odies/proximal axons and distal axons, with LDLRs being more abundant in th
e former. Inhibition of cholesterol biosynthesis increased LDLR expression
in cell bodies/proximal axons but not distal axons. LR11 (SorLA) was restri
cted to cell bodies/proximal axons and was undetectable in distal axons, Ne
ither the LDL receptor-related protein nor the HDL receptor, SR-B1, was det
ected in sympathetic neurons. These studies demonstrate for the first time
that lipids are taken up from lipoproteins by sympathetic neurons for use i
n axonal regeneration.