Ethanol has a pronounced effect on lipid homeostasis, It is our overall hyp
othesis that certain lipid carrier proteins are targets of acute and chroni
c ethanol exposure and that perturbation of these proteins induces lipid dy
sfunction leading to cellular pathophysiology, These proteins include both
intracellular proteins and lipoproteins. This paper examines recent data on
the interaction of ethanol with these proteins. In addition, new data are
presented on the stimulatory effects of ethanol on low-density-lipoprotein
(LDL)-mediated cholesterol uptake into fibroblasts and direct perturbation
of the LDL apolipoprotein, apolipoprotein B. A cell model is presented that
outlines potential mechanisms thought to be involved in ethanol perturbati
on of cholesterol transport and distribution. Copyright (C) 2001 National S
cience Council. ROC and S. Karger AG. Basel.