Excess accumulation of cholesterol in macrophages results in foam cell prod
uction and lesion development. Recent studies have demonstrated that ATP-bi
nding cassette protein A1 (ABCA1) is highly regulated in macrophages and me
diates the efflux of cholesterol and phospholipids to apolipoproteins, a pr
ocess necessary for HDL formation. The goal of this study was to determine
the contribution of monocyte/macrophage ABCA1 to HDL formation in vivo. We
generated mice expressing ABCA1 in macrophages and mice with selected inact
ivation of ABCA1 in macrophages by bone marrow transplantation in ABCA1-def
icient (ABC1(-/-)) and wild-type (WT) mice. At all times, the level of HDL
in ABC1(-/-) recipient mice remained low relative to WT recipient mice irre
spective of the genotype of the donor macrophage ABCA1 or high-fat feeding.
Expression of WT macrophage ABCA1 in ABC1(-/-) mice resulted in a small bu
t significant increase in apoA-I levels starting 2 weeks after transplantat
ion. No further increase in apoAI was observed up to 14 weeks after transpl
antation. The increase in apoAI was accompanied by a small but significant
increase in HDL cholesterol 6 weeks after transplantation. The HDL formed a
s a consequence of the expression of WT macrophage ABCA1 migrated to the al
pha position in a two-dimensional gel electrophoresis. These results demons
trate that monocyte/macrophage ABCA1 contributes to HDL formation; however,
the contribution to the overall plasma HDL levels is minimal.