Mammalian female fertility depends on complex interactions between the ovar
y and the extraovarian environment (e.g., the hypothalamic-hypophyseal ovar
ian axis). The role of plasma lipoproteins in fertility was examined using
HDL-receptor SR-BI knockout (KO) mice. SR-BI KO females have abnormal HDLs,
ovulate dysfunctional oocytes, and are infertile. Fertility was restored w
hen the structure and/or quantity of abnormal HDL was altered by inactivati
ng the apoAI gene or administering the cholesterol-lowering drug probucol.
This suggests that abnormal lipoprotein metabolism can cause murine inferti
lity - implying a functional hepatic-ovarian axis - and may contribute to s
ome forms of human female infertility.