Recent data on the roles of vesicle- and 'raft'-mediated pathways in i
ntracellular free cholesterol (FC) transport are reviewed. Cholesterol
internalized from plasma lipoproteins is transferred via endocytic ve
sicles to the trans-Golgi network (TGN), consistent with prior data in
dicating a key role for this organelle in protein and lipid sorting an
d transport. Newly synthesized and lipoprotein-derived FC are returned
to the cell surface by a common raft-dependent pathway. Intracellular
FC transport promotes the delivery of GPI-anchored proteins to the ce
ll surface; it is also an additional mechanism to regulate cell FC con
tent. Many peripheral cells express caveolin, an FC-binding protein lo
calized to plasma membrane caveolae. FC delivery to cell surface caveo
lae is accelerated by caveolin. Caveolar FC becomes targeted to small,
lipid-poor (prebeta-) high density lipoprotein particles. Caveolin ma
y protect quiescent cells, regulating FC efflux more efficiently in re
sponse to changing medium lipoprotein concentrations. Overall, these r
ecent findings suggest that cell FC content can be regulated at the le
vels of both influx and efflux, and indicate key roles for the TGN and
in cells expressing caveolin, cell-surface caveolae.