This article is available online at http://www.jlr.org stigmasterol (ethyl group at C24, ⌬ 22) ( 1, 2 ). In contrast to cholesterol, these sterols are exclusively derived from the diet and cannot be synthesized endogenously in mammals. A high plant sterol intake (2-2.5 g/day) leads to reduced total and LDL-cholesterol ( ف 12%) in the circulation ( 3, 4 ). Therefore, plant sterols are frequently applied as functional, nonprescription food additives to prevent atherosclerosis and cardiovascular diseases ( 5 ). However, administration of high-dose plant sterols results in increased serum plant sterol concentrations ( 6 ). Hard end-point studies showing an effect on the number of cardiovascular events or on mortality after long-term intake of high-dose plant sterols are lacking ( 7 ), as are insights into the underlying molecular mechanisms ( 8 ). Because adverse events upon plant sterol administration in animal studies are increasingly being reported to cause adverse events ( 9 ), it is a current topic of debate ( 10 ).In contrast to peripheral tissues, all cholesterol within the central nervous system is synthesized in situ because circulating cholesterol is not able to cross the blood-brain barrier (BBB) ( 11,12 ). Recently, we reported that circulating plant sterols, in contrast to cholesterol, can enter the brains of ATP binding cassette g5 (Abcg5)-defi cient mice, a model for phytosterolemia ( 13 ). ABCG5 and ABCG8 act as functional heterodimer transporters at the apical membranes of enterocytes and hepatocytes, where they excrete plant sterols into the intestinal lumen and bile, Abstract Plant sterols such as sitosterol and campesterol are frequently administered as cholesterol-lowering supplements in food. Recently, it has been shown in mice that, in contrast to the structurally related cholesterol, circulating plant sterols can enter the brain. We questioned whether the accumulation of plant sterols in murine brain is reversible. After being fed a plant sterol ester-enriched diet for 6 weeks, C57BL/6NCrl mice displayed signifi cantly increased concentrations of plant sterols in serum, liver, and brain by 2-to 3-fold. Blocking intestinal sterol uptake for the next 6 months while feeding the mice with a plant stanol ester -enriched diet resulted in strongly decreased plant sterol levels in serum and liver, without affecting brain plant sterol levels. Relative to plasma concentrations, brain levels of campesterol were higher than sitosterol, suggesting that campesterol traverses the blood-brain barrier more effi ciently. In vitro experiments with brain endothelial cell cultures showed that campesterol crossed the blood-brain barrier more effi ciently than sitosterol. We conclude that, over a 6-month period, plant sterol accumulation in murine brain is virtually irreversible. Plant sterols differ structurally from cholesterol by an additional methyl or ethyl group at C24 and/or a double bond at C22 ( ⌬ 22). The most prevalent plant sterols are campesterol (methyl group at C24), sitosterol (ethyl group at C24)...