The physiological role of murine scavenger receptor class B type I (SR-BI) was evaluated by in vivo clearances of human HDL 3 and LDL in normal and SR-BI knockout (KO) mice. In normal mice, cholesteryl esters (CEs) were removed faster than proteins, indicating a selective uptake process from both HDL 3 and LDL. SR-BI KO mice showed 80% losses of HDL-CE selective uptake and the complete loss of LDL-CE selective uptake in the first phase of clearance. However, the second phase was characterized by an acceleration of CE disappearance in SR-BI KO mice. Thus, SR-BI is the only murine receptor mediating HDL-CE selective uptake, whereas a SR-BI-independent pathway specific to LDL can rescue SR-BI deficiency. The analysis of LDL recovered 3 h after injection in mice from different genotypes revealed that LDLs are significantly depleted in CE (reduction from 19% to 50% of the CE/protein ratios). A smaller LDL size in comparison with that of noninjected LDL was also detectable but was more evident for LDL recovered from normal mice. All LDL preparations migrate faster than noninjected LDL on agarose-barbital gels. Thus, both SR-BI-dependent and -independent pathways lead to substantial changes in LDL. Numerous epidemiological studies have demonstrated that the risk of developing coronary artery diseases is directly related to plasma concentrations of LDL cholesterol (1) and inversely associated with plasma levels of HDL (2). Plasma levels of LDL cholesterol are in large part regulated via the LDL receptor (LDLr), which mediates the clearance of LDL through a well-defined process involving endocytosis and degradation of the entire LDL particle (3, 4). In contrast, clearance of HDL cholesterol seems to be accomplished by another pathway called selective uptake, which involves the extraction of cholesteryl esters (CEs) from lipoproteins without concomitant degradation of its apolipoproteins (5). Although selective uptake is usually associated with HDL cholesterol, evidence suggests that this pathway may also act on other lipoproteins, such as LDL (6-9).The scavenger receptor class B type I (SR-BI) is a cell surface receptor that was initially found as a receptor for modified LDL (oxidized or acetylated) and maleylated BSA and was later shown to bind native lipoproteins (5, 10, 11). Although SR-BI can bind LDL with high affinity, attention has mainly been devoted to the relation between SR-BI and HDL, and SR-BI was demonstrated to mediate the selective uptake of HDL-CE in transfected cells (5,12,13). The abundance of SR-BI in steroidogenic organs and liver, the principal sites of cholesteryl ester selective uptake in vivo, has also been cited as an indication of SR-BI involvement in HDL metabolism (5, 14). However, the most convincing evidence for a role of SR-BI in HDL metabolism has come from studies using genetically manipulated mice. These studies demonstrated that a disruption of the SR-BI gene generates an increase in total plasma cholesterol levels, which is mainly associated with the appearance of large HDLs ...