Apolipoprotein E (apoE) is known to play an important role in lipoprotein metabolism. We have studied the effect of apoE on the metabolism of plasma cholesterol by injecting apoE intravenously into rabbits deficient in low density lipoprotein receptors [Watanabe heritable hyperlipidemic (WHHL) rabbits]. Approximately 30 mg of apoE was injected per rabbit; a total of five WHHL rabbits were used. One hour later, plasma cholesterol levels fell 8.3% (from 488 ± 192 to 446 ± 174 mg/dl). After 3 hr, cholesterol levels had fallen by 19% (to 392 ± 152 mg/dl). The reduced levels were maintained for at least 8 hr after injection of apoE. Cholesterol in very low density lipoproteins (VLDLs) and intermediate density lipoproteins fell rapidly during the first 2 hr after injection, followed by a reduction in the low density lipoprotein cholesterol level. Changes in apolipoprotein B levels in each lipoprotein fraction were very similar to those of cholesterol.Plasma apoE levels 3 min after injection were elevated 3-fold to 22.8 ± 6.3 mg/dl and returned to initial levels 8 hr after injection. The rate of removal of intravenously injected 1251 labeled VLDL that had been incubated with apoE was 3-fold higher than that of unmodified VLDL. From these results, we conclude that the injected apoE is incorporated into VLDLs and that VLDL particles carrying more apoE are removed from the blood more rapidly, resulting in reduced formation of low density lipoprotein and lowered cholesterol levels.Low density lipoprotein (LDL) cholesterol is mainly removed from blood plasma by hepatic LDL receptors that interact with two specific ligands on lipoproteins, apolipoprotein B-100 (apoB-100) and apolipoprotein E (apoE) (1-3). Lipoproteins rich in apoE, such as large very low density lipoprotein (VLDL) and ,B-VLDL, have a much higher affinity for LDL receptors than LDL, which contains only apoB-100 (4, 5). In addition, lipoproteins containing apoE can bind to receptors on the liver cell membranes that are responsible for the uptake of dietary cholesterol carried in chylomicron remnants (6,7). This chylomicron-remnant receptor is thought to be distinct from the LDL receptor because chylomicron remnants are normally removed from the blood in human familial hypercholesterolemia (8) and in Watanabe heritable hyperlipidemic (WHHL) rabbits deficient in LDL receptors (9).Recent research has demonstrated two lipoprotein subclasses containing apoB-100: B,E particles containing apoE and -B and B particles lacking apoE (10-12). The presence of apoE has been shown to have a profound influence on the removal of apoB-100 in VLDL particles from the blood of normal rabbits and their conversion to lipoproteins of higher density [intermediate density lipoprotein (IDL) and LDL] (10). In WHHL rabbits, the rate of removal of VLDL-B,E particles from the blood was 4-fold higher than that of VLDL-B particles (11). These results suggest that in WHHL rabbits a small number of LDL receptors expressed on the surface of hepatocytes or chylomicron-remnant receptors p...