Aim: To determine the effects and potential mechanisms of ibrolipim on ATP-binding membrane cassette transporter A-1 (ABCA1) and ATP-binding membrane cassette transporter G-1 (ABCG1) expression from human macrophage foam cells, which may play a critical role in atherogenesis. Methods: Human THP-1 cells pre-incubated with ox-LDL served as foam cell models. Specific mRNA was quantified using real-time RT-PCR and protein expression using Western blotting. Cellular cholesterol handling was studied using cholesterol efflux experiments and high performance liquid chromatography assays. Results: Ibrolipim 5 and 50 μmol/L significantly increased cholesterol efflux from THP-1 macrophage-derived foam cells to apoA-I or HDL. Moreover, it upregulated the expression of ABCA1 and ABCG1. In addition, LXRα was also upregulated by the ibrolipim treatment. In addition, LXRα small interfering RNA completely abolished the promotion effect that was induced by ibrolipim. Conclusion: Ibrolipim increased ABCA1 and ABCG1 expression and promoted cholesterol efflux, which was mediated by the LXRα signaling pathway.Keywords: ATP-binding membrane cassette transporter A-1; ATP-binding membrane cassette transporter G-1; ibrolipim; liver X receptor α; atherosclerosis; RNA interference; high density lipoprotein; apolipoprotein; cholesterol Acta Pharmacologica Sinica (2010Sinica ( ) 31: 1343Sinica ( -1349 doi: 10.1038/aps.2010 published online 27 Sep 2010 Original Article # The first two authors contributed equally to this work. * To whom correspondence should be addressed.E-mail tchaoke@yahoo.com.cn Received 2010-04-26 Accepted 2010-08-17 (ABCG1) [4,5] .Ibrolipim is an effective lipoprotein lipase (LPL) activator [6] . It has previously been reported that ibrolipim increases lipoprotein lipase (LPL) mRNA in tissues and LPL activity in postheparin plasma, resulting in a reduction in plasma triglyceride levels and an elevation of HDL. Previous studies from our laboratory and others have also shown that increasing LPL activity in skeletal muscle results in decreased fat accumulation, and long-term administration of ibrolipim protects against the development of experimental atherosclerosis in animals [6][7][8] . However, the detailed mechanism for cholesterol transport proteins induced by ibrolipim is unclear.Recently, our laboratory revealed that the liver X receptors (LXR) synthetic agonist T0901317 promoted ABCA1 gene and protein levels in the aorta, liver, and small intestine of apoE-/-mice and significantly increased cholesterol efflux from peritoneal macrophages [9] . We also showed that IFN-γ may first downregulate the expression of LXRα through the 1344 www.nature.com/aps Chen SG et al Acta Pharmacologica Sinica npg JAK/STAT1 signaling pathway and then decrease expression of ABCA1 and cholesterol efflux in THP-1 macrophagederived foam cells [10] . In addition, eicosapentaenoic acid (EPA) reduces ABCA1 serine phosphorylation and impairs ABCA1-dependent cholesterol efflux through a cAMP/PKA pathway in THP-1 macrophage-derived foam cells [1...