Murine macrosialin (MS), a scavenger receptor family member, is a heavily glycosylated transmembrane protein expressed predominantly in macrophage late endosomes. MS is also found on the cell surface where it is suggested, on the basis of ligand blotting, to bind oxidized LDL (oxLDL). Here we report on the regulation of MS by an atherogenic high-fat diet and oxLDL, and on the inability of MS in transfected cells to bind oxLDL. MS expression was markedly increased in the livers of atherosclerosis-susceptible C57BL/6 and atherosclerosis-resistant C3H/HeJ mice fed an atherogenic high-fat diet. In resident-mouse peritoneal macrophages, treatment with oxLDL upregulated MS mRNA and protein expression 1. There is accumulating evidence that oxidative modifications of LDL contribute to early atherogenesis (1). The uncontrolled uptake of modified and oxidized LDL (oxLDL) by vascular wall macrophages in the subendothelial space via scavenger receptors produces excessive lipoprotein-derived cholesteryl ester (CE) accumulations characteristic of foam cell formation. Macrophage-derived foam cells are the hallmark of fatty streaks and atherosclerotic plaques in human disease and in animal models of atherosclerosis. A number of different macrophage cell surface scavenger receptors for modified LDL have now been identified (2), and key questions are the relative contribution of the different macrophage scavenger receptors to atherogenesis and whether they play a protective role to clear oxidized lipids, as opposed to a pathological role in lesion development.Data from studies with scavenger receptor class A (SR-A) gene knockout animals indicate that SR-A acts as a proatherogenic molecule in vivo (3, 4). This effect is modest, however, and requires backcrosses on atherosclerosis-susceptible apolipoprotein E (apoE)-deficient ( Ϯ 50% reduced relative to apoE Ϫ / Ϫ ) (3) or LDL receptor (LDLR) knockout animals ( Ϯ 20% reduced relative to LDLR Ϫ / Ϫ ) (4) to become apparent. There was no difference in the plasma clearance of acetylated LDL or oxLDL when SR-A-deficient animals were compared with wild-type animals (3). Recent studies have also shown that C57BL/6 mice lacking SR-A are protected from diet-induced atherosclerosis; furthermore, SR-A expression specifically in macrophages contributes significantly to lesion formation in C57BL/6 and LDLR null mice (5). These data support a role for SR-A in atherogenesis, but also indicate that macrophage scavenger receptors other than SR-A participate in the in vivo generation of foam cells.CD36 is involved in the endocytosis of long-chain fatty acids, anionic phospholipids, and oxidized lipoproteins (6). CD36-null mice have increased fasting plasma cholesterol, and increased nonesterified free fatty acid and triacylglycerol levels. CD36-apoE double null mice have markedly decreased aortic lesions, both on normal and Western diet, when compared with controls, despite alterations in lipoproteins that correlate with increased atherogenicity (7,8). Macrophages from CD36-apoE double kno...