Although sterol carrier protein-2 (SCP-2) stimulates sterol transfer in vitro, almost nothing is known regarding the identity of the putative cholesterol binding site. Although great advances have been made in our understanding of vascular lipid transport via serum lipoproteins, much less is known regarding intracellular trafficking pathways of lipids. While spontaneous desorption and intracellular diffusion of lipids occur, they do not account for (i) the asymmetric distribution of cellular lipids, (ii) the synthesis of cholesterol in and targeted efflux from the relatively cholesterol poor endoplasmic reticulum, (iii) the lysosomal release and intracellular targeting of cholesterol, fatty acids, and glycerides, or (iv) high density lipoprotein-mediated reverse cholesterol transport. Cellular lipids are transferred and targeted within the cell via vesicular pathways, cytosolic proteins, and possibly via as yet undefined interactions between cytosolic proteins and vesicular pathways.In addition to vesicular pathways, intracellular cholesterol is believed to be transferred and targeted within the cell via proteins such as SCP-2 1 (reviewed in Refs. 1-5), caveolin (reviewed in (Refs. 4 and 6 -11), or steroidogenic acute regulatory protein (12). SCP-2 is primarily a soluble protein, caveolin exists in both membrane-bound and soluble homo-and heterocomplex forms, and steroidogenic acute regulatory protein traffics from the endoplasmic reticulum to the inner mitochondrial membrane by mechanism(s) not yet understood.A variety of studies show positive correlation between SCP-2 expression and intracellular cholesterol transfer in vivo: biliary cholesterol secretion (13-15), lung surfactant formation (16), intestinal cholesterol absorption (17, 18), macrophage foam cell formation (19), diabetes (20), and cholesterol oxidation (21-23). Likewise, studies with intact transfected cells overexpressing SCP-2 confirm a role for SCP-2 in intracellular sterol trafficking (24 -30). Despite these observations, very little is known regarding the mechanism whereby SCP-2 transfers cholesterol between membranes. It has been suggested that interaction of SCP-2 with cholesterol (31-34) is essential for SCP-2-mediated intermembrane sterol transfer in vitro (35). Unfortunately, clear demonstration of cholesterol binding or saturation binding of other sterols to SCP-2 has been difficult to achieve.In addition to its involvement in intermembrane cholesterol transfer, recent reports that SCP-2 also interacts with long chain fatty acids (LCFA) and long chain fatty acyl-CoAs (LCFA-CoA) suggest additional role(s) for this protein in intracellular LCFA and/or LCFA-CoA trafficking. The pathway(s) whereby LCFA and their CoA derivatives traffic and are targeted within the cell are as yet undefined (reviewed in Refs. 36 and 37). Increasing evidence shows that the intracellular fatty acid binding proteins function in intracellular trafficking by enhancing LCFA uptake, intracellular diffusion, or metabolic targeting (reviewed in Refs. 36 -39). For over...