We examined in vivo a role for sterol carrier protein-2 (SCP-2) in the regulation of lipid secretion across the hepatic sinusoidal and canalicular membranes. Recombinant adenovirus Ad.rSCP2 was used to overexpress SCP-2 in livers of mice. We determined plasma, hepatic, and biliary lipid concentrations; hepatic fatty acid (FA) and cholesterol synthesis; hepatic and biliary phosphatidylcholine (PC) molecular species; and VLDL triglyceride production. In Ad.rSCP2 mice, there was marked inhibition of hepatic fatty acids and cholesterol synthesis to Ͻ 62% of control mice. Hepatic triglyceride contents were decreased, while cholesterol and phospholipids concentrations were elevated in Ad.rSCP2 mice. Hepatic VLDL triglyceride production fell in Ad.rSCP2 mice to 39% of control values. As expected, biliary cholesterol, phospholipids, bile acids outputs, and biliary PC hydrophobic index were significantly increased in Ad.rSCP2 mice. These studies indicate that SCP-2 overexpression in the liver markedly inhibits lipid synthesis as well as VLDL production, and alters hepatic lipid contents. In contrast, SCP-2 increased biliary lipid secretion and the proportion of hydrophobic PC molecular species in bile. These effects suggest a key regulatory role for SCP-2 in hepatic lipid metabolism and the existence of a reciprocal relationship between the fluxes of lipids across the sinusoidal and canalicular membranes. Hepatic fatty acid (FA), triglyceride, and cholesterol metabolism are highly regulated processes determined by the concerted feedback regulation of genes governing their synthesis, lipoprotein uptake and production, and biliary lipid secretion (1-7). Regulation of FA and cholesterol synthesis are highly interrelated processes and share common transcription regulatory factors (8, 9). Even though the physiological role(s) for sterol carrier protein-2 (SCP-2) gene products remain elusive, several studies suggest a number of important transport and catalytic functions of these proteins in the regulation of lipid metabolism (10-14).SCP-2 gene products not only bind cholesterol, FA, FAacyl-CoA, and phospholipids, but also enhance trafficking of these lipids within cells (15)(16)(17)(18). Experiments in cultured cell systems transfected with cDNAs encoding for the SCP-2/sterol carrier protein X (SCP-X) products demonstrated the role of these proteins in microsomal membrane utilization of FA for phospholipids, triglyceride, and cholesterol ester synthesis (19)(20)(21)(22). Overexpression of SCP-2 in rat hepatoma cells enhanced intracellular cholesterol cycling, increased plasma membrane cholesterol content, and inhibited cholesterol esterification and HDL production (23). In addition, studies in mice with disruption of the SCP-2/SCP-X gene have shown a failure in the oxidation of 2-methyl-branched FA and the side chain of cholesterol. Furthermore, liver triglyceride and cholesterol ester concentrations significantly decreased in these SCP-2-knockout mice, suggesting that these animals have altered phospholipid, fatty ac...