Scavenger receptor class B, type I (SR-BI) shows a variety of effects on cellular cholesterol metabolism, including increased selective uptake of high density lipoprotein (HDL) cholesteryl ester, stimulation of free cholesterol (FC) efflux from cells to HDL and phospholipid vesicles, and changes in the distribution of plasma membrane FC as evidenced by increased susceptibility to exogenous cholesterol oxidase. Previous studies showed that these multiple effects require the extracellular domain of SR-BI, but not the transmembrane and cytoplasmic domains. To test whether 1) the extracellular domain of SR-BI mediates multiple activities by virtue of discrete functional subdomains, or 2) the multiple activities are, in fact, secondary to and driven by changes in cholesterol flux, the extracellular domain of SR-BI was subjected to insertional mutagenesis by strategically placing an epitope tag into nine sites. These experiments identified four classes of mutants with disruptions at different levels of function. Class 4 mutants showed a clear separation of function between HDL binding, HDL cholesteryl ester uptake, and HDLdependent FC efflux on one hand and FC efflux to small unilamellar vesicles and an increased cholesterol oxidase-sensitive pool of membrane FC on the other. Selective disruption of the latter two functions provides evidence for multiple functional subdomains in the extracellular receptor domain. Furthermore, these findings uncover a difference in the SR-BI-mediated efflux pathways for FC transfer to HDL acceptors versus phospholipid vesicles. The loss of the cholesterol oxidasesensitive FC pool and FC efflux to small unilamellar vesicle acceptors in Class 4 mutants suggests that these activities may be mechanistically related.Scavenger receptor class B, type I (SR-BI) 1 is an ϳ82-kDa cell-surface glycoprotein that was first identified by its sequence homology to CD36 (1, 2) and later characterized as one of the first physiologically relevant receptors for high density lipoprotein (HDL) particles (Ref. 3; for review,. Early analyses of SR-BI knockout mice revealed altered plasma HDL metabolism and reduced adrenal gland cholesteryl ester (CE) accumulation (7,8). Several recent reports have shown that alterations in murine SR-BI expression can have profound effects on biliary cholesterol excretion, red blood cell development, female infertility, atherosclerosis, and the development of coronary heart disease (9 -17), all of which seem to be related to changes in HDL and/or cholesterol. Taken together, these studies are consistent with SR-BI playing a major role in HDL cholesterol metabolism in vivo.SR-BI mediates its effects on HDL CE metabolism by facilitating the transport of lipids to cells in a process termed selective uptake (3-5, 18 -23). Contrary to the classic low density lipoprotein receptor endocytic pathway, in which the entire lipoprotein is internalized in clathrin-coated pits and degraded (24), HDL binds SR-BI, and the core CE is delivered to the plasma membrane without the concomitant upta...