Binding Cassette (ABC) transporter, ABCA1, plays a pivotal role in reverse cholesterol transport by mediating the cellular efflux of phospholipid and cholesterol. Studies using intact cells strongly suggest that ABCA1 acts as a phospholipid floppase, but there has been no direct demonstration that the protein is a primary active sterol transporter. Using membrane vesicles from insect Sf21 cells, we found that ABCA1 mediated ATP-dependent uptake of [ 3 H]25-hydroxycholesterol with an apparent K m of 0.7 M. Consistent with this high apparent affinity, expression of ABCA1 in human embryonic kidney cells both increased rapid efflux of 25-hydroxcholesterol and prevented oxysterol-mediated repression of low-density lipoprotein (LDL) receptor and 3-hydroxy-3-methylglutaryl-coenzyme A (HMGCoA) reductase mRNAs. Comparison of wild-type and ABCA1 Ϫ/Ϫ murine fibroblasts indicates that 25-hydroxycholesterol is effluxed ϳ5-fold more rapidly by wild-type cells. In addition, the rate of efflux from the wild-type but not the ABCA1 Ϫ/Ϫ fibroblasts is increased a further twofold by inducers of ABCA1 expression. Thus under the experimental conditions employed, endogenous ABCA1 is a major contributor to 25-hydroxycholesterol efflux from wild-type fibroblasts. Evidence from in vitro studies indicates that oxysterols are potent inducers of genes involved in cellular cholesterol efflux and metabolism, including the ABCA1 gene, and repressors of genes involved in cholesterol synthesis or uptake. Our observations raise the possibility that efflux of oxysterols by ABCA1 could contribute to a homeostatic mechanism, which both attenuates oxysterol-induced expression of its cognate gene and alleviates repression of genes encoding proteins, such as HMG-CoA reductase and LDL receptor. active transport; cholesterol homeostasis THE ATP BINDING CASSETTE (ABC) protein, ABCA1, was identified during a search for novel ABC proteins expressed in macrophages and at the time of its discovery, its function was unknown (34). Defects in the ABCA1 gene were subsequently shown to be the cause of Tangier disease, which is characterized by a lack, or abnormally low level, of high-density lipoprotein (HDL) and a markedly increased risk of coronary artery disease (5,7,11,56). Studies (2, 6, 14) using knockout mice have confirmed that ABCA1 plays a pivotal role in reverse cholesterol transport and in vitro, increased expression of the protein in several cell types results in elevated net efflux of cellular cholesterol and phospholipids. This efflux is dependent on the presence of an acceptor such as lipid-poor HDL or apolipoprotein A (apoA)-I (19, 70). Other proteins can also act as acceptors although their physiological relevance is presently unclear (46).The mechanism by which ABCA1 mediates efflux of cholesterol and phospholipids remains poorly defined. ABC transporters typically use the energy of ATP binding and hydrolysis to drive the transport of substrate across cellular membranes (26). In the case of hydrophobic compounds, transport is thought to involve ...