Simultaneous determination of biliary and intestinal cholesterol secretion reveals that CETP (Cholesteryl Ester Transfer Protein) alters elimination route in Mice

Jianing Li, Sonja S. Pijut, Yuhuan Wang, Ailing Ji, Rupinder Kaur, Ryan E. Temel, Deneys R. Van Der Westhuyzen, Gregory A. Graf

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Objective: Determine the impact of CETP (cholesteryl ester transfer protein) on the route of cholesterol elimination in mice. Approach and Results: We adapted our protocol for biliary cholesterol secretion with published methods for measuring transintestinal cholesterol elimination. Bile was diverted and biliary lipid secretion maintained by infusion of bile acid. The proximal small bowel was perfused with bile acid micelles. In high-fat, high-cholesterol-fed mice, the presence of a CETP transgene increased biliary cholesterol secretion at the expense of transintestinal cholesterol elimination. The increase in biliary cholesterol secretion was not associated with increases in hepatic SR-BI (scavenger receptor BI) or ABCG5 (ATP-binding cassette G5) ABCG8. The decline in intestinal cholesterol secretion was associated with an increase in intestinal Niemann-Pick disease, type C1, gene-like 1 mRNA. Finally, we followed the delivery of HDL (high-density lipoprotein) or LDL (low-density lipoprotein) cholesteryl esters (CE) from plasma to bile and intestinal perfusates. HDL-CE favored the biliary pathway. Following high-fat feeding, the presence of CETP directed HDL-CE away from the bile and towards the intestine. The presence of CETP increased LDL-CE delivery to bile, whereas the appearance of LDL-CE in intestinal perfusate was near the lower limit of detection. Conclusions: Biliary and intestinal cholesterol secretion can be simultaneously measured in mice and used as a model to examine factors that alter cholesterol elimination. Plasma factors, such as CETP, alter the route of cholesterol elimination from the body. Intestinal and biliary cholesterol secretion rates are independent of transhepatic or transintestinal delivery of HDL-CE, whereas LDL-CE was eliminated almost exclusively in the hepatobiliary pathway.

Original languageEnglish
Pages (from-to)1986-1995
Number of pages10
JournalArteriosclerosis, Thrombosis, and Vascular Biology
Issue number10
StatePublished - Oct 1 2019

Bibliographical note

Funding Information:
This project was supported by grants from the National Institute of Diabetes and Digestive and Kidney Diseases (1R01DK113625, R01DK100892), National Center for Research Resources (P20RR021954-05), the National Institute of General Medical Sciences (8P20GM103527), and the National Center for Advancing Translational Sciences (UL1TR000117) from the National Institutes of Health.

Publisher Copyright:
© 2019 American Heart Association, Inc.


  • Bile
  • Cholesterol
  • Intestine
  • Lipoprotein
  • Liver
  • Mice

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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