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ABCA1

ABCA1, or ATP-binding cassette subfamily A member 1, is a located on 9q31.1 that encodes a functioning as a major regulator of cellular and efflux. This protein facilitates the transport of and phospholipids from cells to A-I (apoA-I), the primary protein component of (HDL) particles, thereby playing a crucial role in reverse transport and preventing lipid accumulation in tissues. Expressed prominently in the liver, macrophages, and other tissues, ABCA1 is essential for maintaining lipid homeostasis and protecting against by promoting the formation of HDL, often referred to as "good ." The ABCA1 protein belongs to the ATP-binding cassette (ABC) transporter superfamily, utilizing ATP hydrolysis to drive the unidirectional movement of lipids across cell membranes, particularly from the plasma membrane to extracellular lipid acceptors like apoA-I or nascent HDL. This efflux process is vital for macrophage cholesterol removal in vascular walls, reducing foam cell formation and inflammation associated with cardiovascular disease. Dysregulation of ABCA1 activity, often through genetic variants or environmental factors, impairs lipid export and contributes to systemic lipid imbalances. Mutations in ABCA1 are the primary cause of , a rare autosomal recessive disorder characterized by near-absent HDL levels, cholesterol accumulation in tissues leading to enlarged orange tonsils, neuropathy, and accelerated . Heterozygous variants are linked to familial HDL deficiency, increasing the risk of premature due to low HDL and altered lipid profiles. Beyond cardiovascular implications, emerging research highlights ABCA1's roles in pathogenesis through amyloid-beta clearance and in cancer progression via tumor modulation.

Genetics

Gene Structure and Location

The ABCA1 gene, encoding the ATP-binding cassette subfamily A member 1 transporter, is located on the long (q) arm of human at cytogenetic band 9q31.1, spanning genomic coordinates 104,781,006 to 104,928,155 on the reverse strand. This positioning was confirmed through radiation hybrid mapping and , placing it between markers at 109.8 and 112.0 on . The gene encompasses approximately 149 kb of genomic DNA and comprises 50 exons ranging in size from 33 to 3,454 bp, with 49 introns containing 62 repetitive Alu sequences primarily in introns 1–49. Exon 1 partially encodes the 5' untranslated region (UTR), while exon 2 includes the initiation methionine and the first 21 amino acids of the protein; the largest exon, exon 50, encodes the C-terminal region. This organization supports the synthesis of a 6,783 bp open reading frame translating to a 2,261-amino-acid protein. The promoter region extends about 1,453 bp upstream of the transcription start site, which is 191 bp 5' to the , and features a 33 bp upstream along with binding sites for transcription factors such as Sp1, AP-1, and motifs. Key regulatory elements include liver X receptor (LXR) response elements (LXREs), specifically a direct repeat 4 (DR4) motif located between -70 and -55 bp relative to the transcription start site, enabling LXR/ (RXR) heterodimers to transactivate ABCA1 expression in response to oxysterol ligands. ABCA1 demonstrates strong evolutionary conservation across mammals, with the ortholog on exhibiting an identical 50-exon structure, comparable intron-exon boundaries, and over 90% sequence similarity in the promoter over 189 bp, including conserved Sp1, AP-1, and other motifs. The exons encoding the two ATP-binding cassette () domains—NBD1 (exons 18–22) and NBD2 (exons 34–38)—are particularly well-conserved, underscoring their essential role in the transporter's nucleotide hydrolysis and substrate translocation functions.

Mutations and Variants

Mutations in the ABCA1 are primarily loss-of-function variants that disrupt the protein's role in lipid transport, leading to conditions such as when occurring biallelically. These include , frameshift, splice-site, and missense mutations, with over 300 variants reported across the . For instance, the missense variant R230C has been identified in patients with reduced HDL cholesterol levels, demonstrating its pathogenic potential in altering ABCA1 function. Common polymorphisms in ABCA1, such as the R219K single variant, occur at higher frequencies in the general population and are associated with modest increases in HDL cholesterol levels. This variant, located in exon 7, has been linked to decreased levels and reduced progression in population studies, highlighting its protective effects on profiles. Recent genetic analyses up to 2025 have novel homozygous variants expanding the mutational spectrum of ABCA1. One such , c.4799A>G (p.His1600Arg), was reported, confirming its role in severe through whole-exome sequencing. For example, a novel splice-site c.1510-1G>C was in 2025 in a with premature and rapidly progressive neurodegenerative disorder. These discoveries underscore the and the value of advanced sequencing in uncovering rare homozygous mutations. At the molecular level, many ABCA1 mutations exert their effects through premature stop codons, resulting in truncated proteins that lack essential domains for lipid efflux. Nonsense and frameshift variants often trigger , further reducing functional protein levels. Missense mutations, such as those in the extracellular loops, frequently impair protein trafficking from the to the plasma membrane, preventing proper localization and activity. These disruptions collectively contribute to diminished efflux capacity and low HDL levels observed in affected individuals.

Protein Structure and Function

Molecular Structure

ABCA1 is a full-length characterized by a modular typical of the ABCA subfamily, consisting of two homologous halves that each include a (TMD) and a nucleotide-binding domain (NBD). Specifically, TMD1 and TMD2 each span the membrane with six alpha-helices, facilitating lipid interaction, while NBD1 and NBD2 are located intracellularly and couple to transport. Additionally, two large extracellular domains (ECDs)—ECD1 (residues 47–629, 583 ) and ECD2 (residues 1369–1639, 270 )—extend from the TMDs, forming an elongated hydrophobic tunnel that connects the to the membrane interface. The atomic of human ABCA1 was elucidated by cryo-electron microscopy (cryo-EM) in 2017, achieving an overall resolution of 4.1 Å and 3.9 Å for the ECDs, revealing a monomeric conformation with the TMDs adopting an inward-facing orientation and the ECDs positioned above the . This highlights a shallow lipid-binding pocket within TMD1, lined by polar and charged residues from transmembrane helices 1, 2, and 5, which accommodates or molecules. The NBDs exhibit a nucleotide-free state, with key conserved residues in the Walker A motifs— at position 939 (K939) in NBD1 and K1952 in NBD2—poised for ATP coordination and subsequent . Subsequent structural studies, including those from 2022, have refined these insights into ABCA1's conformational dynamics and sites. Post-translational modifications play a critical role in ABCA1 maturation and stability, particularly N-glycosylation, which occurs at seven confirmed sites primarily within the ECDs: N98, N400, N489, and N521 in ECD1, and N1453, N1504, and N1647 in ECD2. In the cryo-EM model, 12 sugar moieties were resolved at these sites, contributing to proper folding and trafficking of the protein to the plasma membrane. This domain organization and modification pattern underpin ABCA1's capacity to engage at the surface.

Cholesterol Efflux Mechanism

ABCA1 functions as an ATP-binding cassette transporter that extracts phospholipids and free from the outer leaflet of the plasma membrane and translocates them into an elongated extracellular hydrophobic tunnel in an ATP-dependent manner, acting as an extracellular rather than a traditional floppase. This process involves the of ATP at the nucleotide-binding domains (NBDs), which powers conformational changes in the transmembrane domains (TMDs), enabling lipid extraction through a gateway and annulus structure. Once are mobilized to the , ABCA1 interacts directly with lipid-poor A-I (apoA-I), the major protein component of (HDL). This interaction allows apoA-I to solubilize the surface , forming nascent or discoidal HDL particles through a process of lipidation where apoA-I wraps around the exported phospholipids and . The binding of apoA-I to ABCA1 is transient and promotes the release of lipidated particles, preventing excessive membrane depletion. ABCA1-mediated cholesterol efflux constitutes the initial and rate-limiting step in the reverse cholesterol transport (RCT) pathway, whereby excess from peripheral cells is exported to apoA-I for ultimate delivery to the liver for excretion. The of this efflux can be modeled as Efflux = k [ABCA1] [Cholesterol] [apoA-I], where k represents the rate constant reflecting the efficiency of the transporter-lipid-acceptor interaction. This highlights the dependence on cellular ABCA1 expression, intracellular cholesterol availability, and extracellular apoA-I concentration. Experimental evidence from cell-based assays, such as those using cholesterol-loaded peritoneal macrophages or fibroblasts, demonstrates ABCA1-specific efflux to apoA-I but minimal transfer to other lipid acceptors like or mature HDL. For instance, in ABCA1-overexpressing HEK293 cells, efflux rates to apoA-I increase by up to 5-fold compared to controls, with mutations in the extracellular domains reducing this specificity by 65-95%. These assays often employ radiolabeled tracers to quantify efflux, confirming the ATP-dependent and apoA-I-selective nature of the process.

Physiological Roles

Role in Lipid Homeostasis

ABCA1 plays a central role in maintaining by facilitating the efflux of excess and phospholipids from peripheral cells, thereby preventing intracellular accumulation. In macrophages, a key prone to formation, ABCA1 promotes the removal of free to extracellular acceptors, reducing the risk of cytotoxic buildup that could impair cellular function. This efflux mechanism is particularly vital in -rich environments, such as atherosclerotic lesions, where ABCA1 activity helps sustain cellular balance and supports overall organismal equilibrium. Recent studies as of 2025 have further elucidated ABCA1's physiological roles in other tissues. In endothelial cells, ABCA1 regulates membrane content in response to , contributing to vascular . Additionally, in the lungs, ABCA1 maintains balance under normal conditions, supporting pulmonary regulation. ABCA1 is highly expressed in specific tissues critical for lipid regulation, including the liver, intestine, and macrophages, where it coordinates systemic distribution. In the liver and intestine, ABCA1 contributes to the initial lipidation of apolipoproteins, aiding in the maintenance of circulating pools without promoting net accumulation. Macrophage-specific expression further ensures that peripheral immune cells do not retain excess , integrating local cellular with broader metabolic control. Through its integration into the reverse cholesterol transport (RCT) pathway, ABCA1 exports excess from peripheral tissues to the liver for eventual biliary , thus preventing systemic overload. This process begins with ABCA1-mediated efflux from cells like macrophages to lipid-poor apolipoproteins, which then carry to hepatic receptors for processing and elimination via . Studies in Abca1 mice demonstrate this role, as these animals exhibit increased cellular free in macrophages, accelerated formation, and heightened predisposition to due to impaired RCT. Similarly, combined Abca1 and Abcg1 deficiencies in mouse models exacerbate accumulation and lesion development, underscoring ABCA1's non-redundant contribution to .

Role in HDL Biogenesis

ABCA1 plays a pivotal role in the initial steps of (HDL) biogenesis by facilitating the efflux of cellular and phospholipids to lipid-poor A-I (apoA-I). This process begins with ABCA1 translocating phospholipids from the inner to the outer leaflet of the plasma membrane, creating microdomains of high lipid content that enable apoA-I binding. Upon interaction, ABCA1 promotes the transfer of unesterified and phospholipids to apoA-I, resulting in the formation of discoidal pre-β-HDL particles, which serve as nascent HDL precursors. In certain tissues, such as macrophages and the , ABCA1 cooperates with ABCA7 to enhance efflux during HDL formation. While ABCA1 primarily drives export, ABCA7 complements this by specializing in translocation to apoA-I, thereby supporting the lipidation process and contributing to the stability of nascent HDL particles in environments where availability is limiting. ABCA1 deficiency profoundly impacts HDL subclass distribution, leading to the absence of mature α-HDL particles while preserving smaller pre-β-HDL. In conditions like , where ABCA1 function is impaired, the lack of efficient initial lipidation prevents the maturation of pre-β-HDL into spherical α-HDL subclasses, resulting in low circulating HDL levels and disrupted reverse transport. ABCA1 mediates the majority of cellular efflux to apoA-I in macrophages, underscoring its dominant role in this pathway and highlighting its efficiency in promoting HDL assembly from foam cells.

Clinical Significance

Tangier Disease

Tangier disease is a rare autosomal recessive disorder resulting from biallelic mutations in the ABCA1 gene, leading to severe deficiency of the ABCA1 transporter protein. It was first described in 1959 in two siblings from a kindred on in the , , where low plasma and (HDL) levels were noted alongside characteristic clinical manifestations. The disease derives its name from the island, and subsequent studies identified affected individuals worldwide, though prevalence remains extremely low at approximately 1 in 1,000,000. The ABCA1 gene was localized to chromosome 9q31 and definitively linked to the disorder in 1999 through positional cloning efforts. The hallmark clinical features of Tangier disease include enlarged tonsils with a distinctive orange-yellow discoloration due to cholesterol ester deposits, which often require in childhood for recurrent infections or airway obstruction. Patients exhibit profoundly low plasma HDL concentrations, typically less than 5 mg/dL, accompanied by reduced A-I levels and variable . Neurological involvement manifests as , ranging from mild sensory deficits to severe demyelinating with syringomyelia-like features, while systemic signs such as and arise from lipid-laden infiltration. Premature is a significant complication, with accelerated and cerebrovascular events occurring in about 25-50% of cases, often by the fourth or fifth decade of life. Pathophysiologically, arises from defective ABCA1 function, which impairs the efflux of and phospholipids from cells to lipid-poor apolipoproteins, thereby disrupting reverse transport and HDL particle formation. This leads to intracellular accumulation of free and esterified sterols in tissues, particularly within foamy macrophages of the , tonsils, , liver, and peripheral nerves. The resulting sterol deposition drives the characteristic , neuropathy, and accelerated atherogenesis, as unesterified buildup promotes formation and vascular . Diagnosis of relies on clinical suspicion prompted by low HDL levels and suggestive features, followed by confirmation through genetic sequencing identifying biallelic pathogenic variants in ABCA1, such as frameshift, nonsense, or missense that abolish protein function. Biochemical assays showing absent or defective efflux in fibroblasts can support , but molecular testing remains the gold standard. Over 100 distinct ABCA1 have been reported in cases.

Associations with Other Disorders

Common genetic variants in the ABCA1 gene have been associated with an increased risk of (CAD), primarily through their impact on reducing (HDL) levels, which impairs reverse transport and promotes . For instance, heterozygous carriers of loss-of-function ABCA1 exhibit approximately half-normal HDL levels, contributing to premature CAD in affected individuals. Studies have identified specific polymorphisms, such as those in the promoter region, that correlate with lower HDL and elevated CAD risk in population cohorts. ABCA1 plays a critical role in (AD) pathogenesis, where reduced expression impairs amyloid-beta (Aβ) clearance from the brain by hindering the lipidation of (APOE), essential for Aβ transport across the blood-brain barrier. Genome-wide association studies (GWAS) up to 2022 have identified rare damaging variants in ABCA1 that significantly elevate AD risk, particularly in interaction with APOE4 alleles, as these variants disrupt cholesterol efflux and exacerbate Aβ accumulation. Loss-of-function mutations in ABCA1, occurring in about 1 in 500 individuals, are linked to low plasma APOE levels and heightened AD susceptibility, independent of HDL effects. Polymorphisms in ABCA1 are implicated in and (T2D), where they alter lipid profiles and insulin sensitivity by accumulating in pancreatic cells, thereby reducing insulin . For example, the ABCA1 C69T has been associated with dysglycemia and a decreased T2D incidence in some populations, while other single polymorphisms (SNPs) correlate with and impaired glucose homeostasis in diabetic patients. Hepatocyte-specific ABCA1 deletion in models disrupts liver insulin signaling, mirroring human associations between ABCA1 SNPs and traits like and . ABCA1 has also been implicated in cancer progression through its regulation of tumor and efflux. Dysregulated ABCA1 expression influences tumor , , and to therapy in various cancers, including and . For instance, high ABCA1 expression may inhibit tumor spread, while certain variants promote oncogenic signaling. As of 2025, pan-cancer analyses suggest ABCA1 as a potential prognostic marker and therapeutic target. Recent research from 2023 to 2025 highlights ABCA1 as a promising therapeutic target for neurodegeneration, with agonists and inducers showing potential to enhance APOE lipidation and Aβ clearance in models. Nonlipogenic ABCA1 inducers have demonstrated efficacy in preclinical studies by promoting APOE function and reducing pathology, particularly in APOE4 carriers. Additionally, modulation of regulators like miR-33 to upregulate ABCA1 has improved microglial Aβ clearance and cognitive outcomes in mouse models of neurodegeneration.

Regulation and Interactions

Regulatory Mechanisms

The expression of ABCA1 is primarily regulated at the transcriptional level by the liver X receptor (LXR)/ (RXR) heterodimers, which bind to LXR response elements in the ABCA1 promoter in response to oxysterols such as 25-hydroxycholesterol. This activation pathway is a key mechanism for sensing cellular levels, as oxysterols are derived from via the , thereby upregulating ABCA1 to promote efflux under conditions of excess. Seminal studies have demonstrated that LXR agonists, like T0901317, significantly induce ABCA1 transcription in hepatic and cells, highlighting the pathway's role in reverse transport. Post-transcriptional regulation of ABCA1 involves microRNAs, particularly miR-33a and miR-33b, which are encoded within introns of the SREBP-2 gene and directly target the 3' untranslated region of ABCA1 mRNA to inhibit its translation. This repression fine-tunes homeostasis by counteracting LXR-mediated induction, as SREBP-2 activation in response to depletion promotes miR-33 expression, thereby reducing ABCA1 levels and limiting efflux. Inhibition of miR-33 has been shown to elevate ABCA1 expression and enhance HDL formation in preclinical models, underscoring its therapeutic potential. Post-translational modifications, including and ubiquitination, critically influence ABCA1 protein stability and membrane localization. ()-mediated at specific serine residues stabilizes ABCA1 at the plasma membrane, enhancing its lipid efflux capacity, while accelerates its . Ubiquitination, often triggered by cellular levels, targets ABCA1 for lysosomal or proteasomal via ligases, thereby reducing its surface expression and preventing excessive efflux under low- conditions. In contrast, the ubiquitin ligase Listerin promotes K63-linked polyubiquitination of ABCA1, which stabilizes the protein, promotes its translocation to the , and enhances efflux in macrophages. These modifications ensure dynamic control, with LXR-mediated pathways modulating ubiquitination to balance ABCA1 turnover. In the liver, ABCA1 expression exhibits circadian rhythms, peaking during the active phase to align with diurnal fluctuations in , as disruptions in clock genes like Clock reduce hepatic ABCA1 levels and impair . Dietary factors further modulate hepatic ABCA1; for instance, high-fat or atherogenic diets upregulate its expression to counteract lipid overload, promoting reverse transport. These environmental influences integrate with intrinsic clocks to maintain balance, with studies showing enhanced ABCA1 mRNA in response to -rich feeding.

Protein and Pathway Interactions

ABCA1 primarily interacts with apolipoprotein A-I (apoA-I), the major protein component of high-density lipoprotein (HDL), to facilitate the lipidation of apoA-I and the generation of nascent HDL particles on the cell surface. This interaction involves the binding of lipid-poor apoA-I to ABCA1, which promotes the efflux of phospholipids and free cholesterol from cells, initiating HDL biogenesis. In addition, ABCA1 cooperates with ABCG1, another ATP-binding cassette transporter, to enhance cholesterol efflux from macrophages to HDL acceptors; studies show that combined deficiency of ABCA1 and ABCG1 substantially impairs net cholesterol export compared to individual deficiencies, highlighting their synergistic role in cellular lipid homeostasis. SR-BI, a scavenger receptor, complements ABCA1 and ABCG1 by mediating selective cholesterol uptake and efflux to mature HDL, contributing to the overall efficiency of cholesterol removal in peripheral tissues, particularly in hepatocytes and macrophages. Experimental identification of ABCA1's protein partners has relied on techniques such as co-immunoprecipitation (co-IP) and two-hybrid (Y2H) screening. Co-IP assays have confirmed direct associations, for instance, between ABCA1 and apoA-I at the cell surface, as well as intracellular interactions with regulatory proteins like α1-syntrophin, which stabilizes ABCA1 by preventing its degradation. Y2H screens using the C-terminal domain of ABCA1 as bait have identified binding partners such as liver X receptor-β (LXR-β), which modulates ABCA1 expression, and PDZ-RhoGEF, demonstrating ABCA1's capacity to engage PDZ domain-containing scaffolds. These methods have been instrumental in mapping ABCA1's interactome, revealing both extracellular lipid acceptors and intracellular modulators that influence its trafficking and activity. Within the reverse cholesterol transport (RCT) pathway, ABCA1 serves as the initial efflux step, transferring cellular and phospholipids to lipid-poor apoA-I to form discoidal nascent HDL particles. These nascent particles are subsequently remodeled by lecithin- acyltransferase (LCAT), which esterifies free to cholesteryl esters, promoting the maturation of HDL and enabling further acquisition from peripheral cells via ABCG1 and SR-BI. This sequential integration positions ABCA1 upstream in the RCT cascade, ensuring efficient delivery of to the liver for biliary . Regulatory influences, such as LXR , can modulate these interactions to fine-tune efflux capacity under varying lipid loads. ABCA1 also participates in signaling pathways through interactions with PDZ domain proteins, exemplified by its binding to PDZ-RhoGEF via a C-terminal PDZ-binding motif, which activates RhoA signaling to enhance efflux and prevent ABCA1 degradation. This interaction underscores ABCA1's role beyond transport, as a scaffold for cytoskeletal regulation in polarized cells, potentially influencing its localization and function in epithelial tissues.

References

  1. [1]
    ABCA1 ATP binding cassette subfamily A member 1 [ (human)] - NCBI
    Aug 19, 2025 · This protein functions as a cholesteral efflux pump in the cellular lipid removal pathway. Mutations in both alleles of this gene cause Tangier disease.
  2. [2]
    ABCA1 gene: MedlinePlus Genetics
    ### Summary of the ABCA1 Gene
  3. [3]
    Structure, function and regulation of the ABC1 gene product - PubMed
    ABCA1 is critically involved in cellular trafficking of cholesterol and choline-phospholipids and in total body lipid homeostasis.
  4. [4]
    Role of ABCA1 in Cardiovascular Disease - PMC - PubMed Central
    Jun 20, 2022 · ABCA1 is a key transporter that mediates cholesterol efflux from cells and is the most studied member of the ABC superfamily. According to the ...
  5. [5]
    Remembering your A, B, C's: Alzheimer's disease and ABCA1 - PMC
    The function of ATP binding cassette protein A1 (ABCA1) is central to cholesterol mobilization. Reduced ABCA1 expression or activity is implicated in ...<|control11|><|separator|>
  6. [6]
    Roles of ABCA1 in cancer - PMC - NIH
    ABCA1 mediates the transmembrane transport of free intracellular cholesterol and phospholipids to apo A-I, which has an important role in maintaining the normal ...
  7. [7]
    Gene: ABCA1 (ENSG00000165029) - Summary - Ensembl
    Chromosome 9: 104,781,006-104,928,155 reverse strand. ... This gene has 5 transcripts (splice variants), 303 orthologues, 11 paralogues and is associated with 5 ...
  8. [8]
    Complete genomic sequence of the human ABCA1 gene - PNAS
    The presence of these markers places the human ABCA1 gene on the GeneBridge 4 radiation hybrid map between 109.8 cM and 112.0 cM on chromosome 9. Table 1.
  9. [9]
    ATP-BINDING CASSETTE, SUBFAMILY A, MEMBER 1; ABCA1
    ... situated between hexabrachion (187380) and gelsolin (137350), both of which map to human chromosome 9 and to mouse chromosomes 4 and 2, respectively. Thus ...
  10. [10]
    The ABCA subclass of mammalian transporters - ScienceDirect.com
    The NBD corresponds to the extended nucleotide binding domain, i.e. in ABCA1 it spans from amino acid 885–1152 for the N-terminal one (NBD1: exon 18–22) and ...
  11. [11]
    Tangier Disease - GeneReviews® - NCBI Bookshelf
    Nov 21, 2019 · Tangier disease is caused by loss-of-function variants in ABCA1, resulting in reduced ABCA1 synthesis or activity. ... Peripheral neuropathy in ...
  12. [12]
    Identification and Characterization of Novel Loss of ... - PubMed
    Results: Sixteen out of 78 patients (21%) were found to carry 19 different ABCA1 gene variants (1 frameshift, 2 splice-site, 4 nonsense and 12 missense ...
  13. [13]
    Association of R230C ABCA1 gene variant with low HDL-C levels ...
    Our data suggest that the R230C ABCA1 gene variant plays an important role in HDL-C level regulation and HDL subclass distribution in healthy Mexican school- ...
  14. [14]
    Common Genetic Variation in ABCA1 Is Associated With Altered ...
    We report here that a common ABCA1 cSNP, R219K, is associated with decreased TG, increased HDL-C and, importantly, a decreased progression of atherosclerosis ...
  15. [15]
    Association between the ABCA1 (R219K) polymorphism and lipid ...
    Nov 5, 2021 · These findings suggested that R219K was associated with HDLC and TG levels, which might implicate a promising clinical application for lipid-related disorders.
  16. [16]
    Association of a Novel Homozygous Variant in ABCA1 Gene ... - MDPI
    The findings from the present study expand the mutational spectrum of the ABCA1 gene in Tangier disease and emphasize the important complement of whole-exome ...<|control11|><|separator|>
  17. [17]
    Association of a Novel Homozygous Variant in ABCA1 Gene with ...
    This case study describes a homozygous variant of the ABCA1 gene, which is responsible for a severe form of TD and underlines the importance of using ...
  18. [18]
    The role of ATP-binding cassette subfamily A in the etiology of ...
    Apr 27, 2022 · In this review, we provide a comprehensive overview and discussion on the contribution of the ABCA subfamily to the etiopathogenesis of AD.
  19. [19]
    Effects of Mutations of ABCA1 in the First Extracellular Domain on ...
    Apr 18, 2003 · ABCA1-GFP with a R587W or Q597R mutation appeared to be impaired with intracellular trafficking and predominantly localized in the ER. On ...
  20. [20]
    o95477 · abca1_human - UniProt
    Catalyzes the translocation of specific phospholipids from the cytoplasmic to the extracellular/lumenal leaflet of membrane coupled to the hydrolysis of ATP.
  21. [21]
  22. [22]
    Molecular mechanisms for ABCA1-mediated cholesterol efflux - PMC
    The ABCA1 monomers translocate FC and phospholipids from plasma membrane to their ECDs in an ATP-dependent manner. When enough lipid molecules are ...
  23. [23]
    ABCA1 is an extracellular phospholipid translocase - Nature
    Aug 16, 2022 · In the cryo-EM structure of ATP-free ABCA1, the transmembrane cavity is outward-open (Fig. 6A, B). In contrast, our homology model of ATP-bound ...
  24. [24]
    ABCA1-mediated Cholesterol Efflux Is Defective in Free Cholesterol ...
    Thus, ABCA1-mediated cholesterol efflux is likely an important anti-atherosclerotic process that tends to prevent excess cholesterol accumulation in lesional ...
  25. [25]
    Role of HDL, ABCA1, and ABCG1 Transporters in Cholesterol Efflux ...
    Oct 1, 2009 · The ATP-binding cassette transporters ABCA1 and ABCG1 are responsible for the major part of macrophage cholesterol efflux to serum or HDL in macrophage foam ...
  26. [26]
    ABCA1 promotes the efflux of bacterial LPS from macrophages ... - NIH
    ABCA1 is a major determinant of plasma HDL levels, and its activity in the liver and small intestine is responsible for the generation of most circulating HDL.
  27. [27]
    Monocyte/macrophage expression of ABCA1 has minimal ...
    Increased level of cholesterol in macrophages upregulates ABCA1, resulting in the removal of excess cholesterol to apolipoproteins. The critical role of ABCA1 ...
  28. [28]
    Impact of Hepatic ABCA1 (ATP-Binding Cassette Transporter A1 ...
    Aug 21, 2019 · Reverse cholesterol transport (RCT), a major HDL function, removes excess cholesterol from peripheral tissues and transports it to the liver ...
  29. [29]
    Increased Cellular Free Cholesterol in Macrophage-specific Abca1 ...
    Our results suggest that macrophage ABCA1 expression may protect against atherosclerosis by facilitating the net removal of excess lipid from macrophages.<|separator|>
  30. [30]
    Combined deficiency of ABCA1 and ABCG1 promotes foam cell ...
    We bred mice with single or combined KO of Abca1 and Abcg1, transplanted ... atherosclerosis in C57BL/6 and apoE-knockout mice. Proc. Natl. Acad. Sci ...
  31. [31]
    Role of apolipoproteins, ABCA1 and LCAT in the biogenesis ... - PMC
    In vivo interactions of ABCA1 with apoA-I lead to the biogenesis of HDL. Subjects carrying inactivating mutations in ABCA1 fail to form αHDL particles but ...Abca1 And Its In Vitro... · Apoa-I Mutations That Affect... · Apoe And Apoa-Iv Participate...
  32. [32]
    Characterization and properties of preβ-HDL particles formed ... - NIH
    The mechanism involves membrane phospholipid (PL) translocation via ABCA1 that induces bending of the membrane to create high-curvature sites to which ...
  33. [33]
    Differential phospholipid substrates and directional transport by ATP ...
    These studies provide the first direct evidence for ABCA1 and ABCA7 functioning as phospholipid transporters and suggest that this activity is an essential step ...<|control11|><|separator|>
  34. [34]
    Human ABCA7 Supports Apolipoprotein-mediated Release of ...
    These results indicated that ABCA7 directly promotes both cholesterol and phospholipid efflux to apoA-I, just as ABCA1 does. The releases of phospholipid ...
  35. [35]
    Relative Contributions of ABCA1 and SR-BI to Cholesterol Efflux to ...
    Jan 12, 2006 · In preliminary experiments, Probucol inhibited 80% of ABCA1-mediated efflux to apoA-I. This was determined as the reduction by Probucol of ...
  36. [36]
  37. [37]
  38. [38]
    Tangier Disease - StatPearls - NCBI Bookshelf
    Tangier disease exhibits an autosomal recessive pattern for its clinical features while exhibits an autosomal codominant trait for its biochemical findings.Pathophysiology · History and Physical · Evaluation · Differential Diagnosis
  39. [39]
    Tangier Disease - Symptoms, Causes, Treatment | NORD
    Jul 10, 2017 · Tangier disease is a rare inherited disorder characterized by significantly reduced levels of high-density lipoproteins (HDL) in the blood.
  40. [40]
    Entry - #205400 - TANGIER DISEASE; TGD - OMIM - (OMIM.ORG)
    Tangier disease (TGD) is an autosomal recessive disorder characterized by markedly reduced levels of plasma high density lipoproteins (HDL)Missing: pathophysiology | Show results with:pathophysiology
  41. [41]
    Tangier disease: epidemiology, pathophysiology, and management
    Oct 1, 2012 · Tangier disease is caused by mutations in the 'ATP-Binding Cassette transporter A1' (ABCA1) gene, which encodes the membrane transporter ABCA1.Missing: history | Show results with:history
  42. [42]
  43. [43]
    Association of ABCA1 gene with Coronary Artery Disease (CAD)
    Nov 11, 2023 · Premature ASCVD had shown an association with HDL loss due to mutations or variants at the locus of ABCA1 or APOA1 in data-based sequencing [7].
  44. [44]
    ABCA1 Deficiency: A Rare Cause of Premature Coronary Artery ...
    Jun 13, 2023 · DNA sequencing revealed 3 heterozygous variants in the ABCA1 gene, namely, p.G592G frameshift X37, p.A2028V, and p.R2081Q. The frameshift ...
  45. [45]
    Variations on a gene: rare and common variants in ABCA1 and their ...
    Here we review genetic variation in ABCA1 and its critical role in cholesterol metabolism and atherosclerosis in the general population.
  46. [46]
    Exome sequencing identifies rare damaging variants in ATP8B4 and ...
    Nov 21, 2022 · We observed a significant association of rare, predicted damaging variants in ATP8B4 and ABCA1 with AD risk, and a suggestive signal in ADAM10.
  47. [47]
    Loss-of-function mutation in ABCA1 and risk of Alzheimer's disease ...
    A loss-of-function mutation in ABCA1, present in 1:500 individuals, was associated with low plasma levels of apoE and with high risk of AD and cerebrovascular ...Missing: GWAS | Show results with:GWAS
  48. [48]
    The role of ABCA1 gene sequence variants on risk of Alzheimer's ...
    ABCA1 is a candidate risk gene for late onset Alzheimer's disease (LOAD) as a consequence of its role in cholesterol transport and metabolism.Missing: function | Show results with:function
  49. [49]
    ABCA1 C69T Gene Polymorphism Association with Dysglycemia in ...
    Studies suggest that ATP-binding cassette transporter A1 (ABCA1 C69T) polymorphism is associated with a decreased incidence of type 2 diabetes mellitus (T2DM)
  50. [50]
    ATP-binding cassette sub-family a member1 gene mutation ...
    Apr 22, 2019 · ABCA1 C69T gene mutation significantly reduced the risk of hypertriglyceridemia in diabetic patients than that in non-diabetic subjects.. The ...
  51. [51]
    Hepatocyte ABCA1 Deletion Impairs Liver Insulin Signaling and ...
    Jun 6, 2017 · Mounting evidence suggests that ABCA1 SNPs are associated with type 2 diabetes and metabolic syndrome in humans (Daimon et al., 2005 ...
  52. [52]
    Nonlipogenic ABCA1 Inducers (NLAI) for Alzheimer's Disease ...
    Therapeutics enhancing apolipoprotein (APOE) positive function are a priority, because APOE4 is the major genetic risk factor for Alzheimer's disease (AD).
  53. [53]
    Deletion of miR‐33, a regulator of the ABCA1–APOE pathway ...
    Sep 30, 2024 · These results suggest that miR-33 might be a potential drug target by modulating ABCA1 level, apoE lipidation, Aβ level, and microglial function ...<|control11|><|separator|>
  54. [54]
    Enhancing of cerebral Abeta clearance by modulation of ABC ...
    OAB-14, a bexarotene derivative, improves Alzheimer's disease-related pathologies and cognitive impairments by increasing β-amyloid clearance in APP/PS1 mice.Abstract · Introduction · ABC transporters involved in... · Discussion<|separator|>
  55. [55]
    Regulation of ATP-binding cassette transporter A1 transcription by ...
    Cholesterol- and oxysterol-mediated up-regulation of ABCA1 transcription includes the binding of the liver X receptor and retinoid X receptor (LXR/RXR) ...
  56. [56]
    Regulation of ATP binding cassette transporter A1 (ABCA1 ...
    Sep 25, 2020 · LXR forms a heterodimer with retinoid X receptor (RXR), and together they form a transcription factor that binds to the promoter element in the ...
  57. [57]
    miR-33 links SREBP-2 induction to repression of sterol transporters
    Jul 6, 2010 · Here we show that miR-33 is encoded within SREBP-2 and that both mRNAs are coexpressed. We also identify sequences in the 3' UTR of ABCA1 and ABCG1.Missing: post- | Show results with:post-
  58. [58]
    Expression of miR-33 from an SREBP2 intron inhibits cholesterol ...
    Oct 29, 2010 · In this study, we provide evidence that the primary transcript of SREBP2 contains an intronic miRNA (miR-33) that reduces cellular cholesterol export.
  59. [59]
    Involvement of Expression of miR33-5p and ABCA1 in Human ...
    Aug 7, 2024 · Downregulation of miR-33a-5p and upregulation of ABCA1 were linked to a lower CAD risk. Atorvastatin upregulated ABCA1 mRNA, and metformin ...
  60. [60]
    Protein kinase A site-specific phosphorylation regulates ATP ...
    Nov 1, 2002 · We show that ABCA1 is a constitutively phosphorylated protein in both RAW macrophages and in a human embryonic kidney cell line expressing ABCA1.
  61. [61]
    Cellular Cholesterol Regulates Ubiquitination and Degradation of ...
    Plasma membrane localized ABCA1 can also be degraded by ubiquitin-dependent lysosomal proteolysis in human hepatoma cells and THP-1 macrophages (51).
  62. [62]
    E3 ubiquitin ligase Listerin regulates macrophage cholesterol efflux ...
    Jun 17, 2025 · These findings collectively demonstrate Listerin's role in preserving ABCA1 membrane residency by blocking ESCRT-mediated lysosomal sorting.
  63. [63]
    Clock mutation facilitates accumulation of cholesterol in the liver of ...
    The present findings indicate that normal circadian clock function is important for the regulation of CH homeostasis in the mouse liver.
  64. [64]
    ABCA1 mRNA and protein distribution patterns predict ... - PubMed
    We also show that ABCA1 protein levels are up-regulated specifically in the liver after exposure to an atherogenic diet for 7 days, supporting a major role for ...Missing: hepatic | Show results with:hepatic
  65. [65]
    Estrogen-induced regulation of the ATP-binding cassette transporter ...
    HF diet increased the hepatic ABCA1 mRNA 1.8-fold in WT, but lowered ABCA1 mRNA by 2-fold in A1-Tg mice, suggesting that ABCA1 levels did not correlate with ...<|control11|><|separator|>
  66. [66]
    Lipidation of apolipoprotein A-I by ATP-binding cassette transporter ...
    Knock-down of ABCA1 inhibits the cellular binding at 4 degrees C of lipid-free apoA-I but not of HDL whereas suppression of ABCG1 or SR-BI reduces the binding ...
  67. [67]
    Role of apoA-I, ABCA1, LCAT, and SR-BI in the Biogenesis of HDL
    Here we review the current status of the pathway of HDL biogenesis and mutations in apoA-I, ABCA1, and SR-BI that disrupt different steps of the pathway.
  68. [68]
    ABCA1 and ABCG1 Synergize to Mediate Cholesterol Export to ApoA-I
    Dec 15, 2005 · Because ABCG1 is induced by the same transcriptional processes as ABCA1 and, like ABCA1 but unlike SR-BI, is upregulated in response to cellular ...
  69. [69]
    ABCA1, ABCG1 and SR-BI: hormonal regulation in primary rat ...
    The results show that SR-BI, ABCA1 and ABCG1 mRNA expression increased in response to dexamethasone while insulin treatment reduced the expression in primary ...
  70. [70]
    α1-Syntrophin Modulates Turnover of ABCA1
    To examine whether the functions of ABCA1 are modulated by associated proteins, a yeast two-hybrid library was screened with the C-terminal 120 amino acids of ...
  71. [71]
    Direct Interaction of Nuclear Liver X Receptor-β with ABCA1 ... - NIH
    We performed a yeast two-hybrid screen to search for additional proteins associated with the C-terminal region of ABCA1. The screen identified a nuclear ...
  72. [72]
    Pivotal role of ABCA1 in reverse cholesterol transport influencing ...
    Nov 1, 2001 · LCAT transfers a fatty acyl chain from phosphatidylcholine to cholesterol, forming cholesteryl ester. The cholesteryl ester partitions into the ...Molecular Components · Abca1 · Phospholipid Transfer...
  73. [73]
    Regulation of reverse cholesterol transport - Nutrition & Metabolism
    Mar 29, 2012 · From macrophages cholesterol can be effluxed as free cholesterol either via ATP binding cassette transporter A1 (ABCA1) with poorly lipidated ...
  74. [74]
    Binding of PDZ-RhoGEF to ATP-binding Cassette Transporter A1 ...
    Thus, the PDZ-RhoGEF and LARG interaction to ABCA1 implies that 1) ABCA1 may act not only as a lipid transporter but may also act as a receptor for RhoA ...Missing: PDZK1 apical