The present invention relates to compositions and methods for reducing
cholesterolemia and its effects. More specifically, the invention is
directed, in one embodiment, to methods for screening for compounds that
affect cholesterol levels generally, and in particular, that affect the
absorption of cholesterol. The invention also is directed to methods of
screening for compounds that increase bile acid synthesis. In so doing,
the inventors describe useful transgenic cells and animals which lack one
or both alleles of the LXR.alpha. gene. Also provided are therapeutic
methods designed to reduce cholesterol levels in suitable subjects. The
reduction may be effected by decreasing cholesterol absorption,
increasing bile acid synthesis, or combinations thereof. Particularly
useful in decreasing cholesterol absorption are RXR agonists, for
example, rexinoid compounds. Therapeutic intervention in cholesterol
biosynthesis and diet are additional adjunct therapies. In addition, the
present invention relates to candidate compounds that modulate the
expression of ABC-1 in a cell that expresses RXR. Methods of identifying
and making a modulator of ABC-1 are disclosed.