- Add 1μL of 50 mM A-769662 stock for a final concentration
 of 100μM or desired AMPK activator.
- Incubate in a humidified 5% CO 2 incubator at 37C for 2–18 h
 (seeNote 18).
- Remove the medium and wash the cells twice with 1PBS.
- Initiate the efflux of cholesterol by adding 0.5 mL of HDL
 efflux medium, ApoA-I efflux medium, or strict BMDM efflux
 media as a control. Importantly, AMPK activators are either
 replenished or introduced at this step (seeNote 19).
- Incubate cells in a humidified 5% CO 2 incubator at 37C for
 4–24 h (seeNote 20).
- Remove the medium from each condition into a 1.5 mL
 microfuge tube.
- Spin down efflux media at 4000gfor 15 min, and then
 transfer supernatant into a new 1.5 mL microfuge tube.
- Pipette an aliquot of each efflux medium sample into a 7 mL
 scintillation vial containing 4 mL of liquid scintillation fluid.
- Wash the plates twice with 1PBS.
- Lyse cells by adding 0.5 mL of 0.1 M NaOH to each well and
 place on rocker at 4C overnight.
- Remove an aliquot of each cell suspension sample into a 7 mL
 scintillation vial containing 4 mL of liquid scintillation fluid.
- Count all scintillation samples using LSC (seeNote 21).
- Calculate the percent cholesterol efflux of each sample by:
Cholesterol Efflux¼Radioactivity in medium
Radioactivity in mediumþRadioactivity in cells 100 %:- Calculate the percent-specific efflux to HDL by:
 % Specific Cholesterol HDL Efflux¼HDL Efflux %Basal
 Efflux %
- Calculate the percent-specific efflux to ApoA-I by:
 % Specific Cholesterol ApoA-I Efflux ¼ ApoA-I Efflux
 %Basal Efflux %
3.5 In Vivo Reverse
Cholesterol Transport
- Plate differentiated BMDM at 5 106 cells in 100 mm plates.
- Conjugate lipid-loading medium with 5μCi/mL of^3 H-cho-
 lesterol overnight at 37C.
- Lipid-load the cells by adding 10 mL of lipid-loading medium
 supplemented with 5μCi^3 H-cholesterol to plated BMDMs.
488 Nicholas D. LeBlond and Morgan D. Fullerton
