Objective To observe the effect of liver acquired expression of apobec-1 on blood lipid metabolism, hepatic low density lipoprotein receptor (LDLR), and hepatic low density lipoprotein receptor related protein (LRP) in nephrotic syndrome(NS) rabbits and to explore the lipid-lowering effect and possible mechanism. Methods Thirty healthy ordinary level male new Zealand rabbits were randomly divided into 3 groups: sham operation group(n=10), NS group(n=10), and apobec-1 treatment group(n=10). Adaptive feeding was given for 1 week, then NS group and apobec-1 treatment group underwent left nephrectomy, and 1 week later, adriamycin (4 mg/kg) was used to construct the NS model by way of ear vein injection.In the 11th week after operation, apobec-1 recombinant adenovirus (1×1013 virus/kg) was injected through ear vein in apobec-1 treatment group.The 12th week after operation, all rabbits were sacrificed.Right kidney, liver, blood and 24 hour urine were collected.In 3 groups, 24 hour urinary protein(24UPr), albumin (Alb), blood urea nitrogen (BUN), creatinine (Cr), blood lipid were detected.Renal pathology was observed by means of HE staining.Expressions of liver LDLR, LRP were observed by using Western blot. Results (1) There were significant differences among the 3 groups in 24UPr(F=42.778, P=0.000), Alb(F=3.819, P=0.034), BUN (F=6.562, P=0.005), Cr (F=16.076, P=0.000), total cholesterol (TC) (F=17.531, P=0.000), total triglyceride (TG) (F=6.192, P=0.006), very low density lipoprotein (VLDL-C) (F=6.192, P=0.006), low density lipoprotein (LDL-C) (F=34.924, P=0.000) and apolipoprotein B100 (ApoB100) (F=5.180, P=0.012) and apolipoprotein B48 (ApoB48) (F=6.161, P=0.006). (2) Compared with the sham operation group, NS group showed that 24UPr, BUN, Cr, TC, TG, VLDL-C, LDL-C, ApoB100 increased, but Alb decreased, and there was statistical significance (all P<0.05). (3) Compared with NS group, apobec-1 treatment group showed that TC, TG, VLDL-C, LDL-C, ApoB100, ApoB48 decreased, and there were statistical significances(all P<0.05). (4) Compared with the sham operation group, apobec-1 treatment group showed that 24UPr, BUN, Cr increased, but Alb, apolipoprotein B48 (ApoB48) decreased, there were statistical significances(all P<0.05). (5)There were significant differences of hepatic protein expression among the 3 groups in LRP(F=44.180, P=0.000), LDLR(F=63.141, P=0.000). Compared with the sham operation group and NS group, apobec-1 treatment group showed that the expression of LRP was up-regulated (P<0.01, 0.05), while the expression of LDLR was down-regulated (all P<0.05). Conclusions When liver acquired expression of apobec-1 in NS, it could up-regulate LRP, accelerate the elimination of ApoB48-lipoproteins, and produce a certain lipid-lowering effect. Key words: Low density lipoprotein receptor; Low density lipoprotein receptor related protein; Nephrotic syndrome; apobec-1