Abstract:Objective To investigate the expressions of serum cholesterol metabolism related proteins and miRNAs maybe targeting to ABCA1 in the cholesterol gallstone patients and control subjects and the significance. Methods Serum samples from 60 patients with cholesterol gallstones (GS) and 60 without gallbladder stone (GP) were collected. The expressions of serum cholesterol metabolism related proteins (SREBP-2, FXR, LXR, ABCA1 and ABCB11) were examined by Western blot assay. The miRNAs possibly targeting to ABCA1 were predicted by bioinformatics method, the expressions of the selected miRNAs were detected by real time-quantitative polymerase chain reaction (RT-qPCR). Results SREBP-2, FXR, LXR, ABCA1 and ABCB11 expressions in serum were significantly decreased in the GC patients compared to those in the healthy controls (P < 0.05). The serum expressions of miRNA-26a, miRNA-144 and miRNA-758 were significantly higher in the GC patients than in healthy controls (P < 0.05). Conclusions Abnormal expressions of cholesterol metabolism related proteins and the differential levels of microRNAs targeting to ABCA1 may play an important role in occurrence and development of cholesterol gallstones.