HDL is the smallest and densest lipoprotein particle, composed of proteins, phospholipids, free cholesterol, cholesterol esters, and triglycerides. HDL particles transport cholesterol from tissues like macrophages to the liver for processing or excretion. The liver synthesizes nascent HDL particles that acquire cholesterol through interactions with the ATP-binding cassette transporter A1 and other receptors on cells. Enzymes further process and enlarge HDL as it circulates, eventually returning mature HDL to the liver to offload cholesterol through the scavenger receptor class B type 1. This reverse cholesterol transport pathway is important for reducing atherosclerosis and is part of HDL's anti-inflammatory and antioxidant functions that provide protection against cardiovascular disease.