OSBPL7/ORP7 is a sterol-binding protein of the oxysterol-binding protein family that links sterol sensing to membrane traffic, autophagy-related machinery, and cholesterol efflux (PMID:17428193, PMID:21669198, PMID:34341345). It binds 25-hydroxycholesterol through a conserved pocket in its C-terminal OSBP-related ligand-binding domain (ORD), while its N-terminal PH-domain region confers plasma membrane targeting; the protein partitions between cytosol, ER membranes, and a minor plasma membrane pool (PMID:17428193, PMID:14593528). ORP7 interacts with the autophagy-related SNARE-modifier GATE-16 (GABARAPL2) via its N-terminal region, and this interaction drives proteasomal destabilization of the Golgi SNARE GS28; 25-hydroxycholesterol potentiates this effect, and ORP7 overexpression promotes association with LC3-positive autophagosomal structures, coupling sterol ligand status to SNARE turnover (PMID:21669198). OSBPL7 is the direct molecular target of 5-arylnicotinamide compounds that upregulate ABCA1- and ABCG1-dependent cholesterol efflux, and it interacts with AKT1; pharmacological engagement induces cholesterol efflux from podocytes and endothelial cells, while its inhibition perturbs cellular lipid composition and angiogenesis (PMID:34341345, PMID:39695567). Functionally, OSBPL7 deficiency triggers ER stress-mediated podocyte apoptosis, proteinuria, and elevated cellular triglyceride, establishing a role in podocyte and glomerular integrity (PMID:34341345, PMID:38961844).