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From the Departments of Biochemistry*
andCell Biology,
Heart Research Institute,Camperdown, Sydney, Australia; and the Department ofPathology,
Free Radical Research Group,Christchurch School of Medicine, Christchurch, New Zealand
Oxidative modification of low-density lipoprotein is thought to
promote arterial lipid accumulation and atherogenesis. Previous studies
reported on the presence of certain lipid or protein oxidation products
in lesions, although a systematic investigation measuring
several oxidation parameters and the accumulation of nonoxidized lipids
and antioxidants at various stages of atherosclerosis has not been
performed in the same tissue. Using the intimal lipoprotein-containing
fraction of human aortic lesions, we demonstrate here that
cholesterol accumulated with lesion development and that this increase
was already significant at the fatty streak stage. By
comparison, cholesterylesters increased significantly only in
fibro-fatty and more complex lesions that also contained significantly
increased amounts of cholesterylester hydro(pero)xides and
27-hydroxycholesterol. Cholesterylester hydroxides were the major lipid
oxidation product detected. Despite accumulation of oxidized
lipid,
-tocopherol was also present and maintained at a
comparable level over the disease process. Of the oxidized protein
moieties measured only o,o-dityrosine increased
with disease, although chlorotyrosines were present at
relatively high levels in all lesions compared to healthy vessels. Our
data show that accumulation of nonoxidized lipid precedes that of
oxidized lipid in human aortic lesions.
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