Human atherosclerotic plaques are characterized by a massive depositio
n of lipid within arterial walls, The lipids accumulated are partly ox
idized, as assessed by gas chromatography of lipids and their oxidatio
n products, Both advancing age and diabetes mellitus are associated wi
th an increased prevalence and severity of atherosclerosis, In diabete
s mellitus the development of secondary complications appear to be inc
reased by poor glucose control, Indeed, the post-translational modific
ation of protein by non-enzymatic glycation may provide the link betwe
en abnormal glucose control and diabetic complications, For atheroscle
rosis however, the relationship between glucose control and disease is
unclear, with evidence available to support and discount such a link,
To study protein glycation in a condition associated with a significa
nt level of lipid oxidation products poses several methodological prob
lems, most of which are associated with interference by lipid-derived
aldehydes, Many chemical assays of protein glycation monitor aldehydic
products common to the chemistry of both protein glycation and lipid
oxidation, Studies of protein glycation in human atheroma, obtained at
necropsy, are presented which make use of a commercially available bo
ronic acid affinity-based chromatographic assay of glycated protein, T
he commercially available affinity-based chromatographic assay of glyc
ated protein appears to be free from such interference and may well pr
ove useful in the study of other conditions in which the non-enzymatic
glycation of protein is suspected.