Atherosclerosis is a histopathological process of a multifactorial ori
gin. Whereas the genetic and biochemical causes received considerable
attention, the involvement of the immune system has generally been con
sidered negligible. In recent years evidence has been presented to sup
port the dominant role played by the immune system in atherosclerosis.
Two major antigenic determinants against which the immune response ma
y be triggered have been suggested, namely the heat shock protein 60/6
5 and oxidized low density lipoprotein. The current paper reviews the
data regarding the involvement of the immune system in atherogenesis w
ith respect to the antigenic candidates mentioned above.