It is well accepted that high levels of low-density lipoprotein (LDL)
cholesterol in the plasma ave associated with increased risk of athero
sclerosis. The cellular and molecular mechanisms linking the two howev
er have not been fully resolved. One of the processes involved in athe
rogenesis that has been intensively studied in this regard is the oxid
ation of LDL. Oxidation may convert LDL into an atherogenic form, whic
h incites an inflammatory and proliferative response characteristic of
the atherosclerotic lesion. One of the potential mediators in this pr
ocess is the lipid peroxidating enzyme 15-lipoxygenase, which has been
shown to be induced in the atherosclerotic lesion and is capable of o
xidizing LDL. In this article, we review the motivation for looking at
mechanisms of LDL oxidation and the proposed involvement of 15-lipoxy
genase in the pathogenesis of the disease.