Copper-induced LDL oxidation is characterized by an 'induction phase'
(lag phase) during which the endogenous antioxidants are consumed, fol
lowed by a 'propagation phase' in which the LDL-associated polyunsatur
ated fatty acids are oxidized. Oxidation products may play an importan
t role in the propagation of the oxidative process in the arterial int
ima as they increase the permeability of the damaged endothelium to va
rious plasma components, including LDL. We therefore found it of inter
est to investigate the kinetics of LDL oxidation in vitro under condit
ions where LDL is sequentially exposed to Cu2+-induced oxidation. The
results of our studies demonstrate that when native LDL is exposed to
copper oxidation in a medium containing oxidized LDL, oxidation of the
added LDL may be almost instantaneous. Furthermore, even when native
LDL is added to 'oxidizing LDL' towards the end of the lag phase or du
ring the propagation phase it becomes oxidized after a very short lag.
This oxidation process, occurring in spite of the possible protective
effect of the antioxidants present in the newly added LDL, indicates
that although antioxidants prolong the latency period by preventing th
e formation of active free radicals, when such radicals are present in
the system, oxidation propagates. These results lend strong support t
o the generally accepted paradigm regarding the mechanism of propagati
on of lipid oxidation. In view of the effect of oxidation products on
the permeability of the endothelium, the observed shortening of the la
g period may result in a vicious cycle, independent of the LDL-associa
ted antioxidants, leading to continuing oxidation and foam cell format
ion.