Many recent in vitro experiments support the hypothesis that oxidative
ly modified low density lipoproteins (LDLs) could participate in ather
ogenesis. Oxidation of LDLs, especially derivatization by aldehydes or
iginating from peroxidation of fatty acids and fragmentation of apolip
oprotein (apo) B-100 which is their major apolipoprotein, probably occ
urs extra-vascularly and the presence of oxidized LDLs in the circulat
ion is not well documented. Using electophoresis and immunodetection t
echniques, we studied the structure of apo B and the presence of adduc
ts of malondialdehyde (MDA) to this protein in LDLs from plasma of a l
imited population of five healthy subjects and nine patients with seve
re atherosclerosis. In the patient-derived LDLs, apo B appeared extens
ively fragmented, much more so than in those from the healthy subjects
, although LDLs were isolated in all cases in the presence of antioxid
ants, protease inhibitors and antibiotics. Additionally, in all health
y subjects, we found a minor fragment of apo B-100, apo B-74, whereas
the complementary peptide, apo B-26, was not detected; thus the presen
ce of this minor form cannot be related to cleavage of apo B-100, eith
er by proteolysis or by oxidation. We also present evidence that MDA a
dducts are present in circulating apo B and most of its fragments not
only in atheromatous patients, but also in healthy subjects. Our resul
ts are consistent with the existence of oxidized LDLs in the human cir
culation. However, the role of non-oxidative phenomena in the structur
al modifications affecting apo B which are reported here cannot be exc
luded.