Cholesterol is a normal constituent of blood plasma and of cell membra
nes in every tissue of the body. It is transported in plasma as a comp
onent of lipoproteins. Increased concentrations of specific lipoprotei
n fractions, namely low density lipoproteins (LDL) and intermediate de
nsity lipoproteins (IDL), have been implicated both in vitro and in vi
vo as causes of atherosclerosis. The mechanism by which these lipoprot
eins initiate atherosclerosis is unknown, although there is growing ev
idence that it involves interactions between lipoproteins and cells wi
thin the artery wall, setting in train complex reactions which lead ul
timately to the fully developed lesion.