The purpose of this study was to evaluate, under the most rigorous pre
cautionary measures against in vitro oxidation, whether the baseline l
ipid peroxide levels in hypercholesterolemic subjects were higher than
those in normolipidemic subjects. Two methods were employed: thiobarb
ituric acid (TBA), and hemoglobin-methylene blue (HbMB). Blood was col
lected into EDTA tube and centrifuged at 4-degrees-C for 30 min to col
lect plasma, then protected from in vitro oxidation with preservatives
and N2. Serum was from blood samples allowed to clot at 20-degrees-C
for 1 h, then protected from oxidation. Determination of lipid peroxid
e was carried out within 2 h of blood collection. Results from 35 hype
rcholesterolemic and 34 control subjects showed that lipid peroxide le
vels obtained from both methods were significantly higher in serum tha
n in plasma for both groups, suggesting a greater rate of lipid peroxi
dation occurred in serum during clot formation. However, no significan
t difference in lipid peroxide levels was found between patients and c
ontrols in either serum or plasma by either assay method. No correlati
on existed between lipid peroxide values and plasma cholesterol or LDL
-cholesterol levels. These results suggest that the mechanism for a hi
gher tendency towards atherosclerosis in hypercholesterolemic subjects
is not related to baseline levels of plasma lipid peroxide.