The presence of ceroid, a complex of protein associated with oxidized
lipids, is commonly observed in human atherosclerotic lesions. When th
e human aortic walls were examined by Perls' staining, it was found th
at the iron deposits were evident in aortas with atherosclerosis. The
extent of iron deposition was associated with the severity of the lesi
on. Furthermore, the iron deposits appeared to be colocalized with cer
oids either extracellularly or intracellularly in foam cell-like macro
phages or smooth muscle cells. Electron microscopy and X-ray microanal
ysis revealed that some of the extracellular iron aggregates were pres
ent within the ceroids. Likewise, some of the subcellular iron aggrega
tes were found to be located near the lipid droplets or within the cer
oids of foam cells. Collectively, these observations support the theor
y that the lipid oxidation occurring in lipid-laden cells of aortic le
sions is facilitated by iron-overload in these cells. (C) 1998 Elsevie
r Science Ireland Ltd. All rights reserved.