It is generally accepted that oxidation of low-density lipoproteins (LDL) i
s a causal factor in the development of atherosclerosis. Non-enzymatic glyc
osylation of LDL, i.e. "glycation", plays a central role in late complicati
ons of diabetes mellitus and may initiate and/or accelerate the oxidation p
rocess. Therefore, the inhibition of this processes is of major therapeutic
relevance. The influence of acetylsalicylic acid (ASA) on the oxidation of
native and glycated LDL was studied in vitro. LDL (0.25 mg protein/ml) was
oxidatively modified with 5.0 mu M CuSO4. Only at "supratherapeutical" ASA
concentrations in the range 0.06-2.0 mg/ml we found a significant concentr
ation-dependent inhibition of LDL oxidation both for native and glycated LD
L, which was from 0.2 mg/ml upwards significantly more marked for native LD
L than for glycated LDL. The maximal inhibitory effect occurred at 2.0 mg/m
l with 89.6% inhibition of LDL-oxidation for native LDL and 64.4% for glyca
ted LDL. At 0.2 mg/ml ASA the respective inhibitory values were 38.5% and 3
1.0%. For glycated LDL the ASA doses of maximal- and approximately 50%-inhi
bition, as found for native LDL, were chosen to investigate the inhibitory
effect on 2,4,8 and 24 hours oxidation of glycated LDL to monitor the time-
dependency of inhibition by ASA. This revealed that ASA only delayed, not p
ermanently inhibited LDL oxidation.