Oxidatively modified phospholipids with fragmented acyl chains have attract
ed much interest because of their proinflammatory activity and their potent
ial involvement in atherosclerosis. They can be formed in vitro by free rad
ical treatment of unsaturated phospholipids but it is not known under which
conditions they accumulate in vivo. We assayed one species of fragmented p
hosphatidylcholine (PC) in human blood plasma by high performance liquid ch
romatography after precolumn derivatization with chloromethylanthracene. St
ructural analysis suggested that fragmented PC was a diacyl species with a
palmitoyl group and a short oxidized residue, which most likely had four ca
rbons. The concentration of fragmented PC was higher in elderly individuals
with coronary heart disease than in young healthy controls. Smoking one ci
garette acutely increased the concentration of fragmented PC in healthy adu
lts. Fragmented PC also increased in the reperfusion period after treatment
with cardiopulmonary bypass. The increase coincided with a surge of circul
ating neutrophils. In rats, the plasma concentration of fragmented PC was e
levated by vitamin E deficiency and exposure to high oxygen. The data demon
strate that fragmented PC increases in blood plasma in response to various
forms of oxidative stress.