The role of lipid peroxidation during the pathogenesis of atherosclerosis h
as been described through numerous studies and has provided compelling evid
ence for free radical-mediated processes that link hypertension with athero
sclerosis. However, there remains only limited information concerning perox
idative processes in hypertension and their modulation by antioxidants. In
the present study, the formation of cholesterol oxidation products was used
as a measure of in vivo lipid peroxidation after hypertension induced by c
oarctation of the aorta in New Zealand White rabbits. The rabbits were fed
a standard chow diet devoid of cholesterol or cholesterol oxidation product
s such that the measured cholesterol oxides in the plasma and aortic tissue
s would most plausibly arise from endogenous oxidation of cholesterol. Afte
r 12 weeks of hypertension, all of the measured cholesterol oxides increase
d significantly over baseline levels in the surgically coarctated animals;
however, this increase was significantly less in hypertensive probucol-trea
ted animals. Similarly, the cholesterol oxide content of aortic tissue from
the surgically coarctated animals was significantly greater than that foun
d in normotensive control aortas, and probucol treatment significantly redu
ced the increase in cholesterol oxide content of aortic tissue relative to
that of hypertensive animals not receiving the antioxidant. These findings
in hypertensive animals suggest that cholesterol oxidation products measure
d in plasma and aortic tissue can be derived from endogenous free radical a
ctivity and that this activity is enhanced under specific pathological cond
itions.