Novel risk factors for the progression of atherosclerosis such as C-reactiv
e protein (CRP) and adhesion molecules have stimulated much recent interest
in the role of inflammation in atherosclerotic disease. There is also evid
ence emerging that autoimmunity may have a role in the pathogenesis of athe
rosclerosis. in this article we explore the evidence for the role of autoim
munity in human atherosclerosis, both in the general population and in the
context of the antiphospholipid syndrome. In particular we will focus on se
veral autoantigens, review the evidence for their role in the process of at
herosclerosis and the nature of the immune responses.