OBJECTIVE: To evaluate the antioxidant effects of acetaminophen in atherosc
lerosis.
DATA SOURCES: Experimental literature and abstracts accessed through MEDLIN
E (1966-February 2001).
DATA SYNTHESIS: Atherosclerosis is an inflammatory disorder associated with
coronary events. The oxidative stress burden resulting from excess pro-oxi
dant free radical formation contributes to oxidative modification of low-de
nsity lipoprotein (lipid peroxidation) and is associated with atheroscleros
is. Acetaminophen (phenol-like compound) may limit these key processes that
are involved. The findings of earlier experimental laboratory tests and ab
stracts are evaluated.
CONCLUSIONS: In vitro data suggest that acetaminophen may reduce lipid pero
xidation, whereas animal data showed decreased progression of atheroscleros
is. Further animal model and human studies are required to confirm these ea
rlier findings.