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(Circulation. 1997;95:1062-1071.)
© 1997 American Heart Association, Inc.


Articles

Lewis A. Conner Memorial Lecture

Oxidative Modification of LDL and Atherogenesis

Daniel Steinberg, MD, PhD

the Department of Medicine, University of California San Diego, La Jolla, Calif.

Correspondence to Dr Steinberg, Division of Endocrinology and Metabolism, Department of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA 92093-0682. E-mail dsteinberg@UCSD.Edu.


Key Words: arteriosclerosis • atherosclerosis • lipoproteins


*    Introduction
 
I want to express my thanks to Dr Sidney Smith, President of the American Heart Association, for selecting me to present the 1995 Conner Memorial Lecture. I want also to express my admiration for and gratitude to this remarkable organization, the American Heart Association, and its wonderful staff, with whom I have worked for more than 30 years. I have missed very few AHA meetings since 1959 when the American Society for Study of Arteriosclerosis became the American Heart Association Council on Arteriosclerosis. I-indeed all of us-owe a great debt to the AHA for its tireless efforts over the years to support medical research and improve medical care.

I start with the assumption that we can all agree that hypercholesterolemia-particularly hyperbetalipoproteinemia-is an important causative factor in atherogenesis and that correction of it can strikingly reduce the risk of coronary heart disease (CHD). Yet it was not so long ago that this argument had to be vigorously defended. It was only in 1983 that the National Institutes of Health (NIH) officially endorsed the position that hypercholesterolemia must be treated. That decision followed closely on the completion of the landmark Lipid Research Clinic Intervention Trial, initiated by Dr Donald S. Fredrickson and Dr Robert I. Levy and shepherded to completion by Dr Basil Rifkind.1 The following year I had the privilege of chairing the NIH Consensus Conference on Lowering Blood Cholesterol,2 which concluded unanimously that there was an unarguable cause-and-effect relationship and that lowering blood cholesterol should be an important national goal. . . . [Full Text of this Article]




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Arterioscler. Thromb. Vasc. Bio.Home page
M. Kapinsky, M. Torzewski, C. Buchler, C. Q. Duong, G. Rothe, and G. Schmitz
Enzymatically Degraded LDL Preferentially Binds to CD14high CD16+ Monocytes and Induces Foam Cell Formation Mediated Only in Part by the Class B Scavenger-Receptor CD36
Arterioscler Thromb Vasc Biol, June 1, 2001; 21(6): 1004 - 1010.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
R. L. Hargrove, T. D. Etherton, T. A. Pearson, E. H. Harrison, and P. M. Kris-Etherton
Low Fat and High Monounsaturated Fat Diets Decrease Human Low Density Lipoprotein Oxidative Susceptibility In Vitro
J. Nutr., June 1, 2001; 131(6): 1758 - 1763.
[Abstract] [Full Text]


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Cardiovasc ResHome page
M. Exner, M. Hermann, R. Hofbauer, S. Kapiotis, P. Quehenberger, W. Speiser, I. Held, and B. M.K Gmeiner
Semicarbazide-sensitive amine oxidase catalyzes endothelial cell-mediated low density lipoprotein oxidation
Cardiovasc Res, June 1, 2001; 50(3): 583 - 588.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. Kuzuya, M. A. Ramos, S. Kanda, T. Koike, T. Asai, K. Maeda, K. Shitara, M. Shibuya, and A. Iguchi
VEGF Protects Against Oxidized LDL Toxicity to Endothelial Cells by an Intracellular Glutathione-Dependent Mechanism Through the KDR Receptor
Arterioscler Thromb Vasc Biol, May 1, 2001; 21(5): 765 - 770.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. Inoue, H. Itoh, T. Tanaka, T.-H. Chun, K. Doi, Y. Fukunaga, N. Sawada, J. Yamshita, K. Masatsugu, T. Saito, et al.
Oxidized LDL Regulates Vascular Endothelial Growth Factor Expression in Human Macrophages and Endothelial Cells Through Activation of Peroxisome Proliferator-Activated Receptor-{{gamma}}
Arterioscler Thromb Vasc Biol, April 1, 2001; 21(4): 560 - 566.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
S. Sugiyama, Y. Okada, G. K. Sukhova, R. Virmani, J. W. Heinecke, and P. Libby
Macrophage Myeloperoxidase Regulation by Granulocyte Macrophage Colony-Stimulating Factor in Human Atherosclerosis and Implications in Acute Coronary Syndromes
Am. J. Pathol., March 1, 2001; 158(3): 879 - 891.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J. Orbe, J. A Rodriguez, A. Calvo, A. Grau, M. S Belzunce, D. Martinez-Caro, and J. A Paramo
Vitamins C and E attenuate plasminogen activator inhibitor-1 (PAI-1) expression in a hypercholesterolemic porcine model of angioplasty
Cardiovasc Res, February 1, 2001; 49(2): 484 - 492.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
Y. Terasawa, Z. Ladha, S. W. Leonard, J. D. Morrow, D. Newland, D. Sanan, L. Packer, M. G. Traber, and R. V. Farese Jr.
Increased atherosclerosis in hyperlipidemic mice deficient in alpha -tocopherol transfer protein and vitamin E
PNAS, November 22, 2000; (2000) 240462697.
[Abstract] [Full Text]


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Am. J. Clin. Nutr.Home page
H. C McGill Jr, C A. McMahan, E. E Herderick, G. T Malcom, R. E Tracy, and J. P Strong
Origin of atherosclerosis in childhood and adolescence
Am. J. Clinical Nutrition, November 1, 2000; 72 (5): 1307S - 1315S.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
Bart De Geest, D. Stengel, M. Landeloos, M. Lox, L. Le Gat, D. Collen, P. Holvoet, and E. Ninio
Effect of Overexpression of Human Apo A-I in C57BL/6 and C57BL/6 Apo E-Deficient Mice on 2 Lipoprotein-Associated Enzymes, Platelet-Activating Factor Acetylhydrolase and Paraoxonase : Comparison of Adenovirus-Mediated Human Apo A-I Gene Transfer and Human Apo A-I Transgenesis
Arterioscler Thromb Vasc Biol, October 1, 2000; 20 (10): e68 - e75.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
S.-i. Toshima, A. Hasegawa, M. Kurabayashi, H. Itabe, T. Takano, J. Sugano, K. Shimamura, J. Kimura, I. Michishita, T. Suzuki, et al.
Circulating Oxidized Low Density Lipoprotein Levels : A Biochemical Risk Marker for Coronary Heart Disease
Arterioscler Thromb Vasc Biol, October 1, 2000; 20(10): 2243 - 2247.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
Conxita De Castellarnau, J. L. Sanchez-Quesada, S. Benitez, R. Rosa, L. Caveda, L. Vila, and J. Ordonez-Llanos
Electronegative LDL From Normolipemic Subjects Induces IL-8 and Monocyte Chemotactic Protein Secretion by Human Endothelial Cells
Arterioscler Thromb Vasc Biol, October 1, 2000; 20(10): 2281 - 2287.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
R. Asmis and J. Jelk
Vitamin E Supplementation of Human Macrophages Prevents Neither Foam Cell Formation Nor Increased Susceptibility of Foam Cells to Lysis by Oxidized LDL
Arterioscler Thromb Vasc Biol, September 1, 2000; 20(9): 2078 - 2086.
[Abstract] [Full Text] [PDF]


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J. Nutr.Home page
S. Yu-Poth, T. D. Etherton, C. C. Reddy, T. A. Pearson, R. Reed, G. Zhao, S. Jonnalagadda, Y. Wan, and P. M. Kris-Etherton
Lowering Dietary Saturated Fat and Total Fat Reduces the Oxidative Susceptibility of LDL in Healthy Men and Women
J. Nutr., September 1, 2000; 130(9): 2228 - 2237.
[Abstract] [Full Text]


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HypertensionHome page
R. Garg, Y. Kumbkarni, A. Aljada, P. Mohanty, H. Ghanim, W. Hamouda, and P. Dandona
Troglitazone Reduces Reactive Oxygen Species Generation by Leukocytes and Lipid Peroxidation and Improves Flow-Mediated Vasodilatation in Obese Subjects
Hypertension, September 1, 2000; 36(3): 430 - 435.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
B. Halliwell
Lipid peroxidation, antioxidants and cardiovascular disease: how should we move forward?
Cardiovasc Res, August 18, 2000; 47(3): 410 - 418.
[Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
H. Wiseman, J. D O'Reilly, H. Adlercreutz, A. I Mallet, E. A Bowey, I. R Rowland, and T. A. Sanders
Isoflavone phytoestrogens consumed in soy decrease F2-isoprostane concentrations and increase resistance of low-density lipoprotein to oxidation in humans
Am. J. Clinical Nutrition, August 1, 2000; 72(2): 395 - 400.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
O. Meilhac, M. Zhou, N. Santanam, and S. Parthasarathy
Lipid peroxides induce expression of catalase in cultured vascular cells
J. Lipid Res., August 1, 2000; 41(8): 1205 - 1213.
[Abstract] [Full Text]


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CirculationHome page
P. Patrignani, M. R. Panara, S. Tacconelli, F. Seta, T. Bucciarelli, G. Ciabattoni, P. Alessandrini, A. Mezzetti, G. Santini, M. G. Sciulli, et al.
Effects of Vitamin E Supplementation on F2-Isoprostane and Thromboxane Biosynthesis in Healthy Cigarette Smokers
Circulation, August 1, 2000; 102(5): 539 - 545.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Q. Jing, S.-M. Xin, W.-B. Zhang, P. Wang, Y.-W. Qin, and G. Pei
Lysophosphatidylcholine Activates p38 and p42/44 Mitogen-Activated Protein Kinases in Monocytic THP-1 Cells, but Only p38 Activation Is Involved in Its Stimulated Chemotaxis
Circ. Res., July 7, 2000; 87(1): 52 - 59.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
B. J. Kudchodkar, J. Wilson, A. Lacko, and L. Dory
Hyperbaric Oxygen Reduces the Progression and Accelerates the Regression of Atherosclerosis in Rabbits
Arterioscler Thromb Vasc Biol, June 1, 2000; 20(6): 1637 - 1643.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
S. W. Ballinger, C. Patterson, C.-N. Yan, R. Doan, D. L. Burow, C. G. Young, F. M. Yakes, B. Van Houten, C. A. Ballinger, B. A. Freeman, et al.
Hydrogen Peroxide- and Peroxynitrite-Induced Mitochondrial DNA Damage and Dysfunction in Vascular Endothelial and Smooth Muscle Cells
Circ. Res., May 12, 2000; 86(9): 960 - 966.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
L. Cominacini, A. F. Pasini, U. Garbin, A. Davoli, M. L. Tosetti, M. Campagnola, A. Rigoni, A. M. Pastorino, V. Lo Cascio, and T. Sawamura
Oxidized Low Density Lipoprotein (ox-LDL) Binding to ox-LDL Receptor-1 in Endothelial Cells Induces the Activation of NF-kappa B through an Increased Production of Intracellular Reactive Oxygen Species
J. Biol. Chem., April 21, 2000; 275(17): 12633 - 12638.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
S. Lynn, J.-R. Gurr, H.-T. Lai, and K.-Y. Jan
NADH Oxidase Activation Is Involved in Arsenite-Induced Oxidative DNA Damage in Human Vascular Smooth Muscle Cells
Circ. Res., March 17, 2000; 86(5): 514 - 519.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
I. Staprans, X.-M. Pan, J. H. Rapp, C. Grunfeld, and K. R. Feingold
Oxidized Cholesterol in the Diet Accelerates the Development of Atherosclerosis in LDL Receptor- and Apolipoprotein E-Deficient Mice
Arterioscler Thromb Vasc Biol, March 1, 2000; 20(3): 708 - 714.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
L. J van Tits, P. N Demacker, J. de Graaf, H. L Hak-Lemmers, and A. F Stalenhoef
{alpha}-Tocopherol supplementation decreases production of superoxide and cytokines by leukocytes ex vivo in both normolipidemic and hypertriglyceridemic individuals1
Am. J. Clinical Nutrition, February 1, 2000; 71(2): 458 - 464.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
M. M Kockx and A. G Herman
Apoptosis in atherosclerosis: beneficial or detrimental?
Cardiovasc Res, February 1, 2000; 45(3): 736 - 746.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
Z. S. Galis
Atheroma Morphology and Mechanical Strength : Looks Are Important, After All--Lose the Fat
Circ. Res., January 7, 2000; 86(1): 1 - 3.
[Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
A. T. Erkkila, O. Narvanen, S. Lehto, M. I. J. Uusitupa, and S. Yla-Herttuala
Autoantibodies Against Oxidized Low-Density Lipoprotein and Cardiolipin in Patients With Coronary Heart Disease
Arterioscler Thromb Vasc Biol, January 1, 2000; 20(1): 204 - 209.
[Abstract] [Full Text] [PDF]


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JAMAHome page
D. Steinberg and A. M. Gotto Jr
Preventing Coronary Artery Disease by Lowering Cholesterol Levels: Fifty Years From Bench to Bedside
JAMA, December 1, 1999; 282(21): 2043 - 2050.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
G. T Vatassery, T. Bauer, and M. Dysken
High doses of vitamin E in the treatment of disorders of the central nervous system in the aged
Am. J. Clinical Nutrition, November 1, 1999; 70(5): 793 - 801.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
R. F. Casper, M. Quesne, I. M. Rogers, T. Shirota, A. Jolivet, E. Milgrom, and J.-F. Savouret
Resveratrol Has Antagonist Activity on the Aryl Hydrocarbon Receptor: Implications for Prevention of Dioxin Toxicity
Mol. Pharmacol., October 1, 1999; 56(4): 784 - 790.
[Abstract] [Full Text]