Abstract
Lipid oxidation is widely accepted to be critical in the initiation of atherosclerosis,1 the major cause of death in industrialized countries. The use of antioxidants to improve health in non-deficient individuals, however, remains contentious as randomized trials of antioxidant supplementation in patients with established coronary disease have shown conflicting results.2–4 The potential role for antioxidants in earlier stages of atherosclerosis remains untested. Probucol, a cholesterol-lowering antioxidant, has generated much interest as it decreases restenosis after coronary angioplasty.5 Studies using probucol in animal models of atherosclerosis have, however, shown conflicting results, including inhibitory,6 neutral7 or promoting8 effects. Furthermore, the mechanisms of action of probucol in vivo remain unclear.