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Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:1119-1124

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:1119-1124.)
© 1999 American Heart Association, Inc.


Original Contributions

Prooxidant and Antioxidant Activities of Macrophages in Metal-Mediated LDL Oxidation

The Importance of Metal Sequestration

David M. van Reyk; Wendy Jessup; Roger T. Dean

From the Cell Biology Group, Heart Research Institute, Camperdown, Australia.

Correspondence to Roger T. Dean, Cell Biology Group, Heart Research Institute, 145 Missenden Rd, Camperdown NSW 2050, Australia. E-mail r.dean{at}hri.org.au


*    Abstract
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Abstract—Murine macrophages incubated in metal-supplemented RPMI could block or promote oxidation of low-density lipoprotein (LDL) depending on the degree of metal supplementation. Only at high concentrations of Cu (1 µmol/L) and Fe (30 µmol/L) were cells prooxidant, leading to an accelerated rate of LDL oxidation over that measured in comparable cell-free media. At lower concentrations of Cu and Fe in RPMI, LDL oxidation in the presence of macrophages was inhibited relative to the cell-free condition. This appeared to be dependent on a stable modification of the culture medium, because preconditioning of media by incubation with macrophages could also decrease their capacity to sustain subsequent cell-free LDL oxidation. This was due, in part, to a removal of metal from the media during preconditioning. However, resupplementation of media with metals did not fully restore oxidative capacity, indicating that other cell-dependent antioxidant modifications occurred. This did not involve significant alterations to the thiol content of the media. This study highlights the complexity of the role that cells such as macrophages have with regards to LDL oxidation in vitro and demonstrate that there are both antioxidative and prooxidative components.


Key Words: low-density lipoprotein • lipid peroxidation • macrophage • transition metal


*    Introduction
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Oxidation of low-density lipoprotein (LDL) has been one form of modification implicated in the generation of proatherogenic forms of this lipoprotein (reviewed in Reference 11 ). Transition metals such as Cu and Fe have been extensively studied as catalysts for LDL oxidation in vitro. There is evidence for the presence of redox-active metals in atheromatous plaques,2 3 and physiological forms of these metals such as hemin and ceruloplasmin can promote LDL oxidation in vitro.1 4 5

The various cell types found in an atheromatous plaque have all been shown to promote LDL oxidation in vitro,6 7 8 9 and this requires the presence of transition metals, both Fe and Cu.10 Indeed, we have recently shown11 that cell-mediated reduction of transition metal may be an important component of cell-mediated oxidation, providing a continued flux of the reduced form of the metal, which cleaves hydroperoxides most efficiently. Ham's F-10 (F-10), which is supplemented with Cu and Fe (0.01 and 3 µmol/L, respectively), is a commonly used medium in these studies.

We have previously demonstrated an inhibition of LDL oxidation by macrophages in HBSS supplemented with either Fe or Cu.10 The present study has directly addressed the inhibition of LDL oxidation in more enriched media and provides observations regarding the mechanism(s) involved. In comparison with F-10, RPMI had to be supplemented with substantially higher concentrations of Cu and Fe to support comparable LDL oxidation; only at these high concentrations did murine macrophages promote LDL oxidation in RPMI. At lower concentrations of metal, these cells effectively blocked LDL oxidation in dual-metal–supplemented RPMI by mechanisms which included metal sequestration.


*    Methods
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Reagents
F-10 Nutrient Mixture was purchased from Life Technologies (Catalogue No. 11550–043). RPMI 1640 (modified, Catalogue No. 50–020-PB), and L-glutamine were purchased from Trace Biosciences. CuSO4 · 5H2O, EDTA, FeCl3 · 6H2O were purchased from BDH. L-Ascorbic acid, L-cysteine, dithionitrobenzoic acid, PBS, penicillin/streptomycin, 3-(2-pyridyl)-5,6-bis(4-phenylsulfonic acid)-1,2,4-triazine ("ferrozine"), and the reagents for the bicinchoninic acid protein assay were purchased from Sigma. Chloramphenicol and Chelex® 100 Resin were obtained from Boehringer Mannheim and Biorad, respectively.

Media
At the time of use, 2 mmol/L L-glutamine, 100 U/mL penicillin, and 100 µg/mL streptomycin (Sigma) were added to both media. Where indicated, RPMI was supplemented with Fe (as FeCl3 · 6H2O) and Cu (as CuSO4 · 5H2O) from 100x stock solutions freshly prepared in 0.9% (wt/vol) NaCl for each experiment. A Cu:Fe ratio of 1:10 was chosen as routine because this ratio was shown to be optimal for Cu2+ catalysis of Fe2+ oxidation12 and for cell-mediated oxidation of LDL in HBSS.10 Other metal ratios were used and are specified.

Cells
Murine resident macrophages were isolated from adult QS mice as described previously.10 Cells were plated in tissue culture dishes (Falcon) at an initial concentration of 4x106 cells/24 mm diameter well or 9.6x106 cells/35 mm well.

LDL
Plasma was drawn from healthy, fasted adults. LDL ({rho}=1.02 to 1.05) was isolated by discontinuous ultracentrifugation as described previously,10 and filter-sterilized (0.45 µm). LDL was stored in the presence of 1 mg/mL EDTA and 100 µg/mL chloramphenicol under nitrogen, kept in the dark at 4°C, and used within 7 days of isolation. Before use, LDL was dialyzed (in the dark at 4°C for at least 16 hours) against 4x1 L of deoxygenated PBS, containing 100 µg/L chloramphenicol and 4 g/L of Chelex (prewashed before use),13 to remove the EDTA. Chelex was included to prevent adventitious LDL oxidation. After dialysis, LDL protein was assayed using the bicinchoninic acid assay with a BSA standard as previously described.14 Suppression of oxidation in LDL isolated by this procedure was assessed by measurement of {alpha}-tocopherol and cholesteryl ester hydroperoxides at the time of use. The tocopherol content of LDL varies among individuals15 ; from our pool of donors LDL routinely contained 12.3±3.6 nmol {alpha}-tocopherol/mg cell protein (n=15), which closely matches that previously reported in a larger study 11.58±3.4 (n=85).15 The LDL contained undetectable amounts of cholesteryl ester hydroperoxides (detection limit 10 pmol/mg LDL protein). On this evidence, it is concluded that no significant oxidation of LDL occurs during isolation or storage.

Cell-Mediated LDL Oxidation
Cells (4x106/24 mm well) were incubated in 1 mL of either F-10 or RPMI (metals added where indicated) containing LDL (50 µg/mL) at 37°C and 5% CO2/95% air. Cell-free incubations were performed in parallel. At timed intervals, the supernatants were collected and centrifuged for 30 seconds at 16 000g to sediment any cell debris. 800 µL of the resultant supernatant was added to 200 µL PBS containing 2 mmol/L EDTA and 20 µmol/L butylated hydroxytoluene; this solution was extracted into 2.5 mL of methanol and 5 mL of hexane. We have previously observed a 100% recovery of sterol into the hexane phase.16 17 Samples were stored at -80°C. Four-milliliter samples of the hexane phases were evaporated and redissolved in appropriate mobile phases for HPLC analysis (see below). Separate samples of supernatants were analysed immediately for flourescence and electrophoretic mobility.

Cell-Conditioned Medium Experiments
Cells (9.6x106/35 mm well) were incubated in 3 mL of medium for 24 hours. Cell-free incubations were performed in parallel. Supernatants from 2 to 3 wells of the same treatment were pooled and then centrifuged at 750g for 5 minutes at 4°C to remove any detached cells. LDL was added to the resultant supernatants for a protein concentration of 50 µg/mL and incubated (cell-free) in 24 mm wells at 37°C and 5% CO2 for 24 hours. The media were then extracted into methanol/hexane as described above.

HPLC Analysis
Analysis of LDL oxidation was by reverse-phase HPLC with UV detection for free cholesterol and cholesteryl esters (isopropanol:acetonitrile, 70:30; {lambda}=210 nm) and two of their oxidation products: 7-ketocholesterol and cholesteryl linoleate hydroperoxide (isopropanol:acetonitrile:H2O, 54:44:2; {lambda}=234 nm) using a 25-cm Supelcosil C18 column as described previously.16 17

Indirect Measurements of LDL Oxidation
The electrophoretic mobility of LDL samples was measured as previously described17 18 using 1% Universal agarose gels (Ciba-Corning, Palo Alto, CA) in Tris-Barbitone buffer (pH 8.6) at 90 V for 45 minutes. Bands were visualized using Fat Red 7B. LDL which had not been incubated in metal-containing media was used as reference. Mobilities of modified LDLs were calculated by dividing their distance migrated by that traveled by the reference LDL.

The generation of fluorescent products during LDL oxidation was measured in a Perkin-Elmer LS50B luminescence spectrophotometer with 360 nm excitation and 430 nm emission wavelengths and 5 nm slit widths, as described previously.19 The fluorescence of relevant LDL-free media were subtracted from the readings.

Ascorbate Oxidation
Cells (4x106/24 mm well or 9.6x106/35 mm well) were incubated up to 24 hours in metal-supplemented RPMI or in F-10. Cell-free incubations were performed in parallel. Supernatants were collected in the same manner as the cell conditioned medium experiments. 700 µL of supernatant was incubated with 10 µmol/L ascorbate at room temperature; consumption of ascorbate was determined by a decrease in absorbance at 265 nm using a Hitachi U-3210 spectrophotometer.20 Ascorbate-containing samples were compared against an ascorbate-free sample blank.

Atomic Absorption Spectrometry
Dissolved metal concentrations were determined on the media samples by graphite furnace atomic absorption spectrometry following micro-solvent extraction,21 using a Perkin-Elmer 4100ZL spectrometer. Analyses were performed at the Center for Advanced Analytical Chemistry, CSIRO Division of Coal and Energy Technology, Lucas Heights Science and Technology Center, Lucas Heights, Sydney, Australia.

Fe Determination by Ferrozine Assay
Cell supernatants and media from parallel cell-free treatments were adjusted to pH 3 to 4 with HCl. The Fe was reduced with 100 µmol/L ascorbate and chelated with 150 µmol/L ferrozine. Samples were incubated for up to 120 minutes at room temperature and formation of the Fe(II)-ferrozine complex was measured at 562 nm using a Hitachi U-1100 spectrophotometer. In preliminary experiments standard curves of Fe in the media of interest were prepared and, although a linear increase was observed, the absorbance values were slightly lower than those estimated using the published extinction coefficient (2.86x104 M-1 cm-1).22 For this reason the loss of ferrozine-detectable Fe in the cell conditioned media was expressed as a percentage of that detected in the cell-free control.

Thiol Determination
Cell supernatants and media from parallel cell-free treatments were assayed for thiols by the dithionitrobenzoic (DTNB) reaction23 using L-cysteine standards prepared in the appropriate medium with 20 mmol/L EDTA. Aliquots (200 µL) of sample or standard were mixed with 750 µL of 200 mmol/L Na2HPO4 · 12H2O and 20 mmol/L EDTA (pH 9.0). To each sample was added 50 µL DTNB (4 mmol/L) in 50 mmol/L PBS (pH 7.0). After 30 minutes at 37°C, the absorbance was measured at 412 nm against a DTNB-free blank.


*    Results
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LDL oxidation was measured by cholesteryl ester consumption and formation of 2 products of LDL oxidation: cholesteryl linoleate hydroperoxide (CLOOH) and 7-ketocholesterol (7-KC). CLOOH is an early oxidation product, the levels of which initially increase and later decline.1 14 17 18 24 Formation of 7-KC is less rapid and levels increase progressively during the period of oxidation.17

In cell-free RPMI there was a small degree of LDL oxidation. After 24 hours in vitro, CLOOH was 7.3±1.2 nmol/mg LDL protein (n=6), equivalent to 3 peroxide molecules per particle. This was accelerated when the medium was supplemented with 0.1 µmol/L Cu and 1 µmol/L Fe (31.2±15.0 nmol/mg LDL protein; n=10).

In agreement with previous studies, murine macrophages in F-10 promoted LDL oxidation (Figure 1BDown and 1DDown). Compared with cell-free conditions, the rates of cholesteryl ester consumption and formation of CLOOH and 7-KC were more rapid. Protein modification, as measured by changes in both relative electrophoretic mobility and fluorescence, also developed at an accelerated rate in the presence of cells (Figure 1FDown). Changes in relative electrophoretic mobility and fluorescence of LDL during metal-catalyzed oxidation are considered to predominantly represent changes in apoB composition secondary to lipid peroxidation,24 25 although they may additionally reflect direct oxidation of some amino acid residues.26 As such, they are little affected at early stages of oxidation when lipid peroxides are first identified; but, like 7-KC, increase progressively as oxidation advances beyond the peak of hydroperoxide generation17 18 24 (Figure 1Down).



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Figure 1. Stimulation or suppression of LDL oxidation by macrophages: dependence on medium composition. LDL was incubated in RPMI with 0.1 µmol/L Cu and 1 µmol/L Fe (A, C, E) or F-10 (B, D, F) in the presence (filled symbols) or absence (open symbols) of cells. Oxidation was assessed by cholesteryl ester consumption (A, B); production of CLOOH and 7-KC (C, D); measurements of altered R.E.M. and formation of fluorescent products (E, F). A, B: cholesteryl docosahexanoate (circle), cholesteryl arachidonate (triangle) and cholesteryl linoleate (square). C, D: CLOOH (circle), 7-KC (triangle). E, F: R.E.M. (diamond), fluorescence (square). Note that the y axes for C and D differ by10-fold. All data except R.E.M. and fluorescence are expressed as nmol/mg LDL protein and are means±SD (n=3) representative of up to 5 separate experiments.

LDL oxidation in RPMI supplemented with Cu and Fe at 0.1 and 1 µmol/L was markedly lower than that seen in F-10 (Figure 1AUp cf 1B, 1C cf 1D, and 1E cf 1F) despite the concentration of Cu in metal-supplemented RPMI being 10-fold greater than that in F-10. Macrophages effectively blocked LDL oxidation in such (moderately) metal-supplemented RPMI. Thus the modest cholesteryl linoleate consumption (Figure 1AUp) and CLOOH generation that occurred in this medium was effectively blocked in the presence of macrophages (Figure 1CUp; note however the difference in scale compared with Figure 1DUp).

The degree of LDL oxidation in metal-supplemented RPMI under cell-free conditions was dependent on the concentration of metals supplied (Figure 2Down). At the highest concentrations (1 µmol/L Cu and 30 µmol/L Fe; being respectively 100- and 10-fold higher than the nominal concentrations in F-10) of the metals studied, oxidation was almost comparable with that in F-10, with hydroperoxides past their peak, and substantial 7-KC levels in the supplemented RPMI conditions. As the concentrations of metal added to RPMI increased, the cells changed from being antioxidant to prooxidant. At the highest metal concentrations, the cells promoted LDL oxidation to almost the same extent as they did in F-10 (Figure 2Down). To appreciate this, it is necessary to keep in mind that hydroperoxide levels reach a peak and then decline, whereas 7-KC increases relatively steadily, as oxidation progresses.18 24 Table 1Down provides additional measures of LDL oxidation in F-10 and RPMI (1 µmol/L Cu and 30 µmol/L Fe), which further demonstrate the prooxidant activities of macrophages in these media. Thus at 24 hours, increases in both relative electrophoretic mobility (R.E.M.) and fluorescence of LDL samples paralleled changes in 7-KC content (Table 1Down), further indicating that in both media, cell-mediated LDL oxidation exceeded that of cell-free controls.



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Figure 2. Cell-mediated prooxidation or antioxidation of LDL by macrophages in metal-supplemented RPMI. LDL was incubated in RPMI with the concentrations (µmol/L) of Cu and Fe indicated or in F-10 for 6 or 24 hours in the presence (+) or absence (–) of cells. Oxidation was assessed by production of CLOOH (filled bars) and 7-KC (hatched bars). Results are expressed as the mean of 3 to 10 experiments with the standard error of the mean indicated.


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Table 1. Comparison of LDL Lipid and Protein Oxidation

Although RPMI has an approximately 4-fold higher concentration of phenol red than F-10, this was apparently not important. We found cell-free oxidation and cell-mediated antioxidation of LDL in metal-supplemented RPMI with or without phenol red were indistinguishable (data not shown).

Mechanisms that may be involved in the inhibition of LDL oxidation in metal-supplemented RPMI include metal sequestration,27 28 removal of cholesteryl ester hydroperoxides from LDL,29 or release of inhibitory species into the extracellular environment.30 31 To further investigate these mechanism(s), F-10, or RPMI with 0.1 µmol/L Cu and 1 µmol/L Fe were preincubated with macrophages for 24 hours, then the capacity of these media to support subsequent LDL oxidation in the absence of cells was measured. Cellular "conditioning" either significantly (P<0.01) reduced (in the case of F-10) or blocked (in the case of metal-supplemented RPMI) the ability of these media to support cell-free oxidation (Table 2Down).


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Table 2. Inhibition of CLOOH Production in Cell-Conditioned Media

We assessed the importance of metal sequestration by determining whether the capacity of conditioned medium to oxidize added ascorbate was decreased in comparison with that of unconditioned medium. Ascorbate oxidation is a sensitive assay for measuring redox-active transition metals in buffers.20 Ascorbate oxidation by metal-supplemented RPMI (control rate 0.12±0.04 µmol · L–1 · min–1) was decreased after treatment with macrophages (Figure 3Down). This decrease was apparent after 6 hours preincubation with cells but maximal after 24 hours in vitro. This indicates a selective loss of redox active metal in the cell-conditioned medium. No such clear difference was seen with cell-conditioned F-10 (control rate of ascorbate oxidation, 0.18±0.05 µmol · L–1 · min–1), probably because of its higher capacity to oxidize ascorbate.



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Figure 3. Relative decrease in the rate of ascorbate oxidation in macrophage-conditioned RPMI with 0.1 µmol/L Cu and 1 µmol/L Fe. Media were incubated in the presence or absence of cells for 24 hours and supernatants were recovered as for Table 2Up. Samples were incubated with 10 µmol/L ascorbate at room temperature for 30 minutes and consumption of ascorbate was determined by the decrease in absorbance at 265 nm. The rate of ascorbate oxidation in the control conditions was 0.12±0.04 µmol · L–1 · min–1. Results were calculated as a percentage of the loss of absorbance measured for the cell-free medium and are represented as the mean±SEM for 3 experiments. *significant difference (P<0.05, Student's t test) between the rate of ascorbate oxidation for the cell-conditioned and cell-free samples. n.s. indicates no significant difference.

Cu and Fe sequestration from either F-10 or RPMI supplemented with Cu and Fe at 0.1 and 1 µmol/L, respectively, was assessed using atomic absorption spectroscopy. However, we found that quantification of both Cu and Fe in such complex matrices by atomic absorption spectroscopy was unreliable. We therefore used a colorimetric method for determination of Fe in a chelated complex as an alternative approach. When macrophages were incubated in RPMI supplemented with 30 µmol/L Fe for 24 hours, there was a clear loss of metal as determined spectrophotometrically using the ferrozine assay (only 8±2% of that measured in the parallel cell-free incubated medium for 3 independent experiments).

Sequestration of metals was not the sole mechanism by which macrophages inhibited LDL oxidation. Resupplementing cell-conditioned metal-supplemented RPMI with Cu and Fe at the original concentrations did not restore its capacity to support LDL oxidation (Table 3Down).


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Table 3. Inhibition of CLOOH Formation in Cell-Conditioned RPMI: Effect of Metal Resupplementation

Release of thiols was considered as a possible additional inhibitory action, because at relatively high concentrations, several thiols can inhibit metal-catalyzed lipid peroxidation.32 Both F-10 and RPMI contain thiols (RPMI as disodium cystine and glutathione: {approx}400 µmol/L available –SH; and F-10 as cysteine {approx}200 µmol/L available –SH) which in the presence of metals would all be oxidized. Cells in vitro are capable of re-reducing these disulfides.9 11 33 In the absence of cells, thiol levels in metal-supplemented RPMI and F-10 were below the level of detection ({approx}1 µmol/L). The levels in cell-conditioned metal-supplemented RPMI were not significantly higher than for the cell-free condition (Table 4Down), although significant (P<0.05) amounts of thiol were detected in cell-conditioned F-10 (Table 4Down). Thus there was no indication that cell-associated increases in thiol levels were important in the inhibitory effects of medium conditioning in the case of metal-supplemented RPMI.


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Table 4. Detection of Free Thiols in Cell-Conditioned RPMI With 0.1 µmol/L Cu and µmol/L Fe, and in Ham's F-10


*    Discussion
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The data illustrate the complex role that macrophages have in modulating transition metal-catalyzed LDL oxidation. Although these cells routinely promote oxidation of LDL in F-10, the capacity to do so in RPMI required much greater concentrations of Cu and Fe, consistent with other recent studies on metal supplementation of HBSS.10 At lower metal concentrations, macrophages were consistently antioxidant. Some of these observations are in contrast with a recent study34 in which the murine macrophage cell line J774A0.1 promoted LDL oxidation in both Fe-supplemented (50 µmol/L) and unsupplemented RPMI with 0.2% BSA. Under each of these conditions LDL oxidation (measured insensitively as release into the medium of thiobarbituric acid-reactive substances) was not detected in the absence of cells; thus differences in the parameters measured may explain the differences with the present results. In addition, the higher concentrations of supplemented metal and the use of a transformed cell line in the work of others may have had an impact given the complex media under study.

It is only at high concentrations of both Cu and Fe that the degree of LDL oxidation in cell-free metal-supplemented RPMI was comparable to that seen in F-10. Thus, apparently the redox availability of the metals in RPMI is less than that in F-10. Apart from containing both Cu and Fe, F-10 differs from RPMI in being relatively deficient in a number of components including: amino acids (the exceptions being arginine and histidine); total phosphates; total available thiols; and phenol red. These differences may explain the relative inability of RPMI to support oxidation, and hence cell-associated antioxidative processes may override simultaneous cellular prooxidant activities.

Several mechanisms could be involved in the inhibition of LDL oxidation. Metal sequestration by macrophages is known to occur. We have shown a loss of ability to support oxidation in metal-supplemented media after preincubation with cells; we have also directly measured the loss of Fe from the same media. Thus metal sequestration probably contributes to the cell-mediated inhibition of LDL oxidation. However, metal sequestration alone cannot fully explain the results. The degree of LDL oxidation was still reduced after resupplementation of RPMI with metals and the capacity of conditioned F-10 to support subsequent cell-free LDL oxidation was reduced even though there was not detectable loss of ascorbate-detectable redox-active metal. Thus it is likely that the cells additionally modified the medium. A major role of thiols in this inhibition was eliminated, because cell-conditioned metal-supplemented RPMI contained low or undetectable thiols; this finding is in agreement with our other recent studies.11 The cells might also inhibit oxidation by removing hydroperoxides (by nonradical reduction), as may be indicated because the maximum levels of CLOOH are higher in the absence of cells than in the presence of cells (Figure 2Up).

In conclusion, we have demonstrated that for the nutrient-rich medium RPMI to support LDL oxidation in the absence or presence of cells, relatively high levels of metal supplementation are required. At lower metal concentrations, cells can effectively block LDL oxidation for an extended period of incubation. This is likely to involve sequestration of metals as well as other modifications of the extracellular environment. In physiological conditions (where free metal concentrations are low), the sequestration of metals by macrophages will thus probably contribute to antioxidant function. However, the prooxidant activity of macrophages may be expressed if free metal concentrations rise, as apparently occurs, for example, during atherosclerosis.2


*    Acknowledgments
 
The authors thank Leigh Hales at the Center for Advanced Analytical Chemistry for performing the AAS Cu and Fe analyses. This work was supported by a grant from the National Health and Medical Research Council of Australia. WJ is also supported by the National Health and Medical Research Council.

Received October 20, 1997; accepted October 28, 1998.


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*References
 

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