Increases in plasma cholesterol are associated with progressive increases in the risk of atherosclerotic cardiovascular disease. In humans plasma cholesterol is contained primarily in apolipoprotein B-based low density lipoprotein (LDL) (7). Thus in the "oxidation theory," the properties of oxidatively modified LDL are the basis for their purported role as the atherogenic LDL species in ASCVD. But why should elevation of plasma LDL concentration accelerate its oxidative modification? Investigations of dietary factors that influence plasma LDL-cholesterol, the "lipid theory," show that consumption of saturated fat increases LDL levels, whereas consumption of polyunsaturated fat decreases LDL levels and, concomitantly, disease risk (8)(9)(10)(11)(12)(13)(14). Yet the chemical composition of LDL-containing polyunsaturated fats should render them more susceptible to oxidative damage. The seeming inconsistencies between the findings of these two distinct research areas could be due to the confounding effects of variable lipoprotein age.Currently, lipoprotein age is uncontrolled in studies attempting to relate concentrations of LDL, or their oxidative susceptibility, to the development of ASCVD. Consideration of lipoprotein age is important because it can vary widely. The classical LDL pathway predicts reduced numbers of highaffinity receptors per cell as cellular cholesterol increases (metabolic down-regulation) (15). This prediction is now established, and decreases in cellular receptor numbers increase the time required for removal of a fixed amount of LDL from plasma (4). Thus, in comparison to individuals with normal levels of plasma cholesterol, individuals that are hypercholesterolemic not only possess higher concentrations of LDL but also substantially older LDL.Oxidative damage of LDL is believed to occur primarily in the subendothelial space of the vascular wall (16). During circulation LDL enter and re-emerge from the subendothelial space (17). Increasing the time needed to remove fixed amounts of LDL from circulation creates conditions that favor increases in the number of LDL exposed to the subendothelium and, perhaps, the duration of that exposure. Repeated or prolonged exposure of lipoproteins like LDL to an oxidative environment could increase their susceptibility to oxidation by Abbreviations: ASCVD, atherosclerotic cardiovascular disease; LDL, low density lipoprotein(s); VLDLy, yolk-specific very low density lipoprotein(s); apo, apolipoprotein; PUFA, polyunsaturated fatty acid(s).