The present study was designed to determine whether binding of low density lipoprotein (LDL) to endothelial LDL receptors contributes significantly to the penetration of LDL into the normal rabbit aorta. Initial flux rate was used as a measure of uptake of LDL. Reductive methylation of LDL is known to block its recognition by the LDL receptor. Therefore, the difference in flux rates of native LDL and reductively methylated LDL (methyl-LDL) was assumed to represent the receptor-dependent uptake. Native LDL and methyl-LDL were labeled with different isotopes ( T he main characteristics of the developing atherosclerotic lesion are cell proliferation, an increase in intercellular matrix, and cholesterol accumulation. Several lines of evidence support the conclusion that most of the cholesterol originates from plasma lipoproteins, primarily low density lipoproteins (LDL). It has been shown that accumulation of immunoreactive apo B is associated with cholesterol accumulation in the plaque, of labeled plasma LDL into the arterial wall has been shown. Recent studies in rabbits 12 have also shown that, expressed in terms of degradation per milligram of cell protein per unit time, the intima is one of the most actively LDL-catabolizing tissues in the body.To penetrate the arterial wall, LDL must first interact with the luminal surface of the artery and penetrate the monolayer of endothelial cells. Little is known about the mechanisms for this transendothelial transport. Most available evidence suggests that the LDL does not penetrate between endothelial cells but that flux takes place through the cells, i.e., by a transcellular vesicular transport. 13