Inflammatory processes are involved with all phases of atherosclerotic lesion growth. Tumor necrosis factor-␣ (TNF␣) is an inflammatory cytokine that is thought to contribute to lesion development. Lymphotoxin-␣ (LT␣) is also a proinflammatory cytokine with homology to TNF␣. However, its presence or function in lesion development has not been investigated. To study the role of these molecules in atherosclerosis, the expression of these cytokines in atherosclerotic lesions was examined. The presence of both cytokines was observed within aortic sinus fatty streak lesions. To determine the function of these molecules in regulating lesion growth, mice deficient for TNF␣ or LT␣ were examined for induction of atherosclerosis. Surprisingly, loss of TNF␣ did not alter lesion development compared with wild-type mice. This brings doubt to the generally held concept that TNF␣ is a "proatherogenic cytokine." However, LT␣ deficiency resulted in a 62% reduction in lesion size. This demonstrates an unexpected role for LT␣ in promoting lesion growth. The presence of LT␣ was observed in aortic sinus lesions suggesting a direct role of LT␣ in modulating lesion growth. To determine which receptor mediated these responses, diet-induced atherosclerosis in mice deficient for each of the TNF receptors, termed p55 and p75, was examined. Results demonstrated that loss of p55 resulted in increased lesion development, but loss of p75 did not alter lesion size. The disparity in results between ligand-and receptor-deficient mice suggests there are undefined members of the TNF ligand and receptor signaling pathway involved with regulating atherogenesis.Inflammatory processes are an integral component to atherosclerotic lesion development. Cytokine-mediated proinflammatory responses such as endothelial cell activation and leukocyte recruitment are thought to positively contribute to the atherogenic process. One of the best-studied proinflammatory cytokines is tumor necrosis factor-␣ (TNF␣) 1 that is expressed in both human and rodent atherosclerotic plaques (1-5). However, the physiological role of TNF ligand and receptor family members in the atherogenic process remains unclear.TNF␣ and lymphotoxin-␣ (LT␣) are two predominant members of the TNF ligand family. Their structural genes are located on human chromosome 6 within the major histocompatibility complex (6). TNF␣ and LT␣ proteins are structurally similar and display 50% amino acid homology (7). TNF␣ is first synthesized as a type II transmembrane protein and is subsequently cleaved to form circulating homotrimeric TNF␣ (8). TNF␣ is synthesized primarily by activated macrophages (9), although under appropriate stimulation other cells can express this cytokine (10 -12). TNF␣ influences the function of macrophages, smooth muscle cells, and endothelial cells (13), which are major cell types observed in plaques. LT␣ is synthesized primarily by activated T and B lymphocytes (6, 7) and is also found in the circulation as a homotrimer. Unlike TNF␣, membrane-bound homotrimeric LT␣ has not been o...