The principal antioxidant in human LDL, a-tocopherol, is converted to the a-tocopheroxyl radical after reaction with peroxyl radicals or Cu 2+, and, if it does not terminate with peroxyl radicals, could initiate lipid peroxidation; a phenomenon called 'tocopherol mediated peroxidation'. Only in the presence of Cn 2+ and low levels of lipid hydroperoxides was an o~-tocopherol dependent decrease in the resistance of LDL to oxidation detected. This suggests that toeopherol mediated peroxidation will probably not contribute significantly as a pro-oxidant process in those individuals most at risk of developing atherosclerosis through an oxidative mechanism.