Rabbits on a 1% cholesterol diet received injections of vehicle with or without D-4F or L-4F. After 1 month, the percent of aorta with atherosclerotic lesions was 24 6 15% (vehicle), 10 6 6% (D-4F) (P , 0.01 vs. vehicle), and 13 6 9% (L-4F) (P , 0.05 vs. vehicle). Inflammatory indexes for HDL and LDL were determined by measuring monocyte chemotactic activity after adding rabbit lipoproteins to human endothelial cells. HDL-inflammatory index (HII) and LDL-inflammatory index (LII), respectively, were 1.39 6 0.24; 1.35 6 0.29 (vehicle), 0.67 6 0.26; 0.63 6 0.38 (D-4F) (P , 0.001 vs. vehicle), and 0.67 6 0.2; 0.68 6 0.32 (L-4F) (P , 0.01 vs. vehicle). Serum amyloid A (SAA) levels were 95 6 39, 8 6 22, and 7 6 19 mg/ml, respectively, for vehicle, D-4F, and L-4F (P , 0.001 vs. vehicle). There was no correlation between lesion area and total plasma or HDL-cholesterol levels. In contrast, there was a positive correlation with HII, LII, and SAA (P 5 0.002, P 5 0.0026, P 5 0.0079, respectively). HII correlated closely with SAA levels (r 5 0.6616; r 2 5 0.4377, P , 0.0001). Thus, HII, LII, and SAA are better predictors of lesion area than are total plasma or HDLcholesterol levels in cholesterol-fed rabbits.-Van Lenten, B. J., A. C. Wagner, M. Navab, G. M. Anantharamaiah, S. Hama, S. T. Reddy, and A. M. Fogelman. Lipoprotein inflammatory properties and serum amyloid A levels but not cholesterol levels predict lesion area in cholesterol-fed rabbits. J. Lipid Res.