Little is known about the effects of oxidative stress on macropbage lipid peroxidation and on their atherogenic consequences. Therefore, we questioned the causal relationship between cellular lipid peroxides content and macrophagc uptake of oxidized low-density lipoprotein (Ox-LDL). Lipid peroxide content in mouse peritoneal macrophages (MPMs) from E-deficient (E-0) mice increased progressively by up to 4.6 fold during mice aging, and this was accompanied by an age-dependent increase in the cellular uptake of Ox-LDL (90%), and in the expression of the scavenger receptor CD36 mRNA (41%). Inhibition or stimulation of cellular oxidative stress by administration of dietary potent antioxidants (vitamin E or glabridin) or by inducing cellular glutathione depletion (by using buthionine sulfoximine), respectively, resulted in a significant increment or inhibition of macropbage uptake of Ox-LDL and in cellular CD36) mRNA expression, respectively. Intraperitoneal injection of human serum paraoxonase (PON1) into E-0 mice, resulted in a 40-65% decrement in the lipid peroxide content in MPM harvested from E-0 mice at 2-5 months of age, which subsequently resulted in. a similar reduced uptake of Ox-LDL and expression of CD36 mRNA (by 30-40%). In conclusion, our results are the first to demonstrate that macropliage lipid peroxidation stimulates CD36 mRNA expression and enhances the cellular uptake of Ox-LDL. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.