Background/objective: Cardiovascular risk depends largely on paraoxonase (PON-1) and apolipoprotein A4 (APOA4) gene polymorphisms. To compare the effects of consumption of walnut-enriched meat versus low-fat meat (LM) on selected soluble adhesion molecules and leukotrienes (LTB4). Subjects/Methods: In all 22 subjects at increased cardiovascular risk were taken. It is a non-blinded, cross-over, placebocontrolled study. Two 5-week experimental periods separated by 4-6 week wash-out interval. Participants consumed walnutenriched meat during one period and LM during the other. Diet characteristics, HDLc, Apo A1, paraoxonase, sVCAM-1, sICAM-1 and LTB4 were analysed. PON-1 55, PON-1 192 and APOA4 360 polymorphism effects were also assessed. Results: Individuals consuming walnut-enriched meat displayed higher paraoxonase activity (Po0.001), lower levels of sICAM and aVCAM (P ¼ 0.046, P ¼ 0.012, respectively) and leukotriene B4 (P ¼ 0.044), and lower paraoxonase-1/HDLc and paraoxonase-1/Apo A1 ratios (both, Po0.001) than those consuming LM. Paraoxonase levels correlated negatively with those of sICAM (r ¼ À0.471, Po0.01). Significant decreases (at least Po0.05) were observed in sICAM concentrations in PON-1 55LM þ MM, PON-1 QQ192 and APOA4-2 carriers while decreases in sVCAM in QR þ RR and APOA4-1 carriers were observed. Paraoxonase-1/HDLc and paraoxonase-1/Apo A1 ratios were significantly influenced by paraoxonase polymorphisms. Conclusions: Walnut-enriched meat appears as a functional meat as consumed in the framework of a mix diet lowered the concentration of some selected inflammatory chemoattractant biomarkers. This effect was largely influenced by PON-1 and Apo A4-360 polymorphisms.