Abstract-Oxidative stress plays important roles in a wide spectrum of pathological processes, such as atherosclerosis.Although several environmental factors are documented to influence redox metabolism, relatively little is known about genetic effects. In the present study, we evaluated genetic contributions to variation in plasma total antioxidant status (TAS), a measure of peroxyl-scavenging capacity, in 1337 members of 40 Mexican American families. TAS levels were significantly lower in women than in men (1.675Ϯ0.004 versus 1.805Ϯ0.005 mmol/L, respectively; PϽ0.001), and there was a significant decline of TAS levels with age in men but not in women (PϽ0.01 for the interaction). Quantitative genetic analysis indicated the heritability of TAS levels to be 0.509Ϯ0.052; ie, Ϸ51% of the residual variance (after covariate adjustment) in TAS levels was due to the additive effects of genes (PϽ0.001). We have further observed a significant gene-by-smoking interaction (PϽ0.05). Additive genetic effects account for 83% of the residual phenotypic variance in TAS levels among smokers, but they account for only 49% in nonsmokers. However, genes contributing to TAS variation are the same in smokers and nonsmokers.