(apo B) gene detected with the restriction enzyme EcoRl gives rise to two codominant apo B alleles, one with the EcoRl recognition site (E + ) and the other without it (E"). 1 The E + allele encodes glutamic acid (Glu) at residue 4,154 in apo B-100 (the protein component of low density lipoprotein [LDL]), while the E" allele encodes lysine (Lys) at this position. The EcoRl polymorphism in the apo B gene, which corresponds to the t/z polymorphism of the Ag system, 2 appears to be universally present in humans, with the E" allele occurring at a frequency of between 0.10 and 0.15 in most human populations (see Reference 3). We 4 and others 56 have shown that the frequency of the E" allele is significantly higher in men with coronary artery disease (CAD) than in healthy men from the same population.The major pathway for removal of LDL from the plasma is mediated by high-affinity binding of the apo From the MRC Lipoprotein Team,