Objective: To study the in炉uence of supplementation with antioxidants on factors, which might increase the risk of coronary heart disease (CHD) in Iranians. Design: Twenty-one male volunteers enter the prospective, single-blind, randomized study. Setting: The supplementation was conducted at the Cardiovascular Center, University of Tehran, the biochemical analysis were carried out in the University of Graz. Subjects: Twenty-one male medical students were recruited by advertisement. Five subjects were dropped out due to lack of the compliance. Methods: One group of Iranians received 30 mg/d b-carotene and placebo for a-tocopherol; the other received b-carotene plus 400 IU a-tocopherol for ten weeks. Concentrations of antioxidants in plasma and low density lipoproteins (LDL), plasma lipid pro庐le, autoantibody against oxidized LDL (oLAb) and malondialdehyde (MDA) concentrations in plasma were measured. Oxidative resistance of LDL was estimated using conjugated diene assay. Results: Iranians had a signi庐cantly lower plasma levels of total cholesterol (P`0.002), LDL-cholesterol (P`0.01) and high density lipoprotein-cholesterol (P`0.002), compared to healthy Austrian subjects (n 13). Although the baseline concentrations of a-tocopherol and b-carotene were comparable with Austrians, lycopene, canthaxanthin and lutein were signi庐cantly higher in Iranians (P`0.03卤0.001). In vitro oxidative resistance of LDL, measured as lag-time, was slightly higher (P`0.01) in Iranians comparing with Austrians. Plasma MDA and oLAb concentrations were signi庐cantly higher in Iranians (P`0.001). Both dietary supplementations reduced plasma MDA concentrations (P`0.001卤0.001). A key 庐nding was that a supplement combined with atocopherol caused also a signi庐cant increase of oLAb concentration (P b 0.01) as well as the signi庐cant increase of lag-time (P b 0.005). Conclusions: This study shows that high plasma MDA level of Iranians can be decreased by b-carotene supplementation with or without a-tocopherol. However, a-tocopherol is a more powerful antioxidant, which can increase the resistance of LDL to oxidation, reduce the MDA concentrations in plasma and increase autoantibodies to oLDL.