Supplementary key words atherosclerosis • metabolism • animals • lipids • cholesterolAs apolipoprotein (apo)A-I possesses tandem repeating class A amphipathic helical motifs, several investigators (including our own laboratory) have developed peptides that possess the class A amphipathic helical motif and have shown that, similar to apoA-I, several of these peptides not only interact with phospholipids to form nascent HDL-like peptide-lipid discoidal complexes but also possess both anti-infl ammatory and cellular cholesterol effl uxing properties ( 1-3 ). Several papers have been published using 4F and D-4F peptides to demonstrate that the peptides inhibit or slow down the onset of several infl ammatory diseases, including atherosclerosis (reviewed in Ref. 4 ). When 4F is synthesized from all D amino acids, the resulting D-4F is orally active and can be administered either in drinking water or mixed with food to inhibit infl ammatory processes ( 5 ). However, not all of the class A peptides are antiinfl ammatory ( 6, 7 ). It has been shown that the clustering of aromatic residues on the nonpolar face of a class A amphipathic helical motif favors its association with oxidized phospholipid ( 6-9 ).An ideal strategy for inhibiting atherosclerosis would not only decrease plasma cholesterol levels but also increase anti-infl ammatory properties. ApoE, the protein Abstract We have shown that Ac-hE18A-NH 2 , a dual-domain cationic apolipoprotein-mimetic peptide, reduces plasma cholesterol levels in dyslipidemic mice. Two singledomain cationic peptides based on the lytic class L peptide 18L were developed to test the hypothesis that a singledomain cationic amphipathic peptide can reduce atherosclerosis in apolipoprotein (apo)E null mice when orally administered. To incorporate anti-infl ammatory properties, aromatic residues were clustered in the nonpolar face similar to peptide 4F, resulting in modifi ed 18L (m18L). To reduce lytic properties, the Lys residues of 18L were replaced with Arg with the resulting peptide called modifi ed R18L (mR18L). Biophysical studies showed that mR18L had stronger interactions with lipids than did m18L. Peptide mR18L was also more effective than m18L in promoting LDL uptake by HepG2 cells. ApoE null mice received normal chow or chow containing m18L or mR18L for six weeks. A signifi cant reduction in plasma cholesterol and aortic sinus lesion area was seen only in the mR18L group. Plasma from mice administered mR18L, unlike those from the control and m18L groups, did not enhance monocyte adhesion to endothelial cells. Thus oral administration of mR18L reduces plasma cholesterol and lesion formation and inhibits monocyte adhesion. -Handattu, S. P., G. Datta, R. M. Epand, R.