The mechanism by which dietary unsaturated fatty acids lower low density lipoprotein (LDL) cholesterol Is unknown. Unsaturated fatty acids incorporated into the cell membrane can increase membrane fluidity and, as a result, dramatically alter membrane-dependent cell functions. Therefore, we examined the effect of long-term dietary consumption of com oil and coconut oil with and without cholesterol In amounts equivalent to those of a typical Western diet on the degradation of human LDL by peripheral blood mononuclear cells in Cebus alblfrons monkeys. Cellular LDL degradation was dramatically enhanced In the mononuclear cells Isolated from animals fed corn oil In comparison with those from animals fed coconut oil. The addition of cholesterol to the diets resulted in a slight attenuation of LDL degradation In the corn oil group while no effect was noted In the coconut oil group. Crossover E pidemiologic studies have linked diets rich In unsaturated fatty acids to a reduction in low density lipoprotein (LDL) cholesterol, 12 but the molecular mechanism by which this phenomenon occurs remains poorly understood. A number of possible mechanisms have been suggested, including modification in: 1) de novo cholesterol synthesis, 2) cholesterol absorption from the small intestine, 3) physicochemical properties of the LDL surface coat or core, 4) cholesterol distribution between plasma and various intrahepatic pools, 5) fecal sterol or cholesterol excretion, 6) partitioning of cholesterol among "cellular" pools, 7) apolipoprotein metabolism, and 8) rates of LDL metabolism.3 -7 Recent human and animal studies strongly support increased LDL metabolism as a This work was supported in part by NIH Grants RO1 HL40411, RO1-HL3610, and HL39385, by a Grant-in-Aid from the American Heart Association, a Fellowship Grant from the American Heart Association, Massachusetts Affiliate, and NIH-NRSA Grant F32-HL07700. Joseph Loscalzo is the recipient of a Career Development Award from the NIH (K04 HL02273).Address for correspondence: Joseph Loscalzo, M.D., Ph.D., Brigham and Women's Hospital,75 Francis Street, Boston, MA 02115.Received January 17, 1989; revision accepted July 5, 1989. major factor. 347 The actual cellular mechanism by which LDL clearance is enhanced, however, remains unknown.Alterations in the bulk physical properties of plasma membranes can produce changes in membranedependent cellular functions. Dietary fatty acids readily incorporate into cell membranes and can modify the physical properties of these membranes. Increasing c/s-unsaturated fatty acyl composition increases membrane fluidity (or decreases microviscosity and order), while increasing the saturated fatty acyl composition decreases membrane fluidity. Similarly, increasing the cholesterol content of membranes decreases membrane fluidity and can produce perturbations in cellular functions. For example, capping of surface immunoglobulins in lymphocytes, 8 platelet aggregability, 9 erythrcphagocytosis by macrophages, 10 and receptor binding of £-adrenergic, serotonine...