1 There are contradictory ®ndings regarding the e ects of free fatty acids on vascular smooth muscle cell (VSMC) growth. In the present study we investigated the e ects of fatty acids released from hydrolysis of human VLDL triglycerides by lipoprotein lipase and of the fatty acids most abundant in the hydrolysed VLDL, namely oleic, linoleic, palmitic and myristic acid, all non albumin-bound, on VSMC growth.2 The e ect of fatty acids on VSMC growth was assessed by [ 3 H]-thymidine incorporation, colourimetrically, by cell counting, by determination of the cytoplasmic histone-associated DNA fragments and the caspase 3 activity. The fatty acid concentrations were determined by gas chromatography-mass spectrometry. Stimulation of ERK1/2 and p38 was determined by the chemiluminescence Western blotting method. 3 Incubation of VSMC with puri®ed VLDL (100 mg ml 71 ) and lipoprotein lipase (35 u ml 71 ) led to almost complete cell death although the ERK1/2 and the p38 MAP kinases were stimulated. The EC 50 of oleic, linoleic, myristic and palmitic acid were 4.6+1.3, 2.4+0.2, 116+10 and 287+30 mM, respectively. The estimated EC 50 of myristic and palmitic acid when derived from hydrolysed VLDL were 10 and 8 times, respectively, lower than when used alone. Apoptosis was not involved in the fatty acid-induced VSMC growth suppression/death. 4 We conclude that (a) non albumin-bound fatty acids cause VSMC necrosis in a dose-dependent manner with a parallel ERK1/2 and p38 stimulation, (b) unsaturated fatty acids are more toxic to VSMC than saturated, and (c) saturated fatty acids are more toxic to VSMC in the hydrolysed VLDL than when used individually.