␣-Tocopherol (␣-TOH) can promote lipid peroxidation in human low density lipoprotein (LDL) unless co-antioxidants are present that eliminate the chain-carrying ␣-tocopheroxyl radical (␣-TO ⅐ ) (Bowry, V. W., Mohr, D., Cleary, J., and Stocker, R. (1995) J. Biol. Chem. 270, 5756 -5763). Interferon-␥ inhibits human monocyte/ macrophage-facilitated LDL lipid peroxidation via induction of cellular tryptophan degradation and production and release of 3-hydroxyanthranilic acid (3HAA) (Christen, S., Thomas, S. R., Garner, B., and Stocker, R. (1994) J. Clin. Invest. 93, 2149 -2158). We now report on the mechanism of antioxidant action of 3HAA. 3HAA directly reduced ␣-TO ⅐ in UV-exposed micellar dispersions of ␣-TOH or in LDL incubated with soybean 15-lipoxygenase (SLO), as assessed by electron paramagnetic resonance spectroscopy. 3HAA did not inhibit SLO enzyme activity. Anthranilic acid, which lacks the phenoxyl group, was incapable of reducing ␣-TO ⅐ . 3HAA dose-dependently inhibited the peroxidation of surface phospholipids and core cholesteryl esters in LDL exposed to SLO, peroxyl radicals (ROO ⅐ ), or Cu 2؉ ; oxidants that convert ␣-TOH to ␣-TO ⅐ . In all cases, sparing of LDL's ␣-TOH, but not ubiquinol-10 (CoQ 10 H 2 ), was observed until the majority of 3HAA was consumed. Addition of 3HAA or ascorbate prevented further consumption of ␣-TOH and accumulation of lipid hydroperoxides when added to aqueous or lipophilic ROO ⅐ -oxidizing LDL after complete and partial consumption of CoQ 10 H 2 and ␣-TOH, respectively. In contrast, addition of urate, an efficient ROO ⅐ scavenger incapable of scavenging ␣-TO ⅐ , did not efficiently inhibit ongoing lipid peroxidation. Oxidation of 3HAA-supplemented human plasma by aqueous ROO ⅐ resulted in the successive consumption of ascorbate, CoQ 10 H 2 , 3HAA, bilirubin, ␣-TOH, and urate. Lipid peroxidation was prevented as long as ascorbate, CoQ 10 H 2 , and 3HAA were present, but subsequently proceeded as a free-radical chain reaction concomitant with ␣-TOH, bilirubin, and urate consumption. Addition of 3HAA to aqueous ROO ⅐ -oxidizing plasma, after complete consumption of ascorbate and CoQ 10 H 2 , strongly inhibited ongoing lipid peroxidation and consumption of ␣-TOH, bilirubin, and urate immediately and as efficiently as did ascorbate. These findings demonstrate that 3HAA is a highly efficient co-antioxidant for plasma lipid peroxidation by virtue of its ability to interact with ␣-TO ⅐ in lipoproteins. Since interferon-␥ is the principal inducer of tryptophan degradation and release of 3HAA by monocytes/macrophages, this may represent a localized extracellular antioxidant defense against LDL oxidation in inflammation.