“…However, even among those who broadly accept this hypothesis, there have been significant differences concerning the mechanism of retention of lipid at these sites. For example, in relation to arteries it has been suggested that lipid deposition in the intima (a) is due to arrested filtration of plasma through the vessel wall, because of blockage of fenestrations in the elastic lamina (Gofman and Young, 1963), giving rise to one form of " plasmatic vasculosis " (Lendrum, 1964, cited by Adams, 1967; (b) arises because plasma lipid is " dammed-back " in the intima secondary to medial changes, such as enzyme defects due to anoxia (Adams, Bayliss and Ibrahim, 1962;Adams) or scarring of the muscular coat (Wilens and McCluskey, 1954); (c) occurs because of a selective retention of large molecular weight proteins owing to a '' molecular sieving " effect of the subendothelial connective-tissue gel (Adams); (d) results from interaction of plasma LDL with the AMPS of the arterial wall (Amenta and Waters, 1960;Gero et al, 1960;Walton and Williamson).…”