Over the course of a 2-year study, two male rhesus monkeys underwent episodes of diet-induced hypercholesterolemia (from a diet supplemented with 25% coconut oil and 2% cholesterol) followed by regression phases in which the animals received a low fat Purina chow diet. During the induction of hypercholesterolemia, serum cholesterol, apo B, saturation of low density lipoprotein (LDL) cholesteryl ester fatty acyl chains, and the ability of the serum to stimulate cholesterol esterification by smooth muscle cells rose immediately and in parallel, whereas there was a lag period before the serum became mitogenic to smooth muscle cells. A dministration of diets rich in saturated fats and cholesterol to rhesus monkeys results in increased levels of serum cholesterol which are mainly due to higher concentrations of low density lipoproteins (LDL). These lipoproteins have altered physical and chemical properties as manifested by their increased molecular weight and a relatively high content of free cholesterol and cholesteryl esters but a low content of triglycerides.1 -5 These LDLs also ex-