Abstract-Atherosclerosis was studied in apolipoprotein E (apoE) knockout mice expressing human apolipoprotein A-I (apoA-I) or an apoA-I/apolipoprotein A-II (apoA-II) chimera in which the Arg123-Tyr166 central domain of apoA-I was substituted with the Ser12-Ala75 segment of apoA-II. High density lipoprotein (HDL) cholesterol levels were identical in apoA-I and apoA-I/apoA-II mice, but at 4 months, plaques were 2.7-fold larger in the aortic root of the apoA-I/apoA-II mice (PϽ0.01). The macrophage-to-smooth muscle cell ratio of lesions was 2.1-fold higher in apo-I/apoA-II mice than in apoA-I mice (PϽ0.01). This was due to a 2.7-fold higher (PϽ0.001) in vivo macrophage homing in the aortic root of apoA-I/apoA-II mice. Plasma platelet-activating factor acetyl hydrolase activity was lower (PϽ0.01) in apoA-I/apoA-II mice, resulting in increased oxidative stress, as evidenced by the higher titer of antibodies against oxidized low density lipoprotein (PϽ0.01). Increased oxidative stress resulted in increased stimulation of ex vivo macrophage adhesion by apoA-I/apoA-II -very low density lipoprotein and decreased inhibition of -very low density lipoprotein-induced adhesion by HDL from apoA-I/apoA-II mice. The cellular cholesterol efflux capacity of HDL from apoA-I/apoA-II mice was very similar to that of apoA-I mice. Thus, the Arg123-Tyr166 central domain of apoA-I is critical for reducing oxidative stress, macrophage homing, and early atherosclerosis in apoE knockout mice independent of its role in HDL production and cholesterol efflux. Key Words: apolipoprotein A-I Ⅲ HDL Ⅲ atherosclerosis Ⅲ oxidative stress Ⅲ macrophage homing L ow plasma levels of HDL and of their major component, apoA-I, correlate with an increased risk for coronary heart disease. 1 ApoA-I, the major protein component of HDL, is an important determinant of the concentration of HDL in human blood. 2 Expression of human apoA-I in transgenic mice resulted in increased plasma levels of small HDL particles comparable to human HDL. 3 HDL cholesterol levels and human apoA-I levels were highly correlated, and dietary fat increased HDL levels in these mice by both increasing the transport rates and decreasing the fractional catabolic rates of HDL cholesterol ester and apoA-I. 3-6 Expression of human apoA-I in the atherosclerosis-susceptible C57BL/6J mouse strain resulted in a 7-fold reduction of lesion areas in the aorta. 7 Introduction of the human apoA-I transgene in apoE knockout (KO) mice, characterized by very high levels of atherogenic -VLDL and accelerated progression of complex atherosclerotic lesions, 8 -11 resulted in a significant protection against atherosclerosis. 12,13 Compared with control mice, transgenic mice expressing mouse apoA-II had increased HDL cholesterol levels but, nevertheless, exhibited increased atherosclerotic lesion development. 14 The concentration of HDL cholesterol in transgenic mice expressing human apoA-II was lower than that in control mice, probably because of the production of small HDL particles that are cleared more...