Arterial plaque formation is a repair mechanism for damaged endothelial cells, with ldl particles being purposefully placed there.

“the competing hypothesis or one of the competing hypotheses is the endothelial injury hypothesis the idea that perhaps arterial plaque is the result of LDL particles being placed there purposefully as a repair mechanism because there is endothelial injury that the body is actually asking for LDL particles to do some sort of repair and rather than the LDL particles coming in and causing the injury they are there to repair an injury”

“and that's why there's this other theory called response to injury or even chronic endothelial injury as in if you've got dysfunctional or damaged endothelial cells especially an endothelium itself you have an inflammation that continually goes and you have the overworked endothelium ultimately getting thrombotic and ultimately you end up with heart disease right”