ObjectiveWe have developed an assay in which monocyte migration through filters, determines the level of inflammatory properties of low density lipoprotein (LDL) and high density lipoprotein (HDL) protective capacity. Automated monocyte enumeration demonstrated this property of HDL.MethodsCultured artery wall cells were exposed to either media alone, media plus LDL, or media plus LDL and HDL. The media from the treated cells was assayed in a monocyte chemotaxis assay. Image‐Pro Plus 5 software was used to automate the quantification of migrated monocytes. The accuracy of the data obtained from automated counting of images with 20X objective was compared with manual counting and tested by a two‐tailed paired t‐test. An integrated tool, Macro, was used to perform the automated enumeration on several images with 4X objective (the entire field).Summary of ResultsHDL, when presented to co‐cultures of artery wall cells together with LDL, significantly reduced the increased monocyte transmigration due to LDL alone. The statistical results, comparing the manual and automatic enumeration, demonstrated accuracy and precision (p=0.02, df=11, α= 0.05).ConclusionThe results demonstrate that automated counting can replace manual counting, which should result in higher‐throughput of measurement of monocyte chemotaxis being used to determine the level of HDL proinflammatory or anti inflammatory properties.