“…In vitro, under treatment with 7-ketocholesterol, 7ß-hydroxycholesterol, cholesterol-5ß,6ß-epoxide, cholesterol-5α,6α-epoxide, and 25-hydroxycholesterol, important oxidative processes, sometimes associated with a complex mode of cell death with some of the characteristics of apoptosis, have also been described on various cell types (15,27,32). Thus, on 7-ketocholesteroltreated U937 cells, an abrupt drop in reduced glutathione associated with an increased production of ROS preceding caspase activation has been reported (46). In human aortic smooth muscle cells, 7-ketocholesterol also induces oxidative stress associated with apoptotic events, and it has been demonstrated that this specific effect of 7-ketocholesterol is mediated by a robust upregulation (3-fold from the basal level) of Nox-4, an ROS-generating NAD(P)H oxidase homologue (32).…”