N-acetylcysteine (NAC) is known as an antioxidant and used for mucus viscosity reduction. However, this drug prevents or induces cell death depending on the cell type. The response of steroidogenic luteal cells to NAC is unknown. Our data shows that NAC can behave as an antioxidant or prooxidant in dependency on the concentration and mitochondrial energization. NAC elevated the flowcytometric-measured portion of hypodiploid (dying) cells. This rise was completely abolished by aurintricarboxylic acid, an inhibitor of topoisomerase II. NAC increased the secretion of nitric oxide and cellular nitrotyrosine. An image analysis indicated that cells pretreated with NAC and loaded with DHR showed a fluorescent structure probably elicited by the oxidative product of DHR, rhodamine 123 that sequesters mitochondrially. Pretreating luteal cells with NAC or adding NAC directly to mitochondrial fractions followed by assessing the mitochondrial transmembrane potential difference (Dw) by the JC-1 technique demonstrated a marked decrease in Dw. A protonophore restored Dw and rotenone (an inhibitor of respiratory chain complex I) inhibited mitochondrial recovering. Thus, in steroidogenic luteal cells from healthy mature corpus luteum, NAC impairs cellular survival by interfering with mitochondrial metabolism. The protonophoreinduced recovering of NAC-provoked decrease in Dw indicates that an ATP synthasefavored route of H 1 re-entry to the matrix is essentially switched off by NAC while other respiratory chain complexes remain intact. These data may be important for therapeutic timing of treatments with NAC. ' 2010 International Society for Advancement of Cytometry Key terms luteal cells; antioxidant; redox imbalance; dihydrorhodamine 123; flow cytometry; mitochondrial dysfunction; viability THE corpus luteum is a transient ovarian steroidogenic gland, which develops within few days from the ovulated follicle to establish embryonic development. Intense vascularization is essential for maturation and maintenance of a healthy gland (1,2). The mature mid-luteal phase corpus luteum secretes large quantities of progesterone, a derivative from its mitochondrially formed precursor, pregnenolone.Steroidogenesis-dependent oxy-radicals and oxidants are generated during intramitochondrial conversion of cholesterol through the activity of NADPH-dependent cholesterol monooxygenase (side chain cleaving). It catalyzes in a phospholipid-assisted manner the formation of pregnenolone. This process is accompanied by an electron leakage into the mitochondrial matrix (3) and the synthesis of 4-methylpental as byproduct (4,5). In addition, regulatory constituents driving enhanced steroidogenesis are generated by the cyclooxygenase and lipoxygenase pathways which require reactive oxygen species. For instance, cyclooxygenase has an absolute requirement for hydroperoxide to catalyze oxygenation of lipids with a lipoperoxidation as the first step in forming prostanoids (6). In turn, high concentration of antioxidants and oxidant-detoxifying enzym...