Within arterial bifurcations or branching points, oscillatory shear stress (OSS) induces oxidative stress mainly via the NADPH oxidase system. It is unknown whether 17β-estradiol (E 2 ) can regulate OSS-mediated low density lipoprotein (LDL) modifications. Bovine aortic endothelial cells (BAECs) were pre-treated with E 2 at 5 nmol/L, followed by exposure to OSS (0 ± 3.0 dynes/ cm 2 sec and 60 cycles/min) in a flow system. E 2 decreased OSS-mediated NADPH oxidase mRNA expression, and E 2 -mediated ·NO production was mitigated by the ·NO synthase inhibitor L-NAME. The rates of O 2 −· production in response to OSS increased steadily as determined by superoxide dismutase-inhibited ferricytochrome c reduction; however, pre-treatment with E 2 decreased OSS-mediated O 2 −· production (n=4, P<0.05). In the presence of native LDL (50 μg/ mL), E 2 also significantly reversed OSS-mediated LDL oxidation as determined by high performance liquid chromatography. In the presence of O 2 −· donor, xanthine oxidase (XO), E 2 further reversed XO-induced LDL lipid peroxidation (n=3, P<0.001). Mass spectra were acquired in the m/z 400-1800 range, revealing XO-mediated LDL protein nitration involving tyrosine 2535 in the α-2 domains, whereas pre-treatment with E 2 reversed this observation, consistent with the changes in nitrotyrosine intensities by the dot blots. E 2 plays an indirect antioxidative role. In addition to up-regulation of eNOS and down-regulation of Nox4 expression, E 2 influences LDL modifications via lipid peroxidation and protein nitration.