“…4HPR appears to induce apoptosis predominantly by the activation of the mitochondrial pathway (Suzuki et al, 1999;Hail and Lotan, 2000;Boya et al, 2003). Increased generation of reactive oxygen species (ROS) (Delia et al, 1997;Suzuki et al, 1999;Hail and Lotan, 2001), increased ceramide production (Maurer et al, 1999), induction of mitochondrial permeability transition (MPT) (Suzuki et al, 1999;Hail and Lotan, 2000;Poot et al, 2002;Boya et al, 2003), cytochrome c release (Suzuki et al, 1999;Asumendi et al, 2002;Boya et al, 2003), increased GADD153 (Kim et al, 2002;Lovat et al, 2002), and activation of 12-lipoxygenase (Lovat et al, 2002) or activation of c-Jun N-terminal kinase (JNK) (Chen et al, 1999;Shimada et al, 2002;Osone et al, 2004) have been implicated in 4HPR-mediated apoptosis in various cancer cells.…”