Apoptotic cells in
atheroma lesions may contribute to plaque development and instability.
Oxysterols constitute the major toxic component in
oxLDL and are present in mixed forms in human
atheroma lesions. However, the cellular effects of
oxysterols have been mostly studied individually. In the present study, we investigated the cytotoxic effects of
7beta-hydroxycholesterol (7betaOH),
7-ketocholesterol (7keto),
25-hydroxycholesterol (25OH), and
27-hydroxycholesterol (27OH) on U937 monocytic cells, both individually and in
atheroma-relevant mixtures mimicking the
oxysterol composition reported in human
atheroma lesions. Apoptosis and
necrosis were studied by examining cell morphology,
phosphatidylserine exposure,
caspase activation, and the terminal dUTP nick end-labeling technique. Cellular
reactive oxygen species and total amount of reduced
thiols were measured by using fluorescence probes and 5,5'-dithiobis-(2-nitrobenzoic acid), respectively. We found that 7betaOH and 7keto induced
caspase activation, ROS production, cellular
thiol depletion, permeabilization of lysosomal and mitochondrial membranes, and cell death. 25OH and 27OH did not cause any of the above alterations, whereas 7betaOH and 7keto exerted synergistic toxic effects. Although single 25OH or 27OH exhibited quenching effects on both 7betaOH- and 7keto-induced cell death, the combination of all four
oxysterols in
atheroma-relevant proportions was proapoptotic. Our findings indicate that the major
oxysterols accumulated in human
atheroma are proapoptotic and may contribute to atherosclerotic lesion development.