We have investigated the toxicity of the cholesterol oxidation product
s (oxysterols), 7 alpha-hydroxycholesterol, 7 beta-hydroxycholesterol,
7-ketocholesterol, 25-hydroxycholesterol and 26-hydroxycholesterol to
human monocyte-macrophages in vitro. The 7-position derivatives are p
resent in low density lipoprotein (LDL) oxidised with copper (II) sulp
hate and by macrophages, and in extracts of human atherosclerotic lesi
ons, which also contain 26-hydroxycholesterol. We have also assessed 2
5-hydroxycholesterol for toxicity because it has often been used in st
udies of 3-hydroxy-3-methyl-glutaryl-CoA (HMG-CoA) reductase inhibitio
n and LDL receptor down-regulation. Measurement of radioactivity relea
se from monocyte-macrophages preloaded with tritiated adenine, as a me
ans of assessing cytotoxicity, indicated that all the oxysterols showe
d time- and concentration-dependent toxicity: The cytotoxic potency of
26-hydroxycholesterol was the greatest. The 7-position derivatives al
so produced marked cell damage, though at higher concentrations than f
or 26-hydroxycholesterol. Of the oxysterols assessed, the toxicity of
25-hydroxycholesterol was the least. The cytotoxicity of 7 beta-hydrox
ycholesterol and 26-hydroxycholesterol was also shown using the 3-[4,5
-dimethylthiazol-2-yl]-2,5-diphenyl tetrazolium bromide (MTT) dye redu
ction assay which confirmed that 26-hydroxycholesterol was more toxic
than 7 beta-hydroxycholesterol. Incubation of monocyte-macrophages wit
h cholesterol added to the different oxysterols gave varying results.
Cholesterol, which was not itself toxic, inhibited the toxicity of 25-
hydroxycholesterol and 26-hydroxycholesterol, but the toxicity of the
7-position derivatives was not affected. The possible relevance of the
se molecules to the death of macrophages seen in atherosclerosis is di
scussed.