The biological effects of antioxidants are often considered in terms o
f their effects on oxygen or lipid radicals, However, antioxidants can
also exert their effects through altering the cellular redox potentia
l, Herein, we report that sulfur-containing antioxidants such as N-ace
tylcysteine and dimereaptopropanol induced apoptosis in several transf
ormed cell Lines and transformed primary cultures but not in normal ce
lls. In contrast, chain-breaking antioxidants such as vitamin E lacked
this activity, An increased glutathione level was not required for ap
optosis; however, all apoptosis-inducing antioxidants elevated the tot
al cellular thiol levels. Antioxidant-induced apoptosis required the p
53 tumor suppressor gene, N-Acetylcysteine elevated p53 expression pos
ttranscriptionally by increasing the rate of p53 mRNA translation rath
er than by altering the protein stability. The p53 induction occurred
in normal cells, These observations indicate a redox sensor for p53 in
duction in vivo, with additional transformation-specific information b
eing required for apoptosis. Manipulating p53-dependent apoptosis with
nontoxic antioxidants may have a direct clinical application.