7-Ketocholesterol is an oxidation product of cholesterol , widely present in atherosclerotic plaques, and has a stronger atherogenic effect than cholesterol . 7-Ketocholesterol can inhibit the rate-limiting enzymes involved in bile acid and cholesterol synthesis, such as cholesterol 7α-hydroxylase and HMG-CoA reductase . 7-Ketocholesterol exhibits pro-inflammatory effects both in vivo and in vitro and can induce cell apoptosis ( apoptosis ).
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