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Unfolding the toxicity of cholesterol

A critical attribute of advanced atherosclerosis is the accumulation of free cholesterol in macrophages, triggering cell death. Now, a study reveals that the key events that result in cholesterol-induced macrophage death are the depletion of endoplasmic reticulum calcium stores by free cholesterol and subsequent activation of the unfolded protein response.

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Figure 1: Signalling UPR-mediated cell death in free cholesterol-loaded macrophages.

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Zhang, K., Kaufman, R. Unfolding the toxicity of cholesterol. Nat Cell Biol 5, 769–770 (2003). https://doi.org/10.1038/ncb0903-769

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