Atherosclerosis is a complex process including proinflammatory and pro-oxidative events, which recruit monocytes and lymphocytes to adhere to the surface of the injured endothelium as the first observable event. Epidemiological studies have revealed numerous risk factors for atherosclerosis including genetic and environmental risk factors, such as smoking, diet, infection, and air pollution, which interestingly have also been known to induce oxidative stress.The thioredoxin-1 (Trx1) system plays a key role in modulating redox signaling pathways regulating physiological as well as pathophysiological processes such as atherosclerosis development.1,2 Trx1 is a major substrate for thioredoxin reductase-1 (TrxR1), serving as an electron carrier to reduce peroxiredoxins, redox factor-1 (Ref1), and other proteins. A dithiol (Cys-32, Cys-35) in the active site of Trx1 undergoes reversible oxidation to the disulfide during the transfer of reducing equivalents. In addition to the redox regulatory function of the active-site cysteines (Cys-32, Cys-35), post-translational modifications of the other cysteines by oxidation (Cys-62, Cys-69), S-nitrosylation (Cys-69), and glutathionylation (Cys-73) have a significant effect on Trx1 function.3-5 Modification of thiols in Trx1 interrupts signaling mechanisms involved in cell growth, proliferation, and apoptosis. 3,4 Previous studies show that common products of lipid peroxidation, including acrolein and 4-hydroxy-2-nonenal (HNE) react with and modify functions of various cellular proteins. Acrolein and HNE are electrophilic lipids that target a number of redox-sensitive proteins, inducing multiple cellular responses through several mechanisms. 6 The cytoprotective role of acrolein and HNE in cellular mechanisms has been demonstrated at low concentrations. For example, HNE induces cytoprotective antioxidants, HO-1 and glutathione (GSH), in bovine aortic endothelial cells (BAECs) 7 and activates thioredoxin