Major pathways of ROS generation and elimination in vascular cells. One electron reduction of O2 can produce superoxide anion (O2•−). The main pathways for O2•− transformation are via dismutation to hydrogen peroxide (H2O2) catalyzed by superoxide dismutase (SOD) or reaction with nitric oxide (NO•) to form peroxynitrite (ONOO―). H2O2 can be further metabolized to hypochlorous acid (HOCl) by myeloperoxidase (MPO) or hydroxyl radical (OH•) through reactions catalyzed by metal ions (Fe2+ or Cu2+) via the Fenton reaction. Elimination of H2O2 is facilitated by antioxidant enzymes such as glutathione peroxidase, peroxiredoxin, and catalase.