Objective-Nifedipine, an L-type calcium channel blocker, protects against the progression of atherosclerosis. We investigated the molecular basis of the antiatherosclerotic effect of nifedipine in macrophages and apolipoprotein E-deficient mice. Methods and Results-In macrophages, nifedipine increased peroxisome proliferator-activated receptor-␥ (PPAR␥) activity without increasing PPAR␥-binding activity. Amlodipine, another L-type calcium channel blocker, and 1,2-bis-(oaminophenoxy)-ethane-N,N,-NЈ,NЈ-tetraacetic acid tetraacetoxy-methyl ester (BAPTA-AM), a calcium chelator, decreased PPAR␥ activity, suggesting that nifedipine does not activate PPAR␥ via calcium channel blocker activity. Inactivation of extracellular signal-regulated kinase 1/2 suppressed PPAR␥2-Ser112 phosphorylation and induced PPAR␥ activation. Nifedipine suppressed extracellular signal-regulated kinase 1/2 activation and PPAR␥2-Ser112 phosphorylation, and mutating PPAR␥2-Ser112 to Ala abrogated nifedipine-mediated PPAR␥ activation. These results suggested that nifedipine inhibited extracellular signal-regulated kinase 1/2 activity and PPAR␥2-Ser112 phosphorylation, leading to PPAR␥ activation. Nifedipine inhibited lipopolysaccharide-induced monocyte chemoattractant protein-1 expression and induced ATP-binding cassette transporter A1 mRNA expression, and these effects were abrogated by small interfering RNA for PPAR␥. Furthermore, in apolipoprotein E-deficient mice, nifedipine treatment decreased atherosclerotic lesion size, phosphorylation of PPAR␥2-Ser112 and extracellular signal-regulated kinase 1/2, and monocyte chemoattractant protein-1 mRNA expression and increased ATP-binding cassette transporter A1 expression in the aorta. Key Words: atherosclerosis Ⅲ macrophages Ⅲ hypertension Ⅲ peroxisome proliferator-activated receptor Ⅲ vascular biology H ypertension is a major risk factor for atherosclerosis. 1,2 However, the detailed mechanisms that link elevated blood pressure to progression of atherosclerosis remain unclear. Hypertension may promote the expression of cell adhesion molecules in endothelial cells 3 and production of cytokines in the vessel wall, 4 suggesting that hypertensive stress stimulates a proinflammatory response and contributes to the progression of atherogenesis. On the other hand, low-density lipoprotein (LDL) derived from hypertensive patients is more susceptible to lipid peroxidation mediated by angiotensin II and to its cellular uptake by macrophages than that obtained from normotensive subjects. 5 Therefore, monocyte-derived macrophages and macrophage-derived foam cells may accelerate atherosclerosis in hypertensive patients.
Conclusion-NifedipineMassive clustering of macrophage-derived foam cells in the subendothelial spaces of arterial walls is a characteristic feature of early atherosclerotic lesions. 6 Monocytes subsequently adhere to the endothelial cells, cross the endothelial layer to enter the subendothelial space, differentiate into macrophages, and eventually become foam cells. Macro- Nifedipine, an L-type...