Abstract-L-type Ca 2ϩ channel (LTCC) blockers, represented by amlodipine and verapamil, are widely used antihypertensive drugs that also have antiinflammatory activities. Plasminogen (Plg) is an important mediator of macrophage recruitment, and this role depends on its interaction with Plg receptors (Plg-Rs). Plg-Rs include histone 2B, ␣-enolase, annexin 2, and p11, all proteins which lack signal sequences for cell surface export. When human or murine monocytoid cells were induced to differentiate into macrophages, their Plg binding and Plg-R expression increased by 4-fold. These changes were suppressed by pretreatment with verapamil and amlodipine. Expression of the Ca v 1.2 LTCC pore subunit was induced in differentiated macrophages, and siRNA against this subunit suppressed the upregulation of Plg binding and Plg-Rs. In vivo, amlodipine and verapamil suppressed peritoneal macrophage recruitment in response to thioglycollate by Ͼ60% at doses that did not affect blood pressure. In drug-treated animals, macrophages migrated into but not through the peritoneal membrane tissue and showed reduced surface expression of Plg-Rs. These findings demonstrate that Plg-R expression on macrophages is dependent on Ca v 1.2 LTCC subunit expression. Suppression of Plg-Rs may contribute to the antiinflammatory effects of the widely used LTCC blockers. Key Words: plasminogen Ⅲ plasminogen receptors Ⅲ amlodipine Ⅲ verapamil Ⅲ macrophages I nvolvement of plasminogen (Plg) and its active enzyme plasmin (Plm) in macrophage recruitment has been documented in a number of inflammatory models in Plg Ϫ/Ϫ mice. [1][2][3][4] When bound to cell surfaces, Plg/Plm facilitates macrophage migration across adhesive substrates by direct degradation of extracellular matrix (ECM) proteins and by activating matrix metalloproteinase. Plg receptors (Plg-Rs) are abundant on the surface of macrophages and are heterogeneous but are usually characterized by the presence of a C-terminal lysine, which interacts with the lysine-binding sites of Plg. 5,6 The major Plg-Rs expressed on macrophages are ␣-enolase, histone (H)2B, annexin 2, and p11. [7][8][9][10] We and other have demonstrated that inflammation induces increased Plg binding to mouse macrophages and differentiated human macrophages. [11][12][13][14][15][16] The mechanisms that promote upregulation of Plg-Rs during monocyte maturation are poorly understood because none of the major Plg-Rs has a signal sequence for export through the "conventional" endoplasmic reticulum (ER)/Golgi pathway.In excitable cells, L-type Ca 2ϩ channels (LTCCs) are voltage-dependent Ca 2ϩ channels composed of a poreforming ␣1 subunit (Ca v 1.1, Ca v 1.2, Ca v 1.3, or Ca v 1.4) and several associated auxiliary subunits (␣2-␦, -, -␥). Ca v 1.2 pore subunits have also been detected in cells of leukocyte lineage. [17][18][19] Besides lowering blood pressure, LTCC blockers have antiinflammatory effects. Amlodipine, a long-acting dihydropyridine, limits the progression of arteriosclerosis and decreases cardiovascular events. 20...