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Published on: October 18, 2018
Divergent action of calcium channel blockers on ATP-binding cassette protein expression
Kazuhiro Hasegawa1, Shu Wakino, Takeshi Kanda
1Department of Internal Medicine, School of Medicine, Keio University, Shinanomachi, Tokyo, Japan.
Abstract:
Calcium channel blockers (CCBs) are widely used in clinical practice, and have been reported to be effective in preventing the progression of atherosclerosis. We examined whether various types of calcium channel blockers affected the expression of ATP binding cassette transporter A1 (ABCA1), a factor contributing to anti-atherogenesis. Undifferentiated monocytic cell line, THP-1 cells were maintained in RPMI 1640 medium and treated with different kinds of calcium channel blockers. Among the calcium channel blockers tested, aranidipine and efonidipine increased ABCA1 protein expression without an increase in ABCA1 mRNA expression, whereas other calcium channel blockers (eg, nifedipine, amlodipine, and nicardipine) or T-type calcium channel blockers (eg, mibefradil and nickel chloride) failed to upregulate ABCA1 expression. H89, a protein kinase A inhibitor inhibited the aranidipine-induced ABCA1 protein expression, whereas genistein (a tyrosine kinase inhibitor), or AG490 (a JAK-2 inhibitor) had no effects. Neither of these inhibitors suppressed the efonidipine-induced ABCA1 protein expression. Intracellular cAMP levels were elevated only by aranidipine, but not by efonidipine. In conclusion, aranidipine and efonidipine have the ability to induce ABCA1 protein by distinct mechanisms; protein kinase A is involved in the aranidipine-induced ABCA1 upregulation. This non-class effect of calcium channel blockers may potentially offer beneficial action in the treatment of hypertensive subjects with atherosclerosis.
Insights
Certain calcium channel blockers, like aranidipine and efonidipine, boost ATP binding cassette transporter A1 (ABCA1) protein, potentially aiding atherosclerosis treatment. This effect on ABCA1 expression differs among drug types.
Area of Science:
- Cardiovascular Pharmacology
- Molecular Biology
- Atherosclerosis Research
Background:
- Calcium channel blockers (CCBs) are clinically significant antihypertensives.
- CCBs may play a role in preventing atherosclerosis progression.
- ATP binding cassette transporter A1 (ABCA1) is crucial for anti-atherogenesis.
Purpose of the Study:
- To investigate the impact of various CCBs on ABCA1 expression.
- To elucidate the mechanisms underlying CCB-mediated ABCA1 modulation.
- To explore potential therapeutic benefits in atherosclerosis.
Main Methods:
- Treatment of THP-1 monocytic cells with diverse CCBs.
- Analysis of ABCA1 protein and mRNA expression levels.
- Assessment of signaling pathways using specific kinase inhibitors (H89, genistein, AG490) and cAMP measurement.
Main Results:
- Aranidipine and efonidipine selectively increased ABCA1 protein, not mRNA.
- Nifedipine, amlodipine, nicardipine, mibefradil, and nickel chloride did not affect ABCA1.
- Protein kinase A inhibition blocked aranidipine's effect; efonidipine's mechanism remained distinct.
Conclusions:
- Aranidipine and efonidipine differentially upregulate ABCA1 protein expression.
- Protein kinase A mediates the effect of aranidipine on ABCA1.
- These CCB-specific effects on ABCA1 may offer novel therapeutic strategies for hypertensive patients with atherosclerosis.
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