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Updated: Aug 13, 2026

Cholesterol Efflux Assay
Published on: March 6, 2012
Calcium antagonists and cholesteryl ester metabolism in macrophages
F Bernini1, S Bellosta, G Didoni
1Institute of Pharmacological Sciences, University of Milan, Italy.
Abstract:
Experimental data indicate that calcium antagonists modify cellular lipid metabolism in the arterial wall as part of their antiatherosclerotic action observed in animal models. In the present study, we investigated the effect of verapamil, nifedipine, and lacidipine (a new dihydropyridine derivative) on cholesteryl ester metabolism in cultured mouse peritoneal macrophages (MPMs). Cholesteryl esters are formed in the cell via acyl-CoA:cholesterol acyltransferase (ACAT), which senses free cholesterol supplied by lysosomal hydrolysis of lipoprotein cholesterol ester. Verapamil inhibited up to 99% the ability of acetyl-low-density lipoprotein (acLDL) to stimulate cholesterol esterification in macrophages, but was less effective in 25-hydroxycholesterol-stimulated MPMs and in cholesterol-loaded cells after acLDL removal. Cells incubated with [3H]cholesterol ester-acLDL and verapamil showed a reduction in the cholesterol/cholesteryl ester ratio. In the same experimental conditions, nifedipine displays minor or no effects on cholesterol esterification and in the cholesterol/cholesteryl ester ratio. On the contrary, the nifedipine-like lacidipine was active in inhibiting cholesterol esterification in macrophages elicited by acLDL. Our data indicate that calcium antagonists of different structure, even within the same class, may have various effects on cholesterol esterification in macrophages in culture.
Insights
Calcium channel blockers impact macrophage lipid metabolism. Verapamil significantly inhibits cholesterol esterification, while lacidipine shows some effect, suggesting varied impacts of these antiatherosclerotic drugs.
Area of Science:
- Biochemistry
- Pharmacology
- Cell Biology
Background:
- Calcium antagonists are studied for antiatherosclerotic effects.
- Cellular lipid metabolism, particularly cholesterol esterification, is crucial in atherosclerosis.
- Macrophages play a key role in arterial wall lipid accumulation.
Purpose of the Study:
- To investigate the effects of verapamil, nifedipine, and lacidipine on cholesteryl ester metabolism in cultured mouse peritoneal macrophages (MPMs).
- To determine how these calcium antagonists influence cholesterol esterification mediated by acyl-CoA:cholesterol acyltransferase (ACAT).
Main Methods:
- Cultured MPMs were stimulated with acetyl-low-density lipoprotein (acLDL) or 25-hydroxycholesterol.
- The impact of verapamil, nifedipine, and lacidipine on cholesterol esterification was measured.
- Cholesterol and cholesteryl ester levels were analyzed in treated macrophages.
Main Results:
- Verapamil strongly inhibited acLDL-stimulated cholesterol esterification in MPMs (up to 99%).
- Lacidipine also inhibited cholesterol esterification in acLDL-stimulated macrophages.
- Nifedipine showed minimal effects on cholesterol esterification and the cholesterol/cholesteryl ester ratio.
Conclusions:
- Calcium antagonists exhibit differential effects on macrophage cholesterol esterification.
- Verapamil and lacidipine demonstrate significant inhibition, unlike nifedipine.
- These findings highlight structural variations influencing the lipid metabolism effects of calcium antagonists.
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