PMID- 12374895 OWN - NLM STAT- MEDLINE DCOM- 20030714 LR - 20190916 IS - 0920-3206 (Print) IS - 0920-3206 (Linking) VI - 16 IP - 3 DP - 2002 May TI - Impaired mechanisms of leukocyte adhesion in vitro by the calcium channel antagonist mibefradil. PG - 183-93 AB - PURPOSE: Enhanced adhesion to the vascular endothelium and excessive trafficking to extravascular locations can lead to serious tissue injury and destruction. Therefore, interfering with molecular mechanisms of leukocyte adhesion to the vascular endothelium is an important goal to block diseases like chronic inflammations and atherosclerosis. METHODS: We studied the influence of the calcium antagonists mibefradil (T-type channel blocker), amlodipine and verapamil (both L-type channel blockers) on mechanisms related to leukocyte adhesion using isolated peripheral human blood leukocytes. RESULTS: Mibefradil but not amlodipine and verapamil attenuated leukocyte adhesion in vitro. Regarding the mechanisms we found that mibefradil reduced the surface expression of beta2 integrins and L-selectin. The immobilization of the beta2 integrin subunit to the cytoskeleton that was inducible by receptor cross linking was impaired. Mibefradil was able to significantly inhibit the formyl-methionyl-leucyl-phenylalanine (fMLP) induced calcium rise, which suggests that mibefradil interfered with integrin signaling through blocking the intracellular calcium rise. SK&F 96365, a blocker of the capacitative calcium entry had no effect on cell adhesion and was less effective to influence integrin mediated mechanisms than mibefradil. CONCLUSION: Our data suggest that mibefradil or chemically related substances are promising to serve as potent drugs to prevent excessive adhesion of leukocytes. FAU - Nebe, Barbara AU - Nebe B AD - Department of Internal Medicine, University of Rostock, Ernst-Heydemann-Strasse 6, 18055 Rostock, Germany. FAU - Holzhausen, Christian AU - Holzhausen C FAU - Rychly, Joachim AU - Rychly J FAU - Urbaszek, Wilhelm AU - Urbaszek W LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cardiovasc Drugs Ther JT - Cardiovascular drugs and therapy JID - 8712220 RN - 0 (CD18 Antigens) RN - 0 (Calcium Channel Blockers) RN - 0 (Calcium Channels, L-Type) RN - 0 (Calcium Channels, T-Type) RN - 126880-86-2 (L-Selectin) RN - 1J444QC288 (Amlodipine) RN - 27B90X776A (Mibefradil) RN - CJ0O37KU29 (Verapamil) RN - SY7Q814VUP (Calcium) SB - IM CIN - Cardiovasc Drugs Ther. 2002 May;16(3):179-80. PMID: 12374893 MH - Adult MH - Amlodipine/pharmacology MH - CD18 Antigens/metabolism MH - Calcium/metabolism MH - Calcium Channel Blockers/*pharmacology MH - Calcium Channels, L-Type/drug effects MH - Calcium Channels, T-Type/drug effects MH - Cell Adhesion/drug effects MH - Cells, Cultured MH - Cytoskeleton/metabolism MH - Female MH - Flow Cytometry MH - Granulocytes/drug effects/metabolism/physiology MH - Humans MH - L-Selectin/metabolism MH - Leukocytes/*drug effects/metabolism/physiology MH - Male MH - Mibefradil/*pharmacology MH - Microscopy, Confocal MH - Verapamil/pharmacology EDAT- 2002/10/11 04:00 MHDA- 2003/07/15 05:00 CRDT- 2002/10/11 04:00 PHST- 2002/10/11 04:00 [pubmed] PHST- 2003/07/15 05:00 [medline] PHST- 2002/10/11 04:00 [entrez] AID - 5100182 [pii] AID - 10.1023/a:1020688019792 [doi] PST - ppublish SO - Cardiovasc Drugs Ther. 2002 May;16(3):183-93. doi: 10.1023/a:1020688019792.