PMID- 15734902 OWN - NLM STAT- MEDLINE DCOM- 20050705 LR - 20181201 IS - 0022-3565 (Print) IS - 0022-3565 (Linking) VI - 313 IP - 2 DP - 2005 May TI - Cilostazol reduces atherosclerosis by inhibition of superoxide and tumor necrosis factor-alpha formation in low-density lipoprotein receptor-null mice fed high cholesterol. PG - 502-9 AB - This study shows that 6-[4-(1-cyclohexyl-1H-tetrazol-5-yl) butoxy]-3,4-dihydro-2(1H)-quinolinone (cilostazol) suppresses the atherosclerotic lesion formation in the low-density lipoprotein receptor (Ldlr)-null mice. Ldlr-null mice fed a high cholesterol diet showed multiple plaque lesions in the proximal ascending aorta including aortic sinus, accompanied by increased macrophage accumulation with increased expression of vascular cell adhesion molecule-1 (VCAM-1) and monocyte chemoattractant protein-1 (MCP-1). Supplementation of cilostazol (0.2% w/w) in diet significantly decreased the plaque lesions with reduced macrophage accumulation and suppression of VCAM-1 and MCP-1 in situ. Increased superoxide and tumor necrosis factor-alpha (TNF-alpha) production were significantly lowered by cilostazol in situ as well as in cultured human umbilical vein endothelial cells (HUVECs). TNF-alpha-induced increased inhibitory kappaBalpha degradation in the cytoplasm and nuclear factor-kappaB (NF-kappaB) p65 activation in the nuclei of HUVECs were reversed by cilostazol (1 approximately 100 microM) as well as by (E)-3[(4-t-butylphenyl)sulfonyl]-2-propenenitrile (BAY 11-7085) (10 microM), suggesting that cilostazol strongly inhibits NF-kappaB activation and p65 translocation into the nuclei. Furthermore, in gel shift and DNA-binding assay, cilostazol inhibited NF-kappaB/DNA complex and nuclear DNA-binding activity of the NF-kappaB in the nuclear extracts of the RAW 264.7 cells. Taken together, it is suggested that the anti-atherogenic effect of cilostazol in cholesterol-fed Ldlr-null mice is ascribed to its property to suppress superoxide and TNF-alpha formation, and thereby reducing NF-kappaB activation/transcription, VCAM-1/MCP-1 expressions, and monocyte recruitments. FAU - Lee, Jeong Hyun AU - Lee JH AD - Department of Pharmacology, College of Medicine, Pusan National University, Busan, Korea. FAU - Oh, Goo Taeg AU - Oh GT FAU - Park, So Youn AU - Park SY FAU - Choi, Jae-Hoon AU - Choi JH FAU - Park, Jong-Gil AU - Park JG FAU - Kim, Chi Dae AU - Kim CD FAU - Lee, Won Suk AU - Lee WS FAU - Rhim, Byung Yong AU - Rhim BY FAU - Shin, Yung Woo AU - Shin YW FAU - Hong, Ki Whan AU - Hong KW LA - eng PT - Comparative Study PT - Journal Article DEP - 20050225 PL - United States TA - J Pharmacol Exp Ther JT - The Journal of pharmacology and experimental therapeutics JID - 0376362 RN - 0 (Cholesterol, Dietary) RN - 0 (Receptors, LDL) RN - 0 (Tetrazoles) RN - 0 (Tumor Necrosis Factor-alpha) RN - 11062-77-4 (Superoxides) RN - N7Z035406B (Cilostazol) SB - IM MH - Animals MH - Arteriosclerosis/chemically induced/*drug therapy/metabolism MH - Cell Line MH - Cholesterol, Dietary/toxicity MH - Cilostazol MH - *Diet, Atherogenic MH - Dose-Response Relationship, Drug MH - Male MH - Mice MH - Mice, Knockout MH - Receptors, LDL/*deficiency/genetics MH - Superoxides/*antagonists & inhibitors/metabolism MH - Tetrazoles/pharmacology/*therapeutic use MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors/biosynthesis EDAT- 2005/03/01 09:00 MHDA- 2005/07/06 09:00 CRDT- 2005/03/01 09:00 PHST- 2005/03/01 09:00 [pubmed] PHST- 2005/07/06 09:00 [medline] PHST- 2005/03/01 09:00 [entrez] AID - jpet.104.079780 [pii] AID - 10.1124/jpet.104.079780 [doi] PST - ppublish SO - J Pharmacol Exp Ther. 2005 May;313(2):502-9. doi: 10.1124/jpet.104.079780. Epub 2005 Feb 25.