PMID- 33096109 OWN - NLM STAT- MEDLINE DCOM- 20210111 LR - 20211204 IS - 1096-0333 (Electronic) IS - 0041-008X (Linking) VI - 409 DP - 2020 Dec 15 TI - Zafirlukast prevented ox-LDL-induced formation of foam cells. PG - 115295 LID - S0041-008X(20)30421-X [pii] LID - 10.1016/j.taap.2020.115295 [doi] AB - Atherosclerosis (AS), a common arterial disease, is one of the main pathological roots of cardiovascular disease. The formation and accumulation of foam cells is an important event in early AS. An imbalance between cholesterol uptake and efflux is the primary cause of foam cell formation. Although research has focused on preventing the formation of foam cells, a safe and effective therapy has to be found. Zafirlukast is a widely useful type 1 cysteinyl leukotriene receptor (CysLT1R) antagonist with a good safety profile. Zafirlukast is the most used for the treatment of asthma and allergic rhinitis. However, the effect of zafirlukast on preventing the formation of foam cells has not been determined. The aim of this study was to investigate whether zafirlukast prevented macrophages from transforming into foam cells. Our data show that zafirlukast reduced the expression of CD36 and lipoprotein receptor-1 (LOX-1), which are responsible for lipid uptake. In addition, zafirlukast enhanced the activity of ATP-Binding Cassette A1 (ABCA1) and ATP-binding cassette transporter G1 (ABCG1), leading to the acceleration of cholesterol efflux. Furthermore, zafirlukast influenced the activity of the phosphatidylinositol-3-kinase (PI3K)/Akt signaling pathway, which mediates the expression of ABCA1 and ABCG1. In summary, our data indicate that zafirlukast might be a potential treatment strategy for AS by mediating lipid metabolism and preventing the formation of foam cells. CI - Copyright (c) 2020. Published by Elsevier Inc. FAU - Song, Qiang AU - Song Q AD - Department of Structural Heart Disease, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shanxi, China. FAU - Hu, Zhi AU - Hu Z AD - Department of Structural Heart Disease, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shanxi, China. FAU - Xie, Xinming AU - Xie X AD - Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shanxi, China. FAU - Cai, Hui AU - Cai H AD - Department of vascular surgery, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shanxi, China. Electronic address: caihui6081@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201020 PL - United States TA - Toxicol Appl Pharmacol JT - Toxicology and applied pharmacology JID - 0416575 RN - 0 (ATP-Binding Cassette Transporters) RN - 0 (Indoles) RN - 0 (Lipoproteins, LDL) RN - 0 (Phenylcarbamates) RN - 0 (Sulfonamides) RN - 0 (Tosyl Compounds) RN - 0 (oxidized low density lipoprotein) RN - XZ629S5L50 (zafirlukast) SB - IM MH - ATP-Binding Cassette Transporters/metabolism MH - Animals MH - Atherosclerosis/drug therapy/metabolism MH - Biological Transport/drug effects MH - Cell Line MH - Foam Cells/*drug effects/metabolism MH - Indoles MH - Lipid Metabolism/drug effects MH - Lipoproteins, LDL/*metabolism MH - Macrophages/drug effects/metabolism MH - Mice MH - Phenylcarbamates MH - RAW 264.7 Cells MH - Signal Transduction/drug effects MH - Sulfonamides MH - Tosyl Compounds/*pharmacology OTO - NOTNLM OT - ABCA1 OT - ABCG1 OT - Atherosclerosis OT - CD36 OT - LOX-1 OT - PI3K/AKT OT - Scavenger receptor EDAT- 2020/10/24 06:00 MHDA- 2021/01/12 06:00 CRDT- 2020/10/23 20:10 PHST- 2020/03/22 00:00 [received] PHST- 2020/07/15 00:00 [revised] PHST- 2020/10/14 00:00 [accepted] PHST- 2020/10/24 06:00 [pubmed] PHST- 2021/01/12 06:00 [medline] PHST- 2020/10/23 20:10 [entrez] AID - S0041-008X(20)30421-X [pii] AID - 10.1016/j.taap.2020.115295 [doi] PST - ppublish SO - Toxicol Appl Pharmacol. 2020 Dec 15;409:115295. doi: 10.1016/j.taap.2020.115295. Epub 2020 Oct 20.