PMID- 38423188 OWN - NLM STAT- MEDLINE DCOM- 20240326 LR - 20240326 IS - 1873-2968 (Electronic) IS - 0006-2952 (Linking) VI - 222 DP - 2024 Apr TI - Ca(v)3.1 T-type calcium channel blocker NNC 55-0396 reduces atherosclerosis by increasing cholesterol efflux. PG - 116096 LID - S0006-2952(24)00079-0 [pii] LID - 10.1016/j.bcp.2024.116096 [doi] AB - Calcium channel blockers (CCBs) are commonly used as antihypertensive agents. While certain L-type CCBs exhibit antiatherogenic effects, the impact of Ca(v)3.1 T-type CCBs on antiatherogenesis and lipid metabolism remains unexplored. NNC 55-0396 (NNC) is a highly selective blocker of T-type calcium channels (Ca(v)3.1 channels). We investigated the effects of NNC on relevant molecules and molecular mechanisms in human THP-1 macrophages. Cholesterol efflux, an indicator of reverse cholesterol transport (RCT) efficiency, was assessed using [3H]-labeled cholesterol. In vivo, high cholesterol diet (HCD)-fed LDL receptor knockout (Ldlr(-/-)) mice, an atherosclerosis-prone model, underwent histochemical staining to analyze plaque burden. Treatment of THP-1 macrophages with NNC facilitated cholesterol efflux and reduced intracellular cholesterol accumulation. Pharmacological and genetic interventions demonstrated that NNC treatment or Ca(v)3.1 knockdown significantly enhanced the protein expression of scavenger receptor B1 (SR-B1), ATP-binding cassette transporter A1 (ABCA1), ATP-binding cassette transporter G1 (ABCG1), and liver X receptor alpha (LXRalpha) transcription factor. Mechanistic analysis revealed that NNC activates p38 and c-Jun N-terminal kinase (JNK) phosphorylation, leading to increased expression of ABCA1, ABCG1, and LXRalpha-without involving the microRNA pathway. LXRalpha isrequired for NNC-induced ABCA1 and ABCG1 expression. Administering NNC diminished atherosclerotic lesion area and lipid deposition in HCD-fed Ldlr(-/-) mice. NNC's anti-atherosclerotic effects, achieved through enhanced cholesterol efflux and inhibition of lipid accumulation, suggest a promising therapeutic approach for hypertensive patients with atherosclerosis. This research highlights the potential of Ca(v)3.1 T-type CCBs in addressing cardiovascular complications associated with hypertension. CI - Copyright (c) 2024 Elsevier Inc. All rights reserved. FAU - Tsai, Min-Chien AU - Tsai MC AD - Department of Physiology and Biophysics, Graduate Institute of Physiology, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Cho, Rou-Ling AU - Cho RL AD - Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Lin, Chin-Sheng AU - Lin CS AD - Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan; Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Jheng, Yu-Sin AU - Jheng YS AD - Department of Physiology and Biophysics, Graduate Institute of Physiology, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Lien, Chih-Feng AU - Lien CF AD - Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Chen, Chien-Chang AU - Chen CC AD - Taiwan International Graduate Program in Molecular Medicine, National Yang Ming Chiao Tung University and Academia Sinica, Taipei 115, Taiwan; Institute of Biomedical Sciences, Academia Sinica, Taipei 115, Taiwan. FAU - Tzeng, Bing-Hsiean AU - Tzeng BH AD - Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan; Cardiovascular Medical Center, Far Eastern Memorial Hospital, Taipei 220, Taiwan. Electronic address: 894020086@mail.ndmctsgh.edu.tw. LA - eng PT - Journal Article DEP - 20240227 PL - England TA - Biochem Pharmacol JT - Biochemical pharmacology JID - 0101032 RN - 0 (Calcium Channel Blockers) RN - 0A7CE46ERM (NNC 55-0396) RN - 0 (Liver X Receptors) RN - 97C5T2UQ7J (Cholesterol) RN - 0 (ATP-Binding Cassette Transporters) RN - 0 (ATP Binding Cassette Transporter 1) RN - 0 (Benzimidazoles) RN - 0 (Cyclopropanes) RN - 0 (Naphthalenes) SB - IM MH - Humans MH - Animals MH - Mice MH - Calcium Channel Blockers/pharmacology/therapeutic use MH - *Atherosclerosis/drug therapy/prevention & control/metabolism MH - Liver X Receptors/metabolism MH - Cholesterol/metabolism MH - *Hypercholesterolemia/drug therapy MH - ATP-Binding Cassette Transporters/metabolism MH - ATP Binding Cassette Transporter 1/genetics/metabolism MH - *Benzimidazoles MH - *Cyclopropanes MH - *Naphthalenes OTO - NOTNLM OT - ABCA1 OT - ABCG1 OT - Atherosclerosis OT - Ca(v)3.1 T-type calcium channel OT - Cholesterol efflux OT - Macrophage COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2024/03/01 01:22 MHDA- 2024/03/26 06:45 CRDT- 2024/02/29 19:14 PHST- 2023/09/27 00:00 [received] PHST- 2024/01/29 00:00 [revised] PHST- 2024/02/26 00:00 [accepted] PHST- 2024/03/26 06:45 [medline] PHST- 2024/03/01 01:22 [pubmed] PHST- 2024/02/29 19:14 [entrez] AID - S0006-2952(24)00079-0 [pii] AID - 10.1016/j.bcp.2024.116096 [doi] PST - ppublish SO - Biochem Pharmacol. 2024 Apr;222:116096. doi: 10.1016/j.bcp.2024.116096. Epub 2024 Feb 27.