Activated macrophages within the arterial wall secrete matrix-degrading met
alloproteinases (MMPs) that weaken the atherosclerotic plaque and contribut
e to its fissuration. Preclinical studies have shown that calcium antagonis
ts may reduce atherogenesis in the arterial wall. In the present study we e
valuated the effect of lacidipine on 92-kDa gelatinase B (MMP-9) expression
in human macrophages in cultures. Cells were treated for 24 h with lacidip
ine and the conditioned media were analyzed. Lacidipine (1-20 muM) signific
antly reduced, in a dose-dependent manner, MMP-9 potential gelatinolytic ca
pacity up to 50%. When MMP-9 expression was stimulated by treatment with ph
orbol esters or tumor necrosis factor-alpha, lacidipine was able to inhibit
this enhanced gelatinolytic capacity up to 50 and 60%, respectively. Weste
rn blot analysis and enzyme-linked immunosorbent assay showed a reduction o
f MMP-9 protein actually released by cells. The addition of lacidipine in t
he incubation media determined no significant variation in Ca2+ concentrati
on. The drug did not affect MMP-9 mRNA levels, but it effectively reduced t
he amount of both active and total free MMP-9 secreted by human macrophages
. Lacidipine reduced also the secretion of the tissue inhibitor of metallop
roteinase-1 (TIMP-1); however we observed an overall reduction of the gelat
inolytic activity of the cells. Finally, peritoneal macrophages, obtained f
rom mice treated with lacidipine, showed a reduced secretion of MMP-9. Toge
ther, our data indicate that lacidipine may potentially exert an antiathero
sclerotic activity by modulating the secretion of MMP-9 by macrophages. Thi
s, in addition to the previously demonstrated inhibition of cholesterol est
erification, may contribute to increase plaque stability.