Effect of trifluoperazine on DNA and LDL-receptor synthesis in smooth muscle cells exposed to hypercholesterolemic medium in vitro.

We recently demonstrated that calmodulin and/or protein kinase C may play a crucial role in cholesterol-induced atherogenesis in experimental animal model system. The present study, which was undertaken to elucidate the effect of trifluoperazine (known as a potent inhibitor of calmodulin and protein kinase C) on DNA and LDL-receptor synthesis of aortic smooth muscle cells exposed to hypercholesterolemic medium, revealed that (a) trifluoperazine at a concentration of 25 microM caused an approximately threefold increase in the [35S]methionine-incorporated LDL-receptor protein as compared with values found in control cells; (b) the drug at concentrations greater than or equal to 0.1 microM caused inhibition of DNA synthesis as compared with values found in control cells. These results demonstrate that the preventive effect of trifluoperazine on the atherogenic activity of smooth muscle cells may be due to its ability to increase LDL-receptors synthesis as well as concomitant inhibitory action on DNA synthesis of smooth muscle cells exposed to hypercholesterolemic medium.