CALMODULIN ANTAGONISTS CHLORPROMAZINE AND W-7 INHIBIT EXOGENOUS CHOLESTEROL ESTERIFICATION AND SPHINGOMYELINASE ACTIVITY IN HUMAN SKIN FIBROBLAST-CULTURES - SIMILARITIES BETWEEN DRUG-INDUCED AND NIEMANN-PICK TYPE-C LIPIDOSES

In this report we showed that calmodulin antagonists chlorpromazine (CPZ) and W-7 (N-[6-aminohexyl]-5-chloro-1-naphtalenesulfonamide), when added to fibroblast cell cultures, gave rise to a time- and dose-dependent decrease of sphingomyelinase activity. CPZ and W-7 also significantly inhibited LDL- and non-LDL-dependent cholesterol esterification. Addition of these drugs to cell culture medium mimicked what is observed in the genetic disease Niemann-Pick type C. H-7 (1-[5-isoquinonylsulfonyl]-2-methylpiperazine), an inhibitor of protein kinase C and cyclic nucleotide-dependent kinases, had no effect on sphingomyelinase and cholesterol ester formation. Thus the possibility of a modulation of cell sphingomyelin and cholesterol esters by a calmodulin-dependent second messenger system must be considered.