A B S T R A C T We tested the effects of nifedipine, a calcium antagonist, on atherogenesis in rabbits fed a 2% cholesterol diet. The drug was given orally, 40 mg/dl, and control rabbits received placebo. Nifedipine was well tolerated, and evoked only transient, moderate reductions in arterial pressure. Plasma total cholesterol after 8 wk before killing the rabbits was similar in the placebo and nifedipine-treated groups, averaging 1,903+138 (n = 13) and 1,848+121 mg/dl (n = 13; mean+SE; P > 0.8). In placebo-treated rabbits, aortic lesions stainable with Sudan IV covered 40±5% of the intimal surface, and the cholesterol concentration in aortic tissue was 47±5 mg/g protein.Corresponding values for the aortas from nifedipinetreated rabbits were significantly lower and averaged 17±3% (P < 0.001) and 29±2 mg/g protein (P < 0.001). We conclude that nifedipine suppressed atherogenesis without reducing hypercholesterolemia.