Clinical Implication of Phosphodiesterase-4-Inhibition

被引:56
作者
Schick, Martin Alexander [1 ,2 ]
Schlegel, Nicolas [3 ]
机构
[1] Univ Freiburg, Med Ctr, Dept Anesthesiol & Crit Care, D-79106 Freiburg, Germany
[2] Univ Freiburg, Fac Med, D-79110 Freiburg, Germany
[3] Univ Hosp Wuerzburg, Dept Gen Visceral Transplant Vasc & Pediat Surg, D-97080 Wurzburg, Germany
关键词
phosphodiesterase; phosphodiesterase-4; phosphodiesterase-inhibitors; PDE; PDE4-I; CAMP-SPECIFIC PHOSPHODIESTERASE; PDE4 INHIBITOR ROFLUMILAST; BRONCHIAL EPITHELIAL-CELLS; FORSKOLIN BINDING-SITES; CYCLIC-AMP; DIFFERENTIAL EXPRESSION; INFLAMMATORY RESPONSE; ENDOTHELIAL BARRIER; MOLECULAR-CLONING; ATOPIC-DERMATITIS;
D O I
10.3390/ijms23031209
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The pleiotropic function of 3 ',5 '-cyclic adenosine monophosphate (cAMP)-dependent pathways in health and disease led to the development of pharmacological phosphodiesterase inhibitors (PDE-I) to attenuate cAMP degradation. While there are many isotypes of PDE, a predominant role of PDE4 is to regulate fundamental functions, including endothelial and epithelial barrier stability, modulation of inflammatory responses and cognitive and/or mood functions. This makes the use of PDE4-I an interesting tool for various therapeutic approaches. However, due to the presence of PDE4 in many tissues, there is a significant danger for serious side effects. Based on this, the aim of this review is to provide a comprehensive overview of the approaches and effects of PDE4-I for different therapeutic applications. In summary, despite many obstacles to use of PDE4-I for different therapeutic approaches, the current data warrant future research to utilize the therapeutic potential of phosphodiesterase 4 inhibition.
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页数:19
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