Stimulation of the hypothalamo-pituitary-adrenal axis in the rat by the type 4 phosphodiesterase (PDE-4) inhibitor, denbufylline

1 Preliminary studies in our laboratories showed that the synthetic xanthine analogue denbufylline, a selective type 4 phosphodiesterase (PDE-4) inhibitor, is a potent activator of the hyothalamo-pituitary-adrenal (HPA) axis when given orally to adult male rats. This paper describes the results of experiments in which well established in vivo and in vitro models were used to (a) examine Further the effects of denbufylline on HPA function and (b) identify the site and mode of action of the drug within the axis. 2 In vivo, administration of denbufylline (0.1-2.5 mg kg(-1), i.p.) produced a significant increase in the serum corticosterone concentration; maximal responses were attained at a dose of 1.0 mg kg(-1) (P<0.01 vs. vehicle control, Scheffe's test). However, when denbufylline was administered by intracerebroventricular injection (0.05-1 mu g kg(-1)) it failed to influence significantly the serum corticosterone concentration (P>0.05 vs. vehicle control, Scheffe's test). The adrenocortical responses to peripheral injections of denbufylline (1 mg kg(-1), i.p.) were reduced in rats in which the secretion of endogenous corticotrophin releasing factors (CRFs) from the hypothalamus was blocked pharmacologically (P<0.01 vs. controls, Scheffe's test). However, denbufylline (0.1 mg kg(-1), i.p.) potentiated the significant (P<0.01) increases in serum corticosterone concentration provoked in 'CRF blocked rats' by hypothalamic extract (5 hypothalamic extracts kg(-1), i.v.) although it failed to influence (P>0.05) the relatively moderate increases in corticosterone secretion evoked by CRH-41 (2 mg kg(-1), i.v.). 3 In vitro, denbufylline (0.01-1 mM) evoked small but significant (P<0.05) increases in the release of ACTH from rat anterior pituitary segments; furthermore, at these and lower concentrations (0.01 mu M-1 mM), it potentiated the adrenocorticotrophic responses to sub-maximal concentrations of hypothalamic extract (P<0.01) and forskolin (0.1 mM, P<0.01) but not those to CRH-41 (10 nM) or 8-bromo-cyclic AMP (1-100 mu M). In addition, denbufylline (0.1 mM) increased the anterior pituitary cyclic AMP content (P<0.05) and potentiated the rises in tissue content of the cyclic nucleotide induced by hypothalamic extract (0.1 hypothalamic equivalents ml(-1), P<0.01) and forskolin (0.1 mM, P<0.01) but not by CRH-41 (10 nM, P<0.05). By contrast, denbufylline (1 mu M-1 mM) failed to influence the release of AVP from rat isolated hypothalami and stimulated the secretion of CRH-41 (P<0.01) release only at the highest concentration tested (1 mM). 4 The results suggest that the stimulatory actions of denbufylline on the hypothalamo-pituitary-adrenocortical axis are exerted predominantly at the level of the anterior pituitary gland and that they may be attributed, at least in part, to inhibition of type 4 phosphodiesterase enzymes.