Anti-inflammatory and utero-relaxant effects in human myometrium of new generation phosphodiesterase 4 inhibitors

Autor: Mary S. Barnette, Céline Méhats, Stéphanie Oger, Françoise Ferré, Marie-Josèphe Leroy, Dominique Cabrol
Přispěvatelé: Reproduction et physiopathologie obstétricale: Déterminisme hormonal et mécanismes moléculaires de la parturition, Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM), Departement of Pulmonary Pharmacology, SmithKline Beecham Pharmaceuticals, Service de Gynécologie et Obstétrique [Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Mehats, Celine, Université Paris Descartes - Paris 5 (UPD5) - Institut National de la Santé et de la Recherche Médicale (INSERM), Assistance publique - Hôpitaux de Paris (AP-HP) - CHU Cochin [AP-HP]
Jazyk: angličtina
Rok vydání: 2004
Předmět:
Lipopolysaccharides
Cyclohexanecarboxylic Acids
Hydrocarbons
Fluorinated

MESH : Hydrocarbons
Fluorinated

MESH : Phosphodiesterase Inhibitors
MESH : Bronchodilator Agents
Phosphodiesterase Inhibitors
Anti-Inflammatory Agents
Carboxylic Acids
MESH : Cyclic Nucleotide Phosphodiesterases
Type 3

MESH : Lipopolysaccharides
MESH : Cyclic Nucleotide Phosphodiesterases
Type 4

MESH: Phosphodiesterase Inhibitors
[SDV.MHEP.UN]Life Sciences [q-bio]/Human health and pathology/Urology and Nephrology
Uterine Contraction
chemistry.chemical_compound
0302 clinical medicine
PDE4B
MESH: Pregnancy
Pregnancy
MESH: Rolipram
Cyclic AMP
MESH : Nitriles
MESH : Female
MESH: Cyclic AMP
MESH : Tumor Necrosis Factor-alpha
0303 health sciences
030219 obstetrics & reproductive medicine
Forskolin
MESH : Myometrium
MESH : Cyclic AMP
Myometrium
Phosphodiesterase
General Medicine
MESH: Nitriles
Bronchodilator Agents
3. Good health
MESH : Carboxylic Acids
MESH: Carboxylic Acids
In utero
MESH: 3'
5'-Cyclic-AMP Phosphodiesterases

MESH: Uterine Contraction
MESH: Myometrium
Female
MESH: Cyclic Nucleotide Phosphodiesterases
Type 3

Rolipram
Ethers
medicine.drug
MESH: Cyclic Nucleotide Phosphodiesterases
Type 4

MESH : 3'
5'-Cyclic-AMP Phosphodiesterases

medicine.medical_specialty
In Vitro Techniques
MESH : Anti-Inflammatory Agents
Biology
03 medical and health sciences
Internal medicine
Nitriles
medicine
Humans
Potency
MESH : Ethers
030304 developmental biology
MESH: Humans
Tumor Necrosis Factor-alpha
MESH : Humans
Cilomilast
Cell Biology
[SDV.MHEP.UN] Life Sciences [q-bio]/Human health and pathology/Urology and Nephrology
Cyclic Nucleotide Phosphodiesterases
Type 3

Cyclic Nucleotide Phosphodiesterases
Type 4

MESH: Hydrocarbons
Fluorinated

MESH : Pregnancy
Endocrinology
MESH : Rolipram
Reproductive Medicine
chemistry
3'
5'-Cyclic-AMP Phosphodiesterases

MESH: Anti-Inflammatory Agents
MESH: Tumor Necrosis Factor-alpha
MESH: Ethers
MESH: Bronchodilator Agents
MESH: Lipopolysaccharides
MESH: Female
MESH : Uterine Contraction
Zdroj: Biology of Reproduction
Biology of Reproduction, Society for the Study of Reproduction, 2004, 70 (2), pp.458-64. ⟨10.1095/biolreprod.103.023051⟩
Biology of Reproduction, Society for the Study of Reproduction, 2004, 70 (2), pp.458-64. 〈10.1095/biolreprod.103.023051〉
ISSN: 0006-3363
1529-7268
DOI: 10.1095/biolreprod.103.023051⟩
Popis: International audience; The anti-inflammatory and utero-relaxant effects of two potent phosphodiesterase 4 (PDE4) inhibitors of the latest generation: cilomilast (one of the most advanced PDE4 inhibitors in clinical development, reportedly more selective for PDE4D) and compound A (which displays 12-fold greater selectivity toward PDE4B and/or PDE4A than toward PDE4D) were evaluated in human uterine smooth muscle. We first established that these compounds exhibit greater efficacy in inhibiting total cAMP-PDE activity in pregnant versus nonpregnant myometrium (E(max) = 78.0% +/- 3.6% and 80.3% +/- 2.2% in pregnant versus 57% +/- 4.7% and 70.5% +/- 5.9% in nonpregnant women for compound A and cilomilast, respectively; P < 0.05 for both compounds), confirming the prominent participation of PDE4 isoforms in cAMP hydrolysis in the near-term pregnant myometrium. Using pregnant myometrial explants, we have shown that both these drugs and also rolipram, the prototype PDE4 inhibitor, produce concentration-dependent inhibition of lipopolysaccharide (LPS) induced tumor necrosis factor alpha (TNFalpha) release with similar potency in each case (pD2 = 8.0 +/- 0.5, 7.9 +/- 0.2, and 7.6 +/- 0.2 for compound A, cilomilast, and rolipram, respectively). The maximum inhibition produced is 65%. Pretreatment with forskolin or 8-bromo-cAMP mimics the PDE4 inhibitor effect. Furthermore, compound A and cilomilast both produce concentration-dependent inhibition of the spontaneous contractions of myometrial strips and are more potent in pregnant than in nonpregnant myometrium (pD2 = 7.3 +/- 0.7 and 8.1 +/- 0.3 in pregnant versus 6.2 +/- 0.9 and 6.6 +/- 0.1 in nonpregnant myometrium for compound A and cilomilast, respectively; P < 0.05 for both compounds). This demonstrates that the PDE4 isoforms involved in the mechanism of contraction are different in the pregnant and nonpregnant myometrium. Our study highlights the importance of developing PDE4 inhibitors for the pharmacological management of infection-induced preterm labor.
Databáze: OpenAIRE