Phosphodiesterase enzymes have been shown to be different in different types of cells, including normal and leukemic lymphocytes and are often targets for pharmacological inhibition due to their unique tissue distribution, structural properties, and functional properties.
Inhibitors of PDE can prolong or enhance the effects of physiological processes mediated by
cAMP or
cGMP by inhibition of their degradation by PDE.
Sildenafil (Viagra) is an inhibitor of
cGMP-specific phosphodiesterase type 5, which enhances the vasodilatory effects of cGMP in the
corpus cavernosum and is used to treat
erectile dysfunction. Sildenafil is also currently being investigated for its myo- and cardioprotective effects, with particular interest being given to the compound's therapeutic value in the treatment of
Duchenne muscular dystrophy and
benign prostatic hyperplasia.
Paraxanthine, the main metabolite of
caffeine, is another cGMP-specific phosphodiesterase inhibitor which inhibits PDE9, a cGMP preferring phosphodiesterase. PDE9 is expressed as high as PDE5 in the corpus cavernosum.
Pharmacological effect of PDE inhibitors PDE inhibitors have been identified as new potential therapeutics in areas such as pulmonary arterial
hypertension,
coronary heart disease,
dementia,
depression,
asthma,
COPD,
protozoal infections (including
malaria) and
schizophrenia. PDE also are important in seizure incidence. For example, PDE compromised the antiepileptic activity of adenosine. In addition, using of a PDE inhibitor (pentoxifylline) in pentylenetetrazole-induced seizure indicated the antiepileptic effect by increasing the time latency to seizure incidence and decreasing the seizure duration in vivo.
Cilostazol (Pletal) inhibits
PDE3. This inhibition allows
red blood cells to be more able to bend. This is useful in conditions such as
intermittent claudication, as the cells can maneuver through constricted veins and arteries more easily.
Dipyridamole inhibits PDE-3 and PDE-5. This leads to intraplatelet accumulation of cAMP and/or cGMP, inhibiting platelet aggregation.
Zaprinast inhibits the growth of asexual blood-stage
malaria parasites (
Plasmodium falciparum)
in vitro with an
ED50 value of 35 μM, and inhibits PfPDE1, a
P. falciparum cGMP-specific phosphodiesterase, with an IC50 value of 3.8 μM.
Xanthines such as
caffeine and
theobromine are
cAMP-phosphodiesterase inhibitors. However, the inhibitory effect of xanthines on phosphodiesterases are only seen at dosages higher than what people normally consume. Sildenafil,
Tadalafil and
Vardenafil are PDE-5 inhibitors and are widely used in the treatment of erectile dysfunction. == Other applications ==