The Phosphodiesterase-4 Inhibitor Roflumilast, a Potential Treatment for the Comorbidity of Memory Loss and Depression in Alzheimer’s Disease: A Preclinical Study in APP/PS1 Transgenic Mice
Open accessAbstract
BACKGROUND: Depression is highly related to Alzheimer's disease (AD), yet no effective treatment is available. Phosphodiesterase-4 (PDE4) has been considered a promising target for treatment of AD and depression. Roflumilast, the first PDE4 inhibitor approved for clinical use, improves cognition at doses that do not cause side effects such as emesis. METHODS: Here we examined the effects of roflumilast on behavioral dysfunction and the related mechanisms in APPswe/PS1dE9 transgenic mice, a widely used model of AD. Mice at 10 months of age were examined for memory in the novel object recognition and Morris water-maze tests and depression-like behavior in the tail-suspension test and forced swimming test before killing for neurochemical assays. RESULTS: In the novel object recognition and Morris water-maze, APPswe/PS1dE9 mice showed significant cognitive declines, which were reversed by roflumilast at 5 and 10 mg/kg orally once per day. In the tail-suspension test and forced swimming test, the AD mice showed prolonged immobility time, which was also reversed by roflumilast. In addition, the staining of hematoxylin-eosin and Nissl showed that roflumilast relieved the neuronal cell injuries, while terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick-end labelling analysis indicated that roflumilast ameliorated cell apoptosis in AD mice. Further, roflumilast reversed the decreased ratio of B-cell lymphoma-2/Bcl-2-associated X protein and the increased expression of PDE4B and PDE4D in the cerebral cortex and hippocampus of AD mice. Finally, roflumilast reversed the decreased levels of cyclic AMP (cAMP) and expression of phosphorylated cAMP response element-binding protein and brain derived neurotrophic factor in AD mice. CONCLUSIONS: Together, these results suggest that roflumilast not only improves learning and memory but also attenuates depression-like behavior in AD mice, likely via PDE4B/PDE4D-mediated cAMP/cAMP response element-binding protein/brain derived neurotrophic factor signaling. Roflumilast can be a therapeutic agent for AD, in particular the comorbidity of memory loss and depression.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
PDE4 inhibitors include roflumilast, an oral small compound that selectively inhibits PDE4, an enzyme involved in controlling cAMP levels, and may lessen inflammation and increase neuronal survival.
“PDE4 inhibitors, which are oral small compounds that selectively inhibit PDE4, an enzyme involved in controlling cAMP levels, include roflumilast (15, Figure 5), which may lessen inflammation and increase neuronal survival [177,178,179,180].”
From Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease (2024) · cites this paper as [177]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
A Simple Practice Guide for Dose Conversion between Animals and Human
Nair, A., & Jacob, S. (2016) · Journal of Basic and Clinical Pharmacy · doi:10.4103/0976-0105.177703 · Cited by 6,174 · see citing works
The novel object recognition memory: neurobiology, test procedure, and its modifications
Antunes, M., & Biala, G. (2012) · Cognitive Processing · doi:10.1007/s10339-011-0430-z · Cited by 2,390 · see citing works
Depression and risk of developing dementia
Byers, A. L., & Yaffe, K. (2011) · Nature Reviews Neurology · doi:10.1038/nrneurol.2011.60 · Cited by 1,265 · see citing works
Depression and dementia: Cause, consequence or coincidence?
Bennett, S., & Thomas, A. J. (2014) · Maturitas · doi:10.1016/j.maturitas.2014.05.009 · Cited by 528 · see citing works
Antidepressant effects of inhibitors of cAMP phosphodiesterase (PDE4)
O’Donnell, J. M., & Zhang, H. (2004) · Trends in Pharmacological Sciences · doi:10.1016/j.tips.2004.01.003 · Cited by 307 · see citing works
Li, Y., Cheng, Y., Huang, Y., Conti, M., Wilson, S. P., O’Donnell, J. M., & Zhang, H. (2011) · Journal of Neuroscience · doi:10.1523/jneurosci.5236-10.2011 · Cited by 233 · see citing works
Pérez-Torres, S., Miró, X., Palacios, J. M., Cortés, R., Puigdomènech, P., & Mengod, G. (2000) · Journal of Chemical Neuroanatomy · doi:10.1016/s0891-0618(00)00097-1 · Cited by 231 · see citing works
Zhang, H. (2002) · Neuropsychopharmacology · doi:10.1016/s0893-133x(02)00344-5 · Cited by 228 · see citing works
Li, Y.-F., Huang, Y., Amsdell, S. L., Xiao, L., O'Donnell, J. M., & Zhang, H.-T. (2009) · Neuropsychopharmacology · doi:10.1038/npp.2009.66 · Cited by 185 · see citing works
Anxiogenic-Like Behavioral Phenotype of Mice Deficient in Phosphodiesterase 4B (PDE4B)
Zhang, H., Huang, Y., Masood, A., Stolinski, L. R., Li, Y., Zhang, L., Dlaboga, D., Jin, S.-L. C., Conti, M., & O’Donnell, J. M. (2007) · Neuropsychopharmacology · doi:10.1038/sj.npp.1301537 · Cited by 180 · see citing works
Prickaerts, J., Heckman, P. R. A., & Blokland, A. (2017) · Expert Opinion on Investigational Drugs · doi:10.1080/13543784.2017.1364360 · Cited by 172 · see citing works
Depression in Alzheimer's Disease: Epidemiology, Mechanisms, and Management
Chi, S., Yu, J., Tan, M., & Tan, L. (2014) · Journal of Alzheimer s Disease · doi:10.3233/jad-140324 · Cited by 165 · see citing works
Clinical Research on Alzheimer’s Disease: Progress and Perspectives
Sun, B., Li, W., Zhu, C., Jin, W., Zeng, F., Liu, Y.-H., Bu, X., Zhu, J., Yao, X., & Wang, Y. (2018) · Neuroscience Bulletin · doi:10.1007/s12264-018-0249-z · Cited by 164 · see citing works
Zhang, H. (2000) · Neuropsychopharmacology · doi:10.1016/s0893-133x(00)00108-1 · Cited by 154 · see citing works
Cyclic AMP-Specific Phosphodiesterase-4 as a Target for the Development of Antidepressant Drugs
Zhang, H. (2009) · Current Pharmaceutical Design · doi:10.2174/138161209788168092 · Cited by 150 · see citing works
Wang, C., Yang, X., Zhuo, Y., Zhou, H., Lin, H.-B., Cheng, Y., Xu, J., & Zhang, H. (2011) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145711000836 · Cited by 150 · see citing works
PDE4 inhibitors induce emesis in ferrets via a noradrenergic pathway
Robichaud, A., Savoie, C., Stamatiou, P. B., Tattersall, F. D., & Chan, C. C. (2001) · Neuropharmacology · doi:10.1016/s0028-3908(00)00142-8 · Cited by 131 · see citing works
Jin, F. J., Gong, Q., Xu, Y.-S., Wang, L., Jin, H. D., Li, F., Li, L., Ma, Y., & Shi, J. (2014) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145713001533 · Cited by 130 · see citing works
Novel Phosphodiesterase Inhibitors for Cognitive Improvement in Alzheimer’s Disease
Wu, Y., Li, Z., Huang, Y., Wu, D., & Luo, H. (2018) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.7b01370 · Cited by 129 · see citing works
Sierksma, A. S. R., van den Hove, D., Pfau, F., Philippens, M., Bruno, O., Fedele, E., Ricciarelli, R., Steinbusch, H. W. M., Vanmierlo, T., & Prickaerts, J. (2013) · Neuropharmacology · doi:10.1016/j.neuropharm.2013.09.015 · Cited by 125 · see citing works
Phosphodiesterase-4 (PDE4) Molecular Pharmacology and Alzheimer's Disease
Gurney, M. E., D'Amato, E. C., & Burgin, A. B. (2015) · Neurotherapeutics · doi:10.1007/s13311-014-0309-7 · Cited by 121 · see citing works
The PDE4 inhibitor roflumilast improves memory in rodents at non-emetic doses
Vanmierlo, T., Creemers, P., Akkerman, S., van Duinen, M. A., Sambeth, A., Vry, J. D., Uz, T., Blokland, A., & Prickaerts, J. (2016) · Behavioural Brain Research · doi:10.1016/j.bbr.2016.01.031 · Cited by 112 · see citing works
Romano, A., Pace, L., Tempesta, B., Lavecchia, A. M., Macheda, T., Bedse, G., Petrella, A., Cifani, C., Serviddio, G., Vendemiale, G., et al. (2014) · The International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyu020 · Cited by 88 · see citing works
Ricciarelli, R., Brullo, C., Prickaerts, J., Arancio, O., Villa, C., Rebosio, C., Calcagno, E., Balbi, M., van Hagen, B. T. J., Argyrousi, E. K., et al. (2017) · Scientific Reports · doi:10.1038/srep46320 · Cited by 78 · see citing works
Gurney, M. E., Nugent, R. A., Mo, X., Sindac, J. A., Hagen, T. J., Fox, D. N. A., O’Donnell, J. M., Zhang, C., Xu, Y., Zhang, H., et al. (2019) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.9b00193 · Cited by 78 · see citing works
Zhang, C., Xu, Y., Chowdhary, A., Fox, D. N. A., Gurney, M. E., Zhang, H., Auerbach, B. D., Salvi, R., Yang, M., Li, G., et al. (2018) · Neuropsychopharmacology · doi:10.1038/s41386-018-0178-6 · Cited by 77 · see citing works
Sartor, G. C., Malvezzi, A. M., Kumar, A., Andrade, N. S., Wiedner, H. J., Vilca, S. J., Janczura, K. J., Bagheri, A., Al‐Ali, H., Powell, S. K., et al. (2018) · Journal of Neuroscience · doi:10.1523/jneurosci.1604-18.2018 · Cited by 77 · see citing works
Heckman, P. R. A., Blokland, A., Bollen, E., & Prickaerts, J. (2018) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2018.02.007 · Cited by 75 · see citing works
Dlaboga, D., HajjHussein, H., & O’Donnell, J. M. (2006) · Brain Research · doi:10.1016/j.brainres.2006.04.032 · Cited by 72 · see citing works
Feng, H., Wang, C., He, W., Wu, X.-J., Li, S., Zeng, Z., Wei, M., & He, B. (2019) · Metabolic Brain Disease · doi:10.1007/s11011-018-0374-4 · Cited by 72 · see citing works
Zhang, C., Xu, Y., Zhang, H., Gurney, M. E., & O’Donnell, J. M. (2017) · Scientific Reports · doi:10.1038/srep40115 · Cited by 68 · see citing works
cAMP, cGMP and Amyloid β: Three Ideal Partners for Memory Formation
Ricciarelli, R., & Fedele, E. (2018) · Trends in Neurosciences · doi:10.1016/j.tins.2018.02.001 · Cited by 67 · see citing works
Blokland, A., van Duinen, M. A., Sambeth, A., Heckman, P. R. A., Tsai, M. C., Lahu, G., Uz, T., & Prickaerts, J. (2019) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2019.01.014 · Cited by 64 · see citing works
van Duinen, M. A., Sambeth, A., Heckman, P. R. A., de Smit, S., Tsai, M., Lahu, G., Uz, T., Blokland, A., & Prickaerts, J. (2017) · Neuropharmacology · doi:10.1016/j.neuropharm.2017.12.019 · Cited by 63 · see citing works
Mice deficient in phosphodiesterase-4A display anxiogenic-like behavior
Hansen, R., Conti, M., & Zhang, H. (2014) · Psychopharmacology · doi:10.1007/s00213-014-3480-y · Cited by 59 · see citing works
Fidélis, E. M., Savall, A. S. P., Abreu, E. D. L., de Carvalho, F. B., Teixeira, F. E. G., Haas, S. E., Sampaio, T. B., & Pinton, S. (2019) · Neuroscience · doi:10.1016/j.neuroscience.2019.09.032 · Cited by 57 · see citing works
PDE and cognitive processing: Beyond the memory domain
Heckman, P. R. A., Blokland, A., Ramaekers, J. G., & Prickaerts, J. (2014) · Neurobiology of Learning and Memory · doi:10.1016/j.nlm.2014.10.011 · Cited by 55 · see citing works
Gilleen, J., Yakub, F., Davison, C., Kerins, S., Valdearenas, L., Uz, T., Lahu, G., Tsai, M. C., Ogrinc, F., Reichenberg, A., et al. (2018) · Psychopharmacology · doi:10.1007/s00213-018-5134-y · Cited by 53 · see citing works
Wang, Z., Yang, W., Zhang, Y., Zhao, N., Zhang, Y., Liu, Y., Xu, Y., Wilson, S. P., O’Donnell, J. M., Zhang, H., et al. (2015) · Scientific Reports · doi:10.1038/srep11332 · Cited by 51 · see citing works
Gong, M., Wen, R.-T., Xu, Y., Pan, J., Fei, N., Yan-meng, Z., Xu, J., Liang, J., & Zhang, H. (2017) · Psychopharmacology · doi:10.1007/s00213-017-4697-3 · Cited by 48 · see citing works
Sugin Lal Jabaris, S., Sumathy, H., Kumar, R. S., Narayanan, S., Thanikachalam, S., & Chidambaram, S. B. (2014) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2014.10.039 · Cited by 47 · see citing works
Luo, J. F., Yang, L. Y., Yang, J., Yang, D., Liu, B., Liu, D., Liang, B., & Liu, C. (2018) · Respirology · doi:10.1111/resp.13276 · Cited by 40 · see citing works
Gulisano, W., Tropea, M. R., Arancio, O., Palmeri, A., & Puzzo, D. (2018) · Neuropharmacology · doi:10.1016/j.neuropharm.2018.06.002 · Cited by 38 · see citing works
Senescent-induced dysregulation of cAMP/CREB signaling and correlations with cognitive decline
Hansen, R., & Zhang, H. (2013) · Brain Research · doi:10.1016/j.brainres.2013.04.033 · Cited by 37 · see citing works
Zhou, Z., Cheng, Y., Zou, Z., Ge, B.-C., Yu, H. M., Huang, C., Wang, H., Yang, X., & Xu, J. (2016) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.6b00271 · Cited by 37 · see citing works
Sugin Lal Jabaris, S., Sumathy, H., Girish, R., Narayanan, S., Sugumar, M., Babu, C. S., Thanikachalam, S., & Thanikachalam, M. (2015) · Brain Research · doi:10.1016/j.brainres.2015.07.003 · Cited by 33 · see citing works
Wang, Z., Zhang, Y., Zhang, H., & Li, Y. (2014) · Current Pharmaceutical Design · doi:10.2174/1381612820666140826115559 · Cited by 33 · see citing works
The phosphodiesterase-4 inhibitor roflumilast decreases ethanol consumption in C57BL/6J mice
Liu, X. B., Hao, P., Yang, M., Sun, J., Mao, L., Fan, C., Zhang, Z., Li, D.-W., Yang, X., Sun, B., et al. (2017) · Psychopharmacology · doi:10.1007/s00213-017-4631-8 · Cited by 32 · see citing works
ASP3258, an orally active potent phosphodiesterase 4 inhibitor with low emetic activity
Kobayashi, M., Kubo, S., Iwata, M., Ohtsu, Y., Takahashi, K., & Shimizu, Y. (2011) · International Immunopharmacology · doi:10.1016/j.intimp.2011.01.023 · Cited by 29 · see citing works
Yu, H., Zou, Z., Zhang, X., Peng, W., Chen, C., Ye, Y., Xu, J., & Wang, H. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19020513 · Cited by 26 · see citing works
Suzuki, O., Mizukami, K., Etori, M., Sogawa, Y., Takagi, N., Tsuchida, H., Morimoto, K., Goto, T., Yoshino, T., Mikkaichi, T., et al. (2013) · Journal of Pharmacological Sciences · doi:10.1254/jphs.13103fp · Cited by 24 · see citing works
Peng, S., Yan, H., Liu, P., Shi, X., Liu, C., Liu, Q., & Zhang, Y. (2018) · Cellular Physiology and Biochemistry · doi:10.1159/000488180 · Cited by 23 · see citing works
Wang, H., Yu, Y., Chen, W., Cui, Y., Luo, T., Jian, M., Jiang, X., & Qin, S. (2014) · Journal of Alzheimer s Disease · doi:10.3233/jad-130812 · Cited by 18 · see citing works
The Past, Present, and Future of Phosphodiesterase-4 Modulation for Age-Induced Memory Loss
Hansen, R., & Zhang, H. (2017) · Advances in neurobiology · doi:10.1007/978-3-319-58811-7_7 · Cited by 9 · see citing works
Flagged first, then by citations
1 of the 55 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Depression in Alzheimer’s Disease: Epidemiology, Mechanisms, and Treatment
Huang, Y.-Y., Gan, Y.-H., Yang, L., Cheng, W., & Yu, J.-T. (2024) · Biological Psychiatry · doi:10.1016/j.biopsych.2023.10.008 · Cited by 164 · see citing works
cAMP-PKA cascade: An outdated topic for depression?
Gao, F., Yang, S., Wang, J., & Zhu, G. (2022) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2022.113030 · Cited by 77 · see citing works
Jia, Z., Yang, J., Cao, Z., Zhao, J., Zhang, J., Lu, Y. F., Chu, L., Zhang, S., Chen, Y., & Pei, L. (2021) · Behavioural Brain Research · doi:10.1016/j.bbr.2021.113463 · Cited by 72 · see citing works
Lugnier, C. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms231810616 · Cited by 53 · see citing works
Farid, H. A., Sayed, R. H., El-Shamarka, M. E.-S., Abdel‐Salam, O. M. E., & Sayed, N. S. E. (2023) · Inflammopharmacology · doi:10.1007/s10787-023-01305-x · Cited by 52 · see citing works
Recent Advances in Therapeutics for the Treatment of Alzheimer’s Disease
Thawabteh, A. M., Ghanem, A. W., AbuMadi, S., Thaher, D., Jaghama, W., Karaman, D., & Karaman, R. (2024) · Molecules · doi:10.3390/molecules29215131 · Cited by 56 · see citing works
“PDE4 inhibitors, which are oral small compounds that selectively inhibit PDE4, an enzyme involved in controlling cAMP levels, include roflumilast ( 15 , Figure 5), which may lessen inflammation and increase neuronal survival [177–180].”
BackgroundSheng, J., Zhang, S., Wu, L., Kumar, G., Liao, Y., K., P. G., & Fan, H. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.1019187 · Cited by 43 · see citing works
Zhang, Q., Zhao, W., Hou, Y., Song, X., Yu, H., Tan, J., Zhou, Y., & Zhang, H. (2023) · CNS Neuroscience & Therapeutics · doi:10.1111/cns.14132 · Cited by 40 · see citing works
Cong, Y.-F., Liu, F.-W., Xu, L., Song, S., Shen, X.-R., Liu, D., Hou, X.-Q., & Zhang, H. (2023) · The International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyad042 · Cited by 38 · see citing works
Cyclic nucleotide phosphodiesterases as drug targets
Kelly, M. P., Nikolaev, V. O., Gobejishvili, L., Lugnier, C., Heßlinger, C., Nickolaus, P., Kass, D. A., de Vasconcelos, W. P., Fischmeister, R., Brocke, S., et al. (2025) · Pharmacological Reviews · doi:10.1016/j.pharmr.2025.100042 · Cited by 38 · see citing works
Xi, M., Sun, T., Chai, S., Xie, M., Chen, S., Deng, L., Du, K., Shen, R., & Sun, H. (2022) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2022.114170 · Cited by 35 · see citing works
PDE4D inhibition ameliorates cardiac hypertrophy and heart failure by activating mitophagy
Fu, J., Su, C., Ge, Y., Zhou, A., Li, X., Chen, Y., Yang, Y., Chen, S., Xu, R., Yang, X., et al. (2025) · Redox Biology · doi:10.1016/j.redox.2025.103563 · Cited by 34 · see citing works
Liu, J., Liu, L., Zheng, L., Feng, K.-W., Wang, H.-T., Xu, J.-P., & Zhou, Z.-Z. (2022) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2022.114503 · Cited by 28 · see citing works
Self-citationDesouky, M. A., George, M. Y., Michel, H. E., & Elsherbiny, D. A. (2023) · Chemico-Biological Interactions · doi:10.1016/j.cbi.2023.110491 · Cited by 26 · see citing works
Pharmacological Strategies to Improve Dendritic Spines in Alzheimer’s Disease
Ettcheto, M., Busquets, O., Cano, A. C., Sánchez‐López, E., Manzine, P. R., Espinosa-Jiménez, T., Verdaguer, E., Sureda, F. X., Olloquequi, J., Castro-Torres, R. D., et al. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-201106 · Cited by 25 · see citing works
Armstrong, P., Güngör, H., Anongjanya, P., Tweedy, C., Parkin, E. T., Johnston, J., Carr, I., Dawson, N., & Clapcote, S. J. (2024) · Neuropsychopharmacology · doi:10.1038/s41386-024-01852-z · Cited by 25 · see citing works
Xia, C., He, J., Feng, K.-W., Liu, L., Zheng, L., Wang, H., Xu, J., & Zhou, Z. (2022) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.1c00762 · Cited by 24 · see citing works
Paes, D., Schepers, M., Willems, E., Rombaut, B., Tiane, A., Solomina, Y., Tibbo, A. J., Blair, C. M., Kyurkchieva, E., Baillie, G. S., et al. (2023) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-023-04804-w · Cited by 26 · see citing works
Converged avenues: depression and Alzheimer’s disease– shared pathophysiology and novel therapeutics
Bajaj, S., & Mahesh, R. (2024) · Molecular Biology Reports · doi:10.1007/s11033-023-09170-1 · Cited by 23 · see citing works
Chitosan – An alternative drug delivery approach for neurodegenerative diseases
Iyer, M., Elangovan, A., Ramya, S., Babu, H. W. S., Saranya, T., Krishnan, J., Yadav, M., Gopalakrishnan, A. V., Narayanasamy, A., & Vellingiri, B. (2024) · Carbohydrate Polymer Technologies and Applications · doi:10.1016/j.carpta.2024.100460 · Cited by 22 · see citing works
Selective Inhibition of PDE4B Reduces Binge Drinking in Two C57BL/6 Substrains
Chavez, C. L. J., Bryant, C. D., Munn‐Chernoff, M. A., & Szumlinski, K. K. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22115443 · Cited by 21 · see citing works
Zhang, M., Liu, L., Xu, Y., Wang, W.-Z., Qiu, N., Zhang, F., Zhang, F., Wang, X., Chen, W., Xu, X.-Y., et al. (2023) · Metabolic Brain Disease · doi:10.1007/s11011-023-01242-2 · Cited by 20 · see citing works
Roflumilast Suppresses Adipogenic Differentiation via AMPK Mediated Pathway
Xu, W., Zhang, J., & Xiao, J. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.662451 · Cited by 19 · see citing works
Shi, J., Song, C., Zhang, P., Wang, J., Huang, W., Yu, T., Wei, Z., Wang, L., Zhao, L., Zhang, R., et al. (2025) · Theranostics · doi:10.7150/thno.104709 · Cited by 18 · see citing works
Wang, W.-Z., Li, M., Chen, Y., Liu, L., Xu, Y., Xia, Z.-H., Yu, Y., Wang, X., Chen, W., Zhang, F., et al. (2021) · Journal of Alzheimer s Disease · doi:10.3233/jad-210463 · Cited by 18 · see citing works
Bhat, A., Bishir, M., Pandi-Perumal, S. R., Chang, S. L., & Chidambaram, S. B. (2022) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.2c00127 · Cited by 19 · see citing works
Zhang, J., Gao, Q., Gao, J., Lv, L., Liu, R., Wu, Y., Li, X., Jin, Y., & Wang, L. (2023) · Brain Sciences · doi:10.3390/brainsci13030422 · Cited by 18 · see citing works
Hasan, N., Zameer, S., Najmi, A. K., Parvez, S., & Akhtar, M. (2022) · Neurotoxicity Research · doi:10.1007/s12640-022-00482-x · Cited by 17 · see citing works
RetractedRoflumilast and cognition enhancement: A translational perspective
Prickaerts, J., Kerckhoffs, J., Possemis, N., van Overveld, W., Verbeek, F., Grooters, T., Sambeth, A., & Blokland, A. (2024) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2024.117707 · Cited by 17 · see citing works
Targeting phosphodiesterase 4 as a therapeutic strategy for cognitive improvement
Wei, X., Yu, G., Shen, H., Luo, Y., Shang, T., Shen, R., Xi, M., & Sun, H. (2022) · Bioorganic Chemistry · doi:10.1016/j.bioorg.2022.106278 · Cited by 17 · see citing works
Zaki, E. S., Sayed, R. H., Saad, M. A., & El-Yamany, M. F. (2023) · Life Sciences · doi:10.1016/j.lfs.2023.121806 · Cited by 17 · see citing works
Li, X., Li, J., Huang, Y., Gong, Q., Fu, Y., Xu, Y., Huang, J., You, H., Zhang, D., Zhang, D., et al. (2021) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2021.114045 · Cited by 16 · see citing works
Gomaa, A. A., Farghaly, H. S. M., Ahmed, A. M., & Hemida, F. K. (2023) · International Immunopharmacology · doi:10.1016/j.intimp.2023.109927 · Cited by 16 · see citing works
Martinez, J. M., Shen, A., Xu, B. Y., Jovanović, A., de Chabot, J., Zhang, J., & Xiang, Y. K. (2023) · Science Signaling · doi:10.1126/scisignal.ade3380 · Cited by 15 · see citing works
Chen, S., Chen, Y., Song, Y., Zong, S.-H., Wu, M., Wang, W., Wang, H., Zhang, F., Yan-meng, Z., Yu, H., et al. (2024) · The International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyae040 · Cited by 13 · see citing works
Cai, N., Xu, B., Li, X., Qin, Y., Li, M., Chen, K., Xu, J., & Wang, H. (2022) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2022.175027 · Cited by 13 · see citing works
Angelopoulou, E., Bougea, A. M., Hatzimanolis, A., Scarmeas, N., & Papageorgiou, S. G. (2024) · Cells · doi:10.3390/cells13131164 · Cited by 14 · see citing works
Selective Inhibition of PDE4B Reduces Methamphetamine Reinforcement in Two C57BL/6 Substrains
Honeywell, K. M., Doren, E. V., & Szumlinski, K. K. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23094872 · Cited by 12 · see citing works
Waltrick, A. P. F., da Silva, A. C. F., de Mattos, B. A., Chaves, Y. C., de Oliveira, R. M. W., Prickaerts, J., & Zanoveli, J. M. (2022) · Behavioural Brain Research · doi:10.1016/j.bbr.2022.114217 · Cited by 11 · see citing works
Park, M. K., Yang, H. W., Woo, S. Y., Kim, D., Son, D., Choi, B. Y., & Suh, S. W. (2025) · Cells · doi:10.3390/cells14020086 · Cited by 11 · see citing works
Wang, L., Li, M., Zhu, C., Qin, A., Wang, J., & Wei, X. (2022) · Neurochemical Research · doi:10.1007/s11064-022-03672-3 · Cited by 11 · see citing works
Eskander, G., AbdelHamid, S. G., Wahdan, S. A., & Radwan, S. M. (2025) · Life Sciences · doi:10.1016/j.lfs.2025.123378 · Cited by 11 · see citing works
Phosphodiesterase 4 Inhibition in Neuropsychiatric Disorders Associated with Alzheimer’s Disease
Chen, J., Zhu, Z., Xu, F., Dou, B., Sheng, Z., & Xu, Y. (2025) · Cells · doi:10.3390/cells14030164 · Cited by 10 · see citing works
Rong, X., Yao, X., Fang, H., Saji, J., Qian, Y., Gu, J.-X., Yang, M., Peng, W., Liu, C.-R., Chen, B., et al. (2025) · Alzheimer s Research & Therapy · doi:10.1186/s13195-025-01869-6 · Cited by 11 · see citing works
Drug repurposing and structure-based discovery of new PDE4 and PDE5 inhibitors
Liu, J., Zhang, X., Chen, G., Shao, Q., Zou, Y., Li, Z., Su, H., Li, M., & Xu, Y. (2023) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2023.115893 · Cited by 10 · see citing works
Matencio, A., García‐Carmona, F., & López-Nicolás, M. (2020) · Pharmaceuticals · doi:10.3390/ph13090225 · Cited by 10 · see citing works
Apoptosis in health and diseases of the eye and brain
Abdulhussein, D., Kanda, M., Aamir, A., Manzar, H., Yap, T. E., & Cordeiro, M. F. (2021) · Advances in protein chemistry and structural biology · doi:10.1016/bs.apcsb.2021.01.008 · Cited by 10 · see citing works
Liu, P., Wang, J., Peng, S., Zhang, D., Zhuang, L., Liu, C., Zhang, Y., & Shi, X. (2022) · European Journal of Neuroscience · doi:10.1111/ejn.15751 · Cited by 10 · see citing works
Liang, H., Zhao, P., Xu, R., Liang, X., Xiao, X., Shi, L., & Lv, J. (2023) · Frontiers in Materials · doi:10.3389/fmats.2023.1205050 · Cited by 9 · see citing works
Pharmacologic treatment of depression in Alzheimer’s disease
Haußmann, R., & Donix, M. (2022) · International Clinical Psychopharmacology · doi:10.1097/yic.0000000000000439 · Cited by 9 · see citing works
Wang, Z., Zhang, Y., Chai, J., Wu, Y., Zhang, W., & Zhang, Z. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.12.074 · Cited by 8 · see citing works
Guo, T.-Y., Zhang, M., Lv, Y.-L., Qiu, N., Chen, R., Zhang, F., Chen, W., Zhang, F., Gao, Y., Wang, X., et al. (2025) · The International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyaf028 · Cited by 8 · see citing works
Chen, K., Xu, B., Qiu, S., Long, L., Zhao, Q., Xu, J., & Wang, H. (2024) · Glia · doi:10.1002/glia.24572 · Cited by 8 · see citing works
Kumari, S., Bagri, K., & Deshmukh, R. R. (2025) · Inflammopharmacology · doi:10.1007/s10787-024-01638-1 · Cited by 7 · see citing works
Protective mechanism of the EZH2/microRNA-15a-5p/CXCL10 axis in rats with depressive-like behaviors
Huang, X., Yang, C., & Huang, M. (2023) · Journal of Chemical Neuroanatomy · doi:10.1016/j.jchemneu.2023.102283 · Cited by 7 · see citing works
Qiu, N., Hou, H.-M., Guo, T.-Y., Lv, Y.-L., zhou, Y., Zhang, F., Zhang, F., Wang, X., Chen, W., Gao, Y., et al. (2024) · Neurochemical Research · doi:10.1007/s11064-024-04156-2 · Cited by 5 · see citing works
Sohn, J. M. B., Cardoso, N. C., Raymundi, A. M., Prickaerts, J., & Stern, C. A. J. (2023) · Scientific Reports · doi:10.1038/s41598-023-47717-1 · Cited by 6 · see citing works
Blood–Brain Barrier Rescue by Roflumilast After Transient Global Cerebral Ischemia in Rats
Bonato, J. M., de Mattos, B. A., Oliveira, D. V., Milani, H., Prickaerts, J., & de Oliveira, R. M. W. (2023) · Neurotoxicity Research · doi:10.1007/s12640-023-00639-2 · Cited by 6 · see citing works
Hassan, G. M., Kamar, S. A., Rady, H. Y., Abdelrahim, D. S., hay, N. H. A., & Lasheen, N. N. (2024) · PLoS ONE · doi:10.1371/journal.pone.0296187 · Cited by 6 · see citing works
Recent development in PDE4D-targeted inhibitors for Alzheimer's disease therapy
Sun, T., Li, Z., Xiao, B., Yang, J., Han, M., Zhang, J., Liu, S. B., Ma, J., Sang, Z., & Wang, P. (2025) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2025.118383 · Cited by 5 · see citing works
Wang, W., Zheng, W.-Q., Du, X., Chen, S.-C., Chen, Y., Ma, Q.-Y., Wang, H., Gao, S., Tan, R., Zhang, H., et al. (2024) · Brain Research · doi:10.1016/j.brainres.2024.148843 · Cited by 5 · see citing works
Sang, Z., Xue, T., Xing, Q.-R., Zhang, Q.-Y., Chen, H., Wang, X., Zhang, F., Fu, W.-L., Dong, W., Huang, S., et al. (2025) · Chinese Chemical Letters · doi:10.1016/j.cclet.2025.111318 · Cited by 4 · see citing works
Ha, H.-Y., Han, S.-H., & Cho, S. (2025) · Innovations in Acupuncture and Medicine · doi:10.1186/s44424-025-00017-z · Cited by 4 · see citing works
Phosphodiesterase 4 (PDE4) and neurological disorders: A promising frontier in neuropharmacology
Nahid, S., Saeedi, S., & Hopkins, C. R. (2024) · Advances in pharmacology · doi:10.1016/bs.apha.2024.10.005 · Cited by 5 · see citing works
Gezer, A., & SARI, E. K. (2023) · PubMed Central · doi:10.22038/ijbms.2023.65948.14507 · Cited by 4 · see citing works
Sin, Y. Y., Cameron, R. T., Schepers, M., MacLeod, R., Wright, T. A., Paes, D., van den Hove, D., Willems, E., Vanmierlo, T., Prickaerts, J., et al. (2024) · FEBS Letters · doi:10.1002/1873-3468.14902 · Cited by 4 · see citing works
Research progress on phosphodiesterase 4 inhibitors in central nervous system diseases
Adili, A., Dilihumaer, A., Zhu, H., & Tang, H. (2024) · Journal of Zhejiang University (Medical Sciences) · doi:10.3724/zdxbyxb-2024-0023 · Cited by 3 · see citing works
Banerjee, A., Thekkekkara, D., Manjula, S. N., Nair, S. P., & Lalitha, M. S. (2025) · 3 Biotech · doi:10.1007/s13205-025-04306-5 · Cited by 3 · see citing works
Li, J., Zhang, Y., Li, T., Nie, B., Qi, F., Chen, Q., Chen, T., Liu, Y., Li, G., & Li, Y. (2024) · Frontiers in Pharmacology · doi:10.3389/fphar.2024.1383624 · Cited by 2 · see citing works
Tiwari, N., Kaur, A., Kaur, A., & Goel, R. K. (2025) · Molecular Neurobiology · doi:10.1007/s12035-025-05429-9 · Cited by 2 · see citing works
Zhao, H., Gong, Z., Zhang, M., Guo, H., Chen, T., Zhao, Y., Du, X., Chen, S., Jiang, J., Zhu, L., et al. (2026) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2025.150002 · Cited by 2 · see citing works
Ahmad, N., Lesa, K. N., Fakhrudin, N., & Ikawati, Z. (2025) · Phytomedicine Plus · doi:10.1016/j.phyplu.2025.100778 · Cited by 1 · see citing works
Morsiani, A. (2011) · Cineforum
Jankowska, A., & Chłoń‐Rzepa, G. (2022) · Postępy Polskiej Medycyny i Farmacji · doi:10.5604/01.3001.0015.7725
Li, J., Zhang, Y., Li, T., Nie, B., Fang, Q., Chen, Q., Chen, T., Liu, Y., Li, Y., & Li, G. (2023) · Research Square · doi:10.21203/rs.3.rs-3453495/v1
Paes, D. (2023) · doi:10.26481/dis.20231117dp
Krishnan, A. R. (2024) · Qapsule Queen s Undergraduate Health Sciences Journal · doi:10.24908/qap.v1i2.17339
Vanderlip, C. R., Dunn, S. R., Basile, J. L., Wettstein, J. G., Vivian, J. A., & Glavis‐Bloom, C. (2026) · Behavioural Pharmacology · doi:10.1097/fbp.0000000000000893
Bian, H., Zhang, S., Huang, S., Jiao, Z., Wei, W., Su, R., Yang, F., Liu, J., Rao, Y., Fu, Y., et al. (2026) · Chinese Chemical Letters · doi:10.1016/j.cclet.2026.113012
Unveiling Remyelinating Properties of Roflumilast in CPZ‐Induced Neuronal Demyelination in Mice
Kamel, A. S. E. D., Sameh, I., Khattab, M. A., El-Sahar, A. E., Zaki, H. F., Badary, O. A., & Farrag, S. M. (2026) · Drug Development Research · doi:10.1002/ddr.70329 · Cited by 1 · see citing works
From synapses to tangles: PDE inhibitors as therapeutic modulators in Alzheimer's disease
Bagri, K., Damde, P., Bhatia, A., & Deshmukh, R. (2026) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2026.179084
Choudhary, N., Rana, S., Vashisht, K., Sharma, V., Bhatia, V., Ashawat, M. S., & Kushawaha, S. K. (2026) · Metabolic Brain Disease · doi:10.1007/s11011-026-01906-9
Lu, Y., Xu, Y., Sun, Y., Li, Y., Chang, S., Que, J., Han, X., Wei, Y. B., Lavebratt, C., & Liu, J. (2026) · Molecular Psychiatry · doi:10.1038/s41380-026-03858-z
BindingDB (2025) · UC San Diego · doi:10.7270/q27h1qbh
- Authors
- Wang, H., Zhang, F.-F., Xu, Y., Fu, H.-R., Wang, X.-D., Wang, L., Chen, W., Xu, X.-Y., Gao, Y.-F., Zhang, J.-G., & Zhang, H.-T.
- Affiliations
- Shandong First Medical University (CN)
- Institute of Pharmacology, Shandong First Medical University and Shandong Academy of Medical Sciences, Tai’an, China
- West Virginia University (US)
- Corresponding author
- Zhang, Han-Ting
- Venue
- International Journal of Neuropsychopharmacology
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-07-09
- Volume
- 23
- Issue
- 10
- Pages
- 700-711
- ISSN
- 1461-1457 (ISSN-L)
- 1469-5111
- PMC
- PMC7727475
- OpenAlex
- W3041079708
- Cited by
- 84
- References
- 55
- Citations by year
- 2026: 7 · 2025: 16 · 2024: 17 · 2023: 19 · 2022: 16 · 2021: 6 · 2020: 2
- FWCI
- 6.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The International Journal of Neuropsychopharmacology (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Natural Science Foundation of China (81773717, 8144111, 81601229)
- Key R & D Plan of Shandong Province (2019GSF108037)
- Academic Promotion Programme of Shandong First Medical University (2019LJ003, 2019QL011)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Phosphodiesterase function and regulation
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- roflumilast, phosphodiesterase-4 inhibitors, Alzheimer's disease, depression, memory loss, APP/PS1 mice, cognitive impairment, depression-like behavior, neuronal apoptosis, Bax/Bcl-2 ratio, PDE4B, PDE4D, cAMP signaling, CREB, brain-derived neurotrophic factor, hippocampus, cerebral cortex
- MeSH terms
- Alzheimer Disease, Aminopyridines, Animals, Behavior, Animal, Benzamides, Cerebral Cortex, Cyclopropanes, Depression, Disease Models, Animal, Hippocampus, Memory Disorders, Mice, Inbred C57BL, Mice, Transgenic, Amyloid beta-Protein Precursor, Maze Learning, Recognition, Psychology, Mice, Presenilin-1, Phosphodiesterase 4 Inhibitors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review