Deletion of phosphodiesterase 4D in mice shortens α2-adrenoceptor–mediated anesthesia, a behavioral correlate of emesis
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A combination of pharmacological and genetic approaches was used to determine the role of type 4 cAMP-specific cyclic nucleotide phosphodiesterase 4 (PDE4) in reversing alpha(2)-adrenoceptor-mediated anesthesia, a behavioral correlate of emesis in non-vomiting species. Among the family-specific PDE inhibitors, PDE4 inhibitors reduced the duration of xylazine/ketamine-induced anesthesia in mice, with no effect on pentobarbital-induced anesthesia. The rank order of the PDE4 inhibitors tested was 6-(4-pyridylmethyl)-8-(3-nitrophenyl)quinoline (PMNPQ) > (R)-rolipram > (S)-rolipram >> (R)-N-[4-[1-(3-cyclopentyloxy-4-methoxyphenyl)-2-(4-pyridyl)ethyl]phenyl]N'-ethylurea (CT-2450). The specific roles of PDE4B and PDE4D in this model were studied using mice deficient in either subtype. PDE4D-deficient mice, but not PDE4B-deficient mice, had a shorter sleeping time than their wild-type littermates under xylazine/ketamine-induced anesthesia, but not under that induced with pentobarbital. Concomitantly, rolipram-sensitive PDE activity in the brain stem was decreased only in PDE4D-deficient mice compared with their wild-type littermates. While PMNPQ significantly reduced the xylazine/ketamine-induced anesthesia period in wild-type mice and in PDE4B-null mice, it had no effect in PDE4D-deficient mice. These findings strongly support the hypothesis that inhibition of PDE4D is pivotal to the anesthesia-reversing effect of PMNPQ and is likely responsible for emesis induced by PDE4 inhibitors.
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“However, the full potential of these pan-PDE4 inhibitors (active against PDE4A, B, C and D) has been restricted by gastrointestinal adverse events (e.g., nausea, vomiting and diarrhoea), thought to be predominantly associated with the inhibition of the PDE4D isoenzyme (Robichaud et al., 2002).”
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- Authors
- Robichaud, A., Stamatiou, P. B., Jin, S.-L. C., Lachance, N., MacDonald, D., Laliberté, F., Liu, S., Huang, Z., Conti, M., & Chan, C.-C.
- Affiliations
- Merck Canada Inc. (Canada) (CA)
- Stanford Medicine (US)
- Corresponding author
- Robichaud, Annette
- Venue
- Journal of Clinical Investigation
- Published
- 2002-10-01
- Volume
- 110
- Issue
- 7
- Pages
- 1045-1052
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC151147
- OpenAlex
- W2170451911
- Cited by
- 267
- References
- 44
- Citations by year
- 2026: 4 · 2024: 5 · 2023: 6 · 2022: 3 · 2021: 11 · 2020: 10 · 2019: 8 · 2018: 7 · 2017: 14 · 2016: 10 · 2015: 11 · 2014: 22 · 2013: 11 · 2012: 19
- FWCI
- 3.83
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Child Health and Human Development
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD020788, HD20788)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Phosphodiesterase function and regulation
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Health Sciences › Veterinary › Small Animals › Veterinary Pharmacology and Anesthesia
- Keywords
- PDE4D, PDE4B, phosphodiesterase-4 inhibitors, vomiting, ketamine-xylazine anesthesia, rolipram, sleep duration, cAMP signaling
- MeSH terms
- Anesthesia, Animals, Male, Mice, Inbred C57BL, Pentobarbital, Phosphodiesterase Inhibitors, Time Factors, Vomiting, 3',5'-Cyclic-AMP Phosphodiesterases, Receptors, Adrenergic, alpha-2, Mice, Cyclic Nucleotide Phosphodiesterases, Type 4
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