Structural Basis for the Activity of Drugs That Inhibit Phosphodiesterases
Structure, Vol. 12, 2233–2247, December, 2004, ©2004 Elsevier Ltd. All rights reserved. DOI 10.1016/j.str.2004.10.004 Structural Basis for the Activity of Drugs that Inhibit Phosphodiesterases Graeme L. Card,1 Bruce P. England,1 a myriad of physiological processes, such as immune Yoshihisa Suzuki,1 Daniel Fong,1 Ben Powell,1 responses, cardiac and smooth muscle contraction, vi- Byunghun Lee,1 Catherine Luu,1 sual response, glycogenolysis, platelet aggregation, ion Maryam Tabrizizad,1 Sam Gillette,1 channel conductance, apoptosis, and growth control Prabha N. Ibrahim,1 Dean R. Artis,1 Gideon Bollag,1 (Francis et al., 2001). Cellular levels of cAMP and cGMP Michael V. Milburn,1 Sung-Hou Kim,2 are regulated by the relative activities of adenylyl and Joseph Schlessinger,3 and Kam Y.J. Zhang1,* guanylyl cyclases, which synthesize these cyclic nucleo- 1Plexxikon, Inc. tides, and by PDEs, which hydrolyze them into 5Ј-nucle- 91 Bolivar Drive otide monophosphates. By blocking phosphodiester hy- Berkeley, California 94710 drolysis, PDE inhibition results in higher levels of cyclic 2 Department of Chemistry nucleotides. Therefore, PDE inhibitors may have consid- University of California, Berkeley erable therapeutic utility as anti-inflammatory agents, Berkeley, California 94720 antiasthmatics, vasodilators, smooth muscle relaxants, 3 Department of Pharmacology cardiotonic agents, antidepressants, antithrombotics, Yale University School of Medicine and agents for improving memory and other cognitive 333 Cedar Street functions (Corbin and Francis, 2002; Rotella, 2002; Sou- New Haven, Connecticut 06520 ness et al., 2000). Of the 11 classes of human cyclic nucleotide phos- phodiesterases, the PDE4 family of enzymes is selective Summary for cAMP, while the PDE5 enzyme is selective for cGMP (Beavo and Brunton, 2002; Conti, 2000; Mehats et al., Phosphodiesterases (PDEs) comprise a large family 2002).
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