Department of New Drug Evaluation, Beijing Institute of Pharmacology and Toxicology, Beijing, China.
Br J Pharmacol. 2013 Feb;168(4):1001-14. doi: 10.1111/j.1476-5381.2012.02225.x.
Phosphodiesterase 4 (PDE4) inhibitors produce potent antidepressant-like and cognition-enhancing effects. However, their clinical utility is limited by the major side effect of emesis, which appears to be PDE4 isoform-specific. Although PDE4D subtype plays the pivotal role in these therapeutic profiles, it is also the primary subtype responsible for emesis. Therefore, the aim of present research was to investigate whether long-form PDE4D variants mediate antidepressant-like and cognition-enhancing effects, but are irrespective with emesis.
In mice microinfused with lentiviral vectors that contained shRNA-mir hairpin structure targeting long-form PDE4Ds into bilateral prefrontal cortices, the tail-suspension and forced-swim tests were used to measure antidepressant-like effects; novel object recognition and Morris water-maze tasks were used to determine cognition-enhancing effects. The emetic potential was assessed by alpha2 adrenergic receptor-mediated anaesthesia, a surrogate measure of emesis. Intracellular cAMP signalling was analysed by time-resolved FRET immunoassay and Western-blot. Dendritic complexity was assessed by Golgi staining.
Microinfusions of lentiviral PDE4D-shRNA down-regulated PDE4D4 and PDE4D5, and imitated the antidepressant-like and cognition-enhancing effects of the prototypical PDE4 inhibitor rolipram. The behavioural effects were related to dendritic complexity and mediated by the increased cAMP signalling. In addition, these effects were not enhanced in the presence of rolipram. Finally, while rolipram shortened the duration of combined anaesthesia, RNA interference-mediated PDE4D knock-down in the prefrontal cortex did not.
These data suggest that long-form PDE4Ds, at least PDE4D4 and PDE4D5, may be the promising targets for the development of PDE4 variant-selective inhibitors as the new pharmacotherapies for depressive disorders and neurodegenerative diseases involving memory deficits.
磷酸二酯酶 4(PDE4)抑制剂具有显著的抗抑郁和认知增强作用。然而,其临床应用受到呕吐这一主要副作用的限制,而这种副作用似乎与 PDE4 同工型特异性相关。尽管 PDE4D 亚型在这些治疗作用中起着关键作用,但它也是引起呕吐的主要亚型。因此,本研究旨在探讨长型 PDE4D 变体是否介导抗抑郁和认知增强作用,但与呕吐无关。
在双侧前额皮质中用慢病毒载体微注射靶向长型 PDE4D 的 shRNA 发夹结构的小鼠中,采用悬尾和强迫游泳试验来测量抗抑郁样作用;采用新物体识别和 Morris 水迷宫任务来确定认知增强作用。通过α2 肾上腺素能受体介导的麻醉来评估呕吐的潜力,这是呕吐的替代测量指标。通过时间分辨 FRET 免疫测定和 Western blot 分析细胞内 cAMP 信号。通过高尔基染色评估树突复杂性。
慢病毒 PDE4D-shRNA 的微注射下调了 PDE4D4 和 PDE4D5,并模拟了典型的 PDE4 抑制剂罗利普兰的抗抑郁样和认知增强作用。这些行为效应与树突复杂性有关,并由 cAMP 信号的增加介导。此外,在存在罗利普兰的情况下,这些效应并没有增强。最后,虽然罗利普兰缩短了联合麻醉的持续时间,但前额叶皮质中的 RNA 干扰介导的 PDE4D 敲低并没有。
这些数据表明,长型 PDE4D,至少是 PDE4D4 和 PDE4D5,可能是开发 PDE4 变体选择性抑制剂的有前途的靶点,作为治疗抑郁障碍和涉及记忆缺陷的神经退行性疾病的新药物。