Selective phosphodiesterase-3 inhibitor cilostazol ameliorates experimental autoimmune encephalomyelitis

Juri Kureshiro1, Katsuichi Miyamoto, Noriko Tanaka

  • 1Department of Neurology, Kinki University School of Medicine, Ohno-higashi, Osaka-Sayama, Osaka, Japan.

Neuroreport
|April 30, 2009
PubMed

Insights

Cilostazol, a phosphodiesterase-3 inhibitor, reduced symptoms in experimental autoimmune encephalomyelitis (EAE) in mice. This suggests potential for treating multiple sclerosis by modulating T-cell responses and adhesion molecule expression.

Area of Science:

  • Neuroimmunology
  • Pharmacology

Background:

  • Experimental autoimmune encephalomyelitis (EAE) is a model for multiple sclerosis (MS).
  • Phosphodiesterase-3 (PDE3) inhibitors are being explored for various therapeutic applications.

Purpose of the Study:

  • To investigate the therapeutic potential of cilostazol, a PDE3 inhibitor, in a mouse model of EAE.
  • To determine cilostazol's effects on clinical symptoms, immune cell responses, and relevant molecular markers in EAE.

Main Methods:

  • EAE was induced in mice using MOG(35-55) peptide.
  • Mice were treated with either cilostazol or a vehicle control.
  • Clinical EAE scores, serum soluble intercellular adhesion molecule-1 (sICAM-1) levels, and lymphocyte proliferation and IFN-gamma production were assessed.

Main Results:

  • Cilostazol treatment significantly reduced clinical EAE scores compared to controls.
  • Serum sICAM-1 levels were significantly lower in cilostazol-treated mice.
  • Lymphocyte proliferation and IFN-gamma production in response to MOG(35-55) were significantly reduced by cilostazol.

Conclusions:

  • Cilostazol demonstrates a therapeutic effect in EAE, likely by suppressing antigen-specific T-cell responses and reducing adhesion molecule expression.
  • These findings suggest cilostazol as a promising candidate for the treatment of multiple sclerosis.

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