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Cardiac cyclic nucleotide phosphodiesterases: function, regulation, and therapeutic prospects
1Department of Pharmacology and Physiology, Aab Cardiovascular Research Institute, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.
Phosphodiesterases regulate cyclic nucleotide signaling in the heart, impacting cardiac function and disease. Inhibitors offer therapeutic potential but may cause cardiovascular side effects.
Area of Science:
- Cardiovascular Biology
- Molecular Pharmacology
- Cell Signaling
Background:
- Cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) are vital second messengers in cardiac cells.
- Cyclic nucleotide phosphodiesterases (PDEs) control cAMP and cGMP levels, influencing diverse physiological and pathological processes.
- Over 60 PDE isoforms exist, with at least 7 families expressed in the myocardium.
Purpose of the Study:
- To review the expression and function of PDEs in the heart.
- To discuss the role of PDEs in cardiac physiology and pathology.
- To examine the cardiovascular effects of PDE inhibitors.
Main Methods:
- Literature review of studies on phosphodiesterases in the heart.
- Analysis of PDE expression patterns and regulatory mechanisms.
- Evaluation of PDE involvement in cardiac function, disease, and therapeutic interventions.
Main Results:
- PDEs are critical regulators of cardiac cAMP and cGMP signaling.
- Myocardial PDEs influence key processes like pacemaking, contractility, remodeling, and apoptosis.
- PDE inhibitors are used and explored for cardiovascular diseases, with potential side effects.
Conclusions:
- Phosphodiesterases play multifaceted roles in cardiac health and disease.
- Targeting PDEs offers therapeutic avenues for cardiovascular conditions.
- Careful consideration of PDE inhibitor cardiovascular effects is necessary.
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