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Vol. 284, Issue 1, 420-426, 1998
Departments of
Pulmonary Pharmacology (M.S.B., M.G., J.A.R.,
T.J.T.),
Immunopharmacology (T.J.T.),
Medicinal Chemistry (S.B.C.) and
Molecular Virology (U.B.), SmithKline Beecham Pharmaceuticals, King of
Prussia, Pennsylvania; and
Asthma and Allergy Center (D.M.E., A.K.S.),
The Johns Hopkins University, Baltimore, Maryland
First-generation phosphodiesterase 4 (PDE4) inhibitors, such as
rolipram, inhibit the activation of immune and inflammatory cells. The
clinical use of these compounds is limited by gastrointestinal side
effects, such as increased acid secretion and nausea. Consequently, the
challenge has been to design novel PDE4 inhibitors that maintain the anti-inflammatory actions of rolipram while achieving an improved side effect profile. Among the first of this new class of PDE4 inhibitors specifically designed to have an improved therapeutic index
relative to earlier compounds is SB 207499 (Ariflo)
[c-4-cyano-4-(3-cyclopentyloxy-4-methoxy-phenyl)-r-1-cyclohexanecarboxylic acid]. In this study, we compared the anti-inflammatory and gastric secretogogue activities of SB 207499 with those of rolipram. The cellular models used were (1) histamine release from human basophils, (2) tumor necrosis factor-
generation in human monocytes, (3) degranulation of human neutrophils, (4) antigen-driven proliferation and cytokine synthesis from human T cells and (5) acid secretion from
isolated rabbit gastric glands. SB 207499 inhibited the activation of a
variety of immune and inflammatory cells in a concentration-dependent manner: (1) histamine release in basophils [
log IC25 = 6.6 ± 0.3 vs. 8.0 for
(R)-rolipram], (2) lipopolysacchride-induced TNF-
formation in monocytes [
log IC50 = 7.0 ± 0.1 vs. 7.2 ± 0.1 for (R)-rolipram],
(3) fMLP-induced degranulation in neutrophils [
log IC15 = 7.1 ± 0.2 vs. 6.4 ± 0.5 for
(R)-rolipram], (4) house dust mite
induced-proliferation of peripheral blood mononuclear cells [
log
IC40 = 6.5 ± 0.3 vs. 6.4 ± 0.3 for (R)-rolipram] and (5) ragweed-induced production of
interferon-
[
log IC50 = 5.4] and interleukin-5
[
log IC50 = 5.0]. Although SB 207499 inhibits the activation of a variety of immune and inflammatory cells with a potency
equal to that of rolipram, it is >100-fold less potent than the latter
compound as an acid secretagogue [
log EC50 = 6.1 ± 0.1 vs. 8.3 ± 0.2 for
(R)-rolipram]. Collectively, these data indicate that
SB 207499 retains the anti-inflammatory activity of the prototypical
PDE4 inhibitor rolipram but is substantially less likely to stimulate
gastric acid secretion.
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