Vol. 305, Issue 2, 549-556, May 2003

The Specific Type-4 Phosphodiesterase Inhibitor Mesopram Alleviates Experimental Colitis in Mice

Florian Loher, Kathrin Schmall, Philipp Freytag, Nikola Landauer, Roland Hallwachs, Christian Bauer, Britta Siegmund, Florian Rieder, Hans-Anton Lehr, Marc Dauer, Joachim Friedrich Kapp, Stefan Endres and Andreas Eigler

Division of Clinical Pharmacology and Section of Gastroenterology, Medizinische Klinik Innenstadt, University of Munich, Germany (F.L., P.F., N.L., R.H., K.S., C.B., B.S., F.R., M.D., S.E., A.E); Institute of Pathology, University of Mainz, Germany (H.-A.L.); and Schering AG Berlin, Germany (J.F.K.)

Mesopram, a specific inhibitor of type-4 phosphodiesterase, decreases the synthesis of tumor necrosis factor- (TNF-) and interferon- (IFN-). In the present study, we investigated the effect of mesopram in dextran sulfate sodium (DSS)-induced murine colitis. In the preventive model, colitis was induced by DSS simultaneously with the application of mesopram in BALB/c mice. In the therapeutic model, colitis was induced in BALB/c mice by DSS over 7 days. At day 8, DSS was discontinued, and treatment was started. Mesopram was applied intraperitoneally or orally. The clinical score was calculated daily during the course of each study. Post mortem, colon length, histologic score, and expression of TNF- and IFN- in colons were determined. In the preventive model, mesopram significantly reduced the maximal clinical score, decreased colon shortening, and the histologic score. A dose finding study, using the preventive model, showed that most clinical and post mortem benefit was achieved with 50 mg/kg mesopram compared with 2 and 10 mg/kg. In the therapeutic model, i.p. mesopram treatment led to a significant reduction of clinical score. Both, i.p. and p.o. mesopram significantly reversed DSS-induced colon shortening and reduced the ex vivo colonic production of IFN-. We conclude that the specific type-4 phosphodiesterase inhibitor mesopram ameliorates murine colitis both in a preventive and a therapeutic setting.