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Received for publication August 26, 2003.
Revised October 20, 2003.
Accepted for publication October 28, 2003.
AWD 12-281 is a potent (IC50 9.7 nM) and
highly selective inhibitor of the phosphodiesterase 4
(PDE4) isoenzyme with low affinity to the high-affinity
rolipram-binding site. The compound was optimized for
topical treatment of asthma, chronic obstructive
pulmonary disease (COPD) and allergic rhinitis. The aim
of the present study was to assess the effect of AWD 12-
281 in human inflammatory cells. Peripheral blood
mononuclear cells (PBMC), diluted whole blood and human
nasal polyp cells derived from surgically resected nasal
polyps from patients with polyposis comprise sources of
target tissue cells that can be used to predict anti-
inflammatory effects in patients. AWD 12-281 was capable
of suppressing the production of cytokines in stimulated
PBMC: Interleukin-2 (IL-2, phytohemagglutinin (PHA)-
stimulation), IL-5 (concanavalin A (Con A) stimulation),
IL-5 and IL-4 (anti-CD3/anti-CD28 co-stimulation) and LPS-
stimulated release of tumor necrosis factor
(TNF
). The corresponding values for half-maximum
inhibition, EC50, for AWD 12-281 were within a
narrow range (46-121 nM). Comparing the effect of AWD 12-
281 with roflumilast, cilomilast (SB 207499), rolipram,
RPR-73401 and RS-253444-000, it could be shown that the
PDE4 inhibitory activity was closely correlated with
inhibitory potential as measured by the above assays. AWD
12-281 was also shown to suppress TNF
release in
dispersed nasal polyps (EC50 111 nM) and in
diluted whole blood (EC50 934 nM). The reduced
activity in human blood may be related to high plasma
protein binding. Currently, Phase-II clinical studies are
under way to evaluate the therapeutic potential of AWD 12-
281 in asthma, COPD and allergic rhinitis.
Key words:
Interleukin 2, Interleukin 4, Tumor necrosis factor alpha, interleukin 5, nasal polyps, peripheral blood mononuclear cells (PBMC)
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