Phosphodiesterase 4 and tolerance to beta 2-adrenoceptor agonists in asthma

Trends Pharmacol Sci. 1996 Sep;17(9):331-6.

Abstract

beta 2-Adrenoceptor agonists provide a mainstay in the treatment of asthma worldwide. However, despite their ability to provide symptomatic relief, chronic or repeated exposure to beta 2-adrenoceptor agonists does not resolve asthmatic inflammation, because of the rapid development of tolerance by pro-inflammatory and immune cells of the lung. The prevailing belief is that tolerance to the so-called non-bronchodilator actions of beta 2-adrenoceptor agonists is largely attributable to direct receptor desensitization mediated by G protein receptor-coupled kinases and/or cAMP-dependent protein kinase. Here, Mark Giembycz suggests another, largely ignored, explanation for beta 2-adrenoceptor desensitization that is based on the accelerated degradation of cAMP by phosphodiesterase.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • 3',5'-Cyclic-AMP Phosphodiesterases*
  • Adrenergic beta-2 Receptor Agonists*
  • Adrenergic beta-Agonists / pharmacology*
  • Animals
  • Anti-Asthmatic Agents / pharmacology*
  • Asthma / drug therapy*
  • Cyclic Nucleotide Phosphodiesterases, Type 4
  • Drug Tolerance
  • Enzyme Induction / drug effects
  • Humans
  • Phosphoric Diester Hydrolases / biosynthesis
  • Phosphoric Diester Hydrolases / metabolism*

Substances

  • Adrenergic beta-2 Receptor Agonists
  • Adrenergic beta-Agonists
  • Anti-Asthmatic Agents
  • Phosphoric Diester Hydrolases
  • 3',5'-Cyclic-AMP Phosphodiesterases
  • Cyclic Nucleotide Phosphodiesterases, Type 4