Abstract
Evaluation of a variety of PDE4 inhibitors in a series of cellular and in vivo assays suggested a strategy to improve the therapeutic index of PDE4 inhibitors by increasing their selectivity for the ability to inhibit PDE4 catalytic activity versus the ability to compete for high affinity [3H]rolipram-binding sites in the central nervous system. Use of this strategy led ultimately to the identification of cis-4-cyano-4-[3-(cyclopentyloxy)-4-methoxyphenyl]cyclohexane-1-carboxyl ic acid (1, SB 207499, Ariflo), a potent second-generation inhibitor of PDE4 with a decreased potential for side effects versus the archetypic first generation inhibitor, (R)-rolipram.
MeSH terms
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3',5'-Cyclic-AMP Phosphodiesterases / antagonists & inhibitors*
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Animals
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Anti-Asthmatic Agents / chemical synthesis
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Anti-Asthmatic Agents / metabolism
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Anti-Asthmatic Agents / pharmacology*
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Anti-Asthmatic Agents / toxicity
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Anti-Inflammatory Agents, Non-Steroidal / chemical synthesis
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Anti-Inflammatory Agents, Non-Steroidal / metabolism
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Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
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Anti-Inflammatory Agents, Non-Steroidal / toxicity
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Binding, Competitive
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Body Temperature / drug effects
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Brain / metabolism
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Bronchoconstriction / drug effects
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Cyclic Nucleotide Phosphodiesterases, Type 4
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Cyclohexanecarboxylic Acids / chemical synthesis
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Cyclohexanecarboxylic Acids / metabolism
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Cyclohexanecarboxylic Acids / pharmacology*
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Cyclohexanecarboxylic Acids / toxicity
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Dogs
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Gastric Acid / metabolism
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Guinea Pigs
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Humans
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Mice
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Monocytes / drug effects
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Monocytes / metabolism
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Nitriles
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Phosphodiesterase Inhibitors / chemical synthesis
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Phosphodiesterase Inhibitors / metabolism
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Phosphodiesterase Inhibitors / pharmacology*
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Phosphodiesterase Inhibitors / toxicity
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Pyrrolidinones / chemical synthesis
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Pyrrolidinones / metabolism
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Pyrrolidinones / pharmacology
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Pyrrolidinones / toxicity
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Rabbits
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Recombinant Proteins / antagonists & inhibitors
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Rolipram
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Stereoisomerism
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Structure-Activity Relationship
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Tumor Necrosis Factor-alpha / antagonists & inhibitors
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Vomiting / chemically induced
Substances
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Anti-Asthmatic Agents
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Anti-Inflammatory Agents, Non-Steroidal
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Cyclohexanecarboxylic Acids
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Nitriles
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Phosphodiesterase Inhibitors
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Pyrrolidinones
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Recombinant Proteins
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Tumor Necrosis Factor-alpha
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Cilomilast
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3',5'-Cyclic-AMP Phosphodiesterases
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Cyclic Nucleotide Phosphodiesterases, Type 4
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Rolipram