Tags

Type your tag names separated by a space and hit enter

Differential modulation of cytokine production by drugs: implications for therapy in heart failure.
J Mol Cell Cardiol. 1996 Dec; 28(12):2491-9.JM

Abstract

We studied the effects of various phosphodiesterase (PDE) III inhibitors: amrinone, pimobendan and vesnarinone: a PDE IV inhibitor (Ro 20-1724) and a PDE V inhibitor (E-4021) on the production of cytokines which have been shown to depress myocardial function. Recently developed inotropic agents which inhibit PDE III activity have produced short-term hemodynamic benefits in patients with advanced heart failure, but long-term treatment with these agents has an adverse effect on survival. However, vesnarinone, which has been shown to improve survival dramatically, has an immunomodulating effect and inhibits the production of cytokines. Peripheral blood mononuclear cells obtained from healthy human subjects were stimulated with lipopolysaccharide and each PDE inhibitor was added. After 24 h of incubation, tumor necrosis factor alpha (TNF-alpha), interleukin 1 beta (IL-1 beta) and IL-6 in the culture supernatants were measured by an enzyme-linked immunosorbent assay. All three PDE III inhibitors, amrinone, pimobendan and vesnarinone, inhibited TNF-alpha production, but vesnarinone's inhibitory effect was the most prominent. Amrinone and pimobendan enhanced IL-1 beta production, whereas vesnarinone had no effect. Vesnarinone inhibited IL-6 production and pimobendan slightly decreased IL-6 production, whereas amrinone had no significant effect on IL-6 production. The PDE IV inhibitor, Ro 20-1724, decreased the production of IL-1 beta and TNF-alpha and also tended to inhibit IL-6 production; its modulation of cytokine production was similar to the effects of vesnarinone. Because 8Br-cAMP or 8Br-cGMP did not suppress cytokine production, the modulating effects were not considered to result from an increase in cAMP or cGMP. Differential modulation of cytokine production may play a role in the therapeutic effect in heart failure patients who are treated with drugs that have PDE-inhibitory actions. It may be important to study whether the use of dual inhibitors of PDE III and PDE IV is therapeutically more useful for the treatment of heart failure due to their immunomodulating properties.

Authors+Show Affiliations

Department of Cardiovascular Medicine, Kyoto University, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9004165

Citation

Matsumori, A, et al. "Differential Modulation of Cytokine Production By Drugs: Implications for Therapy in Heart Failure." Journal of Molecular and Cellular Cardiology, vol. 28, no. 12, 1996, pp. 2491-9.
Matsumori A, Ono K, Sato Y, et al. Differential modulation of cytokine production by drugs: implications for therapy in heart failure. J Mol Cell Cardiol. 1996;28(12):2491-9.
Matsumori, A., Ono, K., Sato, Y., Shioi, T., Nose, Y., & Sasayama, S. (1996). Differential modulation of cytokine production by drugs: implications for therapy in heart failure. Journal of Molecular and Cellular Cardiology, 28(12), 2491-9.
Matsumori A, et al. Differential Modulation of Cytokine Production By Drugs: Implications for Therapy in Heart Failure. J Mol Cell Cardiol. 1996;28(12):2491-9. PubMed PMID: 9004165.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differential modulation of cytokine production by drugs: implications for therapy in heart failure. AU - Matsumori,A, AU - Ono,K, AU - Sato,Y, AU - Shioi,T, AU - Nose,Y, AU - Sasayama,S, PY - 1996/12/1/pubmed PY - 1996/12/1/medline PY - 1996/12/1/entrez SP - 2491 EP - 9 JF - Journal of molecular and cellular cardiology JO - J Mol Cell Cardiol VL - 28 IS - 12 N2 - We studied the effects of various phosphodiesterase (PDE) III inhibitors: amrinone, pimobendan and vesnarinone: a PDE IV inhibitor (Ro 20-1724) and a PDE V inhibitor (E-4021) on the production of cytokines which have been shown to depress myocardial function. Recently developed inotropic agents which inhibit PDE III activity have produced short-term hemodynamic benefits in patients with advanced heart failure, but long-term treatment with these agents has an adverse effect on survival. However, vesnarinone, which has been shown to improve survival dramatically, has an immunomodulating effect and inhibits the production of cytokines. Peripheral blood mononuclear cells obtained from healthy human subjects were stimulated with lipopolysaccharide and each PDE inhibitor was added. After 24 h of incubation, tumor necrosis factor alpha (TNF-alpha), interleukin 1 beta (IL-1 beta) and IL-6 in the culture supernatants were measured by an enzyme-linked immunosorbent assay. All three PDE III inhibitors, amrinone, pimobendan and vesnarinone, inhibited TNF-alpha production, but vesnarinone's inhibitory effect was the most prominent. Amrinone and pimobendan enhanced IL-1 beta production, whereas vesnarinone had no effect. Vesnarinone inhibited IL-6 production and pimobendan slightly decreased IL-6 production, whereas amrinone had no significant effect on IL-6 production. The PDE IV inhibitor, Ro 20-1724, decreased the production of IL-1 beta and TNF-alpha and also tended to inhibit IL-6 production; its modulation of cytokine production was similar to the effects of vesnarinone. Because 8Br-cAMP or 8Br-cGMP did not suppress cytokine production, the modulating effects were not considered to result from an increase in cAMP or cGMP. Differential modulation of cytokine production may play a role in the therapeutic effect in heart failure patients who are treated with drugs that have PDE-inhibitory actions. It may be important to study whether the use of dual inhibitors of PDE III and PDE IV is therapeutically more useful for the treatment of heart failure due to their immunomodulating properties. SN - 0022-2828 UR - https://www.unboundmedicine.com/medline/citation/9004165/Differential_modulation_of_cytokine_production_by_drugs:_implications_for_therapy_in_heart_failure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-2828(96)90241-2 DB - PRIME DP - Unbound Medicine ER -