Treatment FAQ

why do pdes have potential utility in the treatment of cns disorders

by Gina Nader Published 3 years ago Updated 2 years ago

Are peptide agonists useful for the treatment of major CNS disorders?

This review examines the therapeutic potential of peptide agonists for the treatment of major CNS disorders such as schizophrenia, anxiety, depression and autism. Both clinical and preclinical data has been accumulated supporting the potential utility of agonists at central neurotensin, cholecystokinin, neuropeptide Y and oxytocin receptors.

Is neurosteroid replacement an effective treatment for catamenial epilepsy?

Hence, we suggest that “neurosteroid replacement” may be an effective therapy for catamenial epilepsy [69, 75, 76]. A neurosteroid could be administered in a “pulse” prior to menstruation and then withdrawn, or continuously administered throughout the month at low doses, so to avoid possible sedative side effects.

What is the ED50 profile of neurosteroids?

The profile of neurosteroids is expressed in terms of ED50,which is the dose in mg/kg producing seizure protection in 50% of animals (mostly in mice). Values in parentheses are 95% confidence limits. ND, not determined.

What do PDEs do?

Phosphodiesterases (PDEs) are enzymes involved in the homeostasis of both cAMP and cGMP. They are members of a family of proteins that includes 11 subfamilies with different substrate specificities. Their main function is to catalyze the hydrolysis of cAMP, cGMP, or both.

What is the effect on the brain when phosphodiesterase is inhibited?

In general, PDE5 inhibition decreased the ratio between blood flow and glucose utilization, indicative of general oligaemia; whereas PDE4 inhibition increased this ratio, indicative of general hyperemia. Both oligaemic and hyperemic conditions are detrimental for brain function and do not explain memory enhancement.

What exactly is the role of phosphodiesterase in signal transduction?

In the cyclic nucleotide cascade, phosphodiesterases (PDEs) are the enzymes that hydrolyze cAMP and cGMP, inactivating these second messengers. Together with phosphatases, PDEs are negative steps in the signaling pathway, and signal termination was thought to be their only function.

What activates PDE?

Activation of PDE is achieved by relief of the inhibitory constraint of PDEγ on the catalytic subunit. In this activation mechanism, it is widely believed that Tα* binds to PDEγ still bound to the catalytic subunit, and removes or displaces PDEγ from the catalytic subunit.

What does cGMP phosphodiesterase do?

PDE5 is a key enzyme involved in the regulation of cGMP-specific signaling pathways in normal physiological processes such as smooth muscle contraction and relaxation. For this reason, inhibition of the enzyme can alter those pathophysiological conditions associated with a lowering cGMP level in tissues.

What does PDE4 enzyme do?

(A) PDE4 regulates the production of pro-inflammatory and anti-inflammatory cytokines and cell proliferation via the degradation of cAMP.

What exactly is the role of phosphodiesterase in signal transduction quizlet?

Phosphodiesterase cleaves the phosphodiester bond of cAMP to generate AMP. As cellular levels of cAMP fall, the regulatory subunits of PKA become free of cAMP and will reassociate with the catalytic subunits of PKA, silencing their activity. There are also phosphodiesterases that are specific for cGMP.

What does phosphodiesterase break down?

A phosphodiesterase (PDE) is an enzyme that breaks a phosphodiester bond.

What does cAMP and cGMP do?

Abstract. The cyclic nucleotides cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) regulate the activity of protein kinase A (PKA) and protein kinase G (PKG), respectively. This process helps maintain circulating platelets in a resting state.

Why does phosphodiesterase break down cAMP?

The reason for this is that cAMP normally inhibits myosin light chain kinase, the enzyme that is responsible for phosphorylating smooth muscle myosin and causing contraction. Like the heart, the cAMP is broken down by a cAMP-dependent PDE (PDE3).

Where is PDE found?

Table 1PDE isoenzymeNo. of isoformsTissue expression18Heart, brain, lung, smooth muscle2Adrenal gland, heart, lung, liver, platelets34Heart, lung, liver, platelets, adipose tissue, inflammatory cells420Sertoli cells, kidney, brain, liver, lung, inflammatory cells7 more rows•Jan 9, 2006

What happens when cAMP increases?

Many different cell responses are mediated by cAMP; these include increase in heart rate, cortisol secretion, and breakdown of glycogen and fat. cAMP is essential for the maintenance of memory in the brain, relaxation in the heart, and water absorbed in the kidney.

What is SNP in biology?

(SNP). A location in a DNA sequence at which different nucleotides are present across a population. Differences in a single nucleotide could change the protein sequence or regulation of gene expression. This might be associated with a difference in susceptibility to a disease, or could have no consequence.

Is phosphodiesterase 5 a drug?

The therapeutic and commercial success of phosphodiesterase 5 inhibitors such as Viagra, Levitra and Cialis has sparked renewed interest in the phosphodiesterases as drug discovery targets. Virtually all the phosphodiesterases are expressed in the CNS, making this gene family a particularly attractive source of new targets for the treatment of psychiatric and neurodegenerative disorders. Significantly, all neurons express multiple phosphodiesterases, which differ in cyclic nucleotide specificity, affinity, regulatory control and subcellular compartmentalization. Therefore, phosphodiesterase inhibition represents a mechanism through which it could be possible to precisely modulate neuronal activity. In this article, we review the current state of the art in the burgeoning field of phosphodiesterase pharmacology in the CNS.

Introduction

PDEs are a family of enzymes that catalyze the hydrolysis of intracellular cyclic neucleotides. They are implicated in a number of disorders and dysfunctions and PDE inhibitors have already proven to be effective therapies for erectile dysfunction, COPD, and psoriatic arthiritis.

Editors and affiliations

1. Department of Behavioral Medicine and Psychiatry; Department of Physiology and Pharmacology; Institute of PharmacologyWest Virginia University Health Sciences Center; Taishan Medical University Morgantown; Taian, ChinaUSA

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What is the treatment for bipolar?

Treatment for a patient diagnosed with bipolar may include medication, safety initiatives during acute mania, ECT, psychotherapy, and support groups. The severity of manic and depressive episodes varies for each patient. Assessing if a patient is a danger to others or themselves is the priority.

What is the name of the disorder that is characterized by lack of impulse control and/or lack of attention?

Attention-Deficit / Hyperactivity Disorder. Attention-deficit/hyperactivity disorder (ADHD) is characterized by hyperactivity, lack of impulse control, and/or lack of attention that interferes with how a person functions. ADHD is often diagnosed during childhood, but signs and symptoms can last through adulthood.

Do bipolar patients need impulse control?

Assessing if a patient is a danger to others or themselves is the priority. People with bipolar may need assistance with impulse control during times when they are in a manic state. [17] Learn more about bipolar disorder from the National Institute of Mental Health’s website.

Can depression be reported?

Patients who are depressed may not report symptoms unless specifically asked, and they may be suicidal. Using assessment techniques to gather information about the history of each patient’s depression, support system, specific triggering events, psychosocial assessment, and risk for harm to self or others is imperative.

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