EFFECTS OF PHOSPHODIESTERASE ISOENZYME INHIBITORS ON CUTANEOUS INFLAMMATION IN THE GUINEA-PIG

1 Inflammation is central to the pathophysiology of asthma. The recent findings that different inflammatory cells may express different phosphodiesterase (PDE) isoenzymes have centred attention on inhibitors of these isoenzymes as new drugs for the treatment of asthma. In this study, we investigated the effect of different PDE isoenzyme inhibitors on the accumulation of In-111-labelled eosinophils and local oedema formation at sites of allergic- and mediator-induced inflammation in guinea-pig skin. 2 Systemic treatment with SK&F 94120, a type III PDE inhibitor, or zaprinast, a type V PDE inhibitor, had no effect on the In-111-eosinophil accumulation and oedema formation induced by i.d. injection of zymosan-activated plasma (ZAP), PAF, histamine or in a passive cutaneous anaphylaxis (PCA) reaction. 3 Systemic treatment with rolipram, a type IV PDE inhibitor, effectively inhibited In-111-eosinophil accumulation induced by ZAP, PAF, histamine and in a PCA reaction. However, oedema formation measured in the same sites was not affected. Systemic administration of higher doses of theophylline produced similar results. In contrast, In-111-neutrophil accumulation induced by ZAP or in a PCA reaction was not altered by systemic treatment with rolipram. 4 Locally-injected rolipram had little effect on In-111-eosinophil accumulation and oedema formation induced by histamine, PAF and in a PCA reaction. 5 These data show that systemic, but not local, treatment with rolipram effectively inhibits allergic- and mediator-induced In-111-eosinophil accumulation but not oedema formation or In-111-neutrophil accumulation. This, taken together with the potent inhibitory effects of PDE type IV inhibitors on eosinophil function in vitro, suggest that this class of drugs may be beneficial in disease states such as asthma where eosinophils are thought to play a major pathophysiological role.