Modulation of Human Dendritic Cell Functions by Phosphodiesterase-4 Inhibitors : Potential Relevance for the Treatment of Respiratory Diseases

Inhibitors of phosphodiesterase-4 (PDE4) are small-molecule drugs that, by increasing the intracellular levels of cAMP in immune cells, elicit a broad spectrum of anti-inflammatory effects. As such, PDE4 inhibitors are actively studied as therapeutic options in a variety of human diseases characterized by an underlying inflammatory pathogenesis. Dendritic cells (DCs) are checkpoints of the inflammatory and immune responses, being responsible for both activation and dampening depending on their activation status. This review shows evidence that PDE4 inhibitors modulate inflammatory DC activation by decreasing the secretion of inflammatory and Th1/Th17-polarizing cytokines, although preserving the expression of costimulatory molecules and the CD4+ T cell-activating potential. In addition, DCs activated in the presence of PDE4 inhibitors induce a preferential Th2 skewing of effector T cells, retain the secretion of Th2-attracting chemokines and increase the production of T cell regulatory mediators, such as IDO1, TSP-1, VEGF-A and Amphiregulin. Finally, PDE4 inhibitors selectively induce the expression of the surface molecule CD141/Thrombomodulin/BDCA-3. The result of such fine-tuning is immunomodulatory DCs that are distinct from those induced by classical anti-inflammatory drugs, such as corticosteroids. The possible implications for the treatment of respiratory disorders (such as COPD, asthma and COVID-19) by PDE4 inhibitors will be discussed.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Pharmaceutics - 15(2023), 9 vom: 31. Aug.

Sprache:

Englisch

Beteiligte Personen:

Nguyen, Hoang Oanh [VerfasserIn]
Tiberio, Laura [VerfasserIn]
Facchinetti, Fabrizio [VerfasserIn]
Ripari, Giulia [VerfasserIn]
Violi, Valentina [VerfasserIn]
Villetti, Gino [VerfasserIn]
Salvi, Valentina [VerfasserIn]
Bosisio, Daniela [VerfasserIn]

Links:

Volltext

Themen:

CD80
CD86
CDC1
CDC2
IL-12
Journal Article
Monocyte-derived DC
PDC
Review
TNFα
Tanimilast
Tolerogenic DCs

Anmerkungen:

Date Revised 03.10.2023

published: Electronic

Citation Status PubMed-not-MEDLINE

doi:

10.3390/pharmaceutics15092254

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36261492X