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. 2023 Nov 16;104(2):765–834. doi: 10.1152/physrev.00015.2023

Table 2.

The roles of individual PDE isoforms in cardiac hypertrophy

PDE Family Isoform Variants Expression Activity Pathology Model in vivo Model in vitro Genetic Intervention in vivo Genetic Intervention in vitro Inhibitors Used Positive ↑Negative ↓ Potential Mechanism References
PDE1 Ang II infusion mice vinpocetine ↓PDE1 (281)
PDE1A ISO infusion mice Ang II and ISO-NRCM PDE1A shRNA IC86340 ↑cGMP-PKG (23)
PDE1C TAC PDE1C null mice ↑cAMP-PKA (26)
PDE2 Human HF, TAC (42)
AAC Ang II-NRCM BAY 60-7550 ↑NO-GC-cGMP signaling (43)
TAC NE-NRVM BAY 60-7550 ↑PKA-NFAT phosphorylation (278)
ET-1-NRVM BAY60-7550 ↓ cAMP-PKA-dependent inhibition of PLCε; ↓cGMP-PKG-dependent inhibition of PLCε (275)
PDE2A Male rats per se ARVMs per se PDE2A overexpression rats ↓PKA-mediated NFAT phosphorylation (278)
PDE2A2 NE/PE-ARVM PDE2A2 adenovirus ↓β-Adrenergic responses (42)
PDE3 Human HF (282, 283)
TAC (284)
Salt-induced HF rat (285)
TAC Milrinone ↓p38 MAPK, ↓calcineurin-NFAT (286)
NRCMs per se Cilostamide ↑ PLCε at the Golgi through Epac →↑PI4P hydrolysis (275)
NRCMs per se Cilostamide ↑ PKA not anchored to AKAPs (278)
PDE3A Human DCM and IHD, TAC (58)
PDE3A TAC (284)
PDE3A TAC PDE3A-KO (286)
PDE3A2 NRCMs per se Inactive mutants of PDE3A2 ↑cAMP at sites where prohypertrophic effectors (278)
PDE3B TAC PDE3B-KO (286)
PDE4 Salt-induced HF rat (285)
Human HF with diabetes, HFD mice Roflumilast ↑cAMP-CREB-Sirt1- SERCA2a- miR-1 (83)
NRCMs per se Rolipram ↑Epac-PLCε at the Golgi →↑PI4P hydrolysis (275)
NRCMs per se Rolipram ↑PKA not anchored to AKAPs (278)
ISO-NRCMs PDE4 activator UCR1C ↓Nuclear PKA -CREB (287)
PDE4A TAC (284)
PDE4B TAC (284)
Human HF ISO infusion, TAC PDE4B-TG mice, AAV9-PDE4B Blunts β-adrenergic response (288)
PDE4D TAC (284)
Human HF with diabetes, HFD mice AAV9-PDE4D shRNA Roflumilast ↑cAMP-CREB-Sirt1-SERCA2a- miR-1 (83)
PDE4D3 LIF-NRCM Rolipram ↓mAKAP-PDE4D3-Epac1-PKAcomplex anchored ERK5 activity (155)
NRVMs per se Inactive mutants of PDE4D3 (278)
PDE4D5 Human HF with diabetes, HFD mice NRVM PDE4D5 adenovirus ↓cAMP-CREB-Sirt1-SERCA2a- miR-1 (83)
ISO-NRCM competitive peptide 58-Pept ↓β-arrestin–PDE4D5 interaction→ ↑ Epac1 recruit to β2AR (163)
PDE5 PDE5A HF (DCM, ICM) MI PDE5-TG ↓cGMP (92)
TAC PDE5-TG ↑Natriuretic peptide-derived cGMP hydrolysis (289)
CHF, TAC TAC Sildenafil ↓Oxidative stress (290)
TAC Sildenafil ↑cGMP-↓oxidized PKG1α (291)
TAC Sildenafil Improve T-tubule remodeling (292)
PE-NRCM PDE5A-shRNA Sildenafil ↑PKG (91)
TAC PE-NRCM Sildenafil ↓Calcineurin/NFAT, ↓PI3K/Akt, ↓ERK1/2 (293)
SHR Sildenafil ↓Na+/H+ exchanger activity (294)
TAC PE-NRCM CRD-733 ↑cGMP (295)
PDE9 PDE9A Human (DCM, HFpEF), aortic stenosis, TAC TAC PE, ET-1-NRCM PDE9A-KO PDE9A-siRNA PF-9613 ↑natriuretic peptide-cGMP (123)
ET-1-NRCM PF04449613 ↓cGMP-PKG-dependent inhibition of PLCε (275)
ISO rat PE, ISO-NRCM C33(S) ↑cGMP (296)

Boldface indicates that the phosphodiesterase (PDE) plays a negative role in hypertrophy. AAC, abdominal aortic constriction; AAV9, adeno-associated viral vector serotype 9; AKAP, A-kinase anchoring protein; Ang II, angiotensin II; ARVM, adult rat ventricular myocyte; cAMP, cyclic adenosine monophosphate, cGMP, cyclic guanosine monophosphate; CHF, congestive heart failure; CREB, cAMP response element binding protein; DCM, dilated cardiomyopathy; Epac, exchange protein activated by cAMP; ERK, extracellular signal-regulated kinase; ET-1, endothelin-1; GC, guanylyl cyclase; HF, heart failure; HFD, high-fat diet; HFpEF, heart failure with preserved ejection fraction; ICM, ischemic cardiomyopathy; IHD, ischemic heart disease; ISO, isoproterenol; KO, knockout; LIF, leukemia inhibitory factor; miR-1, microRNA-1; NE, norepinephrine; NFAT, Nuclear factor of activated T cells; NO, nitric oxide; NRCM, neonatal rat cardiomyocyte; NRVM, neonatal rat ventricular cardiomyocyte; PE, phenylephrine; PI4P, phosphatidylinositol 4-phosphate; PKA, protein kinase A, PKC, protein kinase C; PKG, protein kinase G; PLC, phospholipase C; SERCA2a, sarco(endo)plasmic reticulum calcium ATPase; SHR, spontaneously hypertensive rat; shRNA, short hairpin RNA; siRNA, short interfering RNA; Sirt1, Sirtuin 1; TAC, transverse aortic constriction; TG, transgenic mice.