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

Table 3.

The roles of individual PDE isoforms in cardiac ischemia injury

PDE Family Isoform Variants Model in vivo Model in vitro Genetic Intervention in vivo Genetic Intervention in vitro Inhibitors Used Positive ↑Negative ↓ Signaling Pathway Reference
PDE2 Ex vivo perfused mouse heart-reperfusion injury BAY 60-7550 ↓Arrhythmic events (271)
PDE2A Ionomycin-NRCM PDE2A-siRNA BAY 60-7550 ↑Drp1 phosphorylation ↑mitochondria dynamics (48)
PDE2A3 LAD ligation mice-MI PDE2A3-TG ↑Ca2+ homeostasis ↓contractile dysfunction ↓cardiac arrhythmias (218)
PDE3
NRCM per se Milrinone, cilostamide ↑ICER (58)
Ischemia-reperfusion dog Milrinone, olprinone ↑cAMP-PKA-p38 (318)
Ischemia-reperfusion rat Olprinone ↑PI3K-Akt mPTP (319)
Ex vivo perfused rabbit heart-reperfusion injury Cilostazol ↑mitoK(Ca) channels (320)
Ex vivo perfused rabbit heart-reperfusion injury Milrinone No effect (320)
PDE3A NRCM per se Adenovirus- antisense-PDE3A ↑ICER (58)
PDE3A1 Ang II/ISO-NRCM Adenovirus- PDE3A1 ↑ICER (58)
Ischemia-reperfusion mice Cardiac-specific overexpression of PDE3A1 ↓ICER (321)
PDE3B Ischemia-reperfusion mice PDE3B−/− mice ↑Ca2+-activated K+ channels, ↓ROS (59)
PDE4
PDE4B Ischemia-reperfusion mice PDE4B−/− mice ↑Cardiac microcirculation ↓inflammation (312)
PDE4D
PDE4D3 LAD ligation mice-MI PDE4D−/− mice ↑RyR2-phosphorylation ↑Ca2+ leakage (169)
PDE5 Ischemia-reperfusion rabbit Sildenafil ↑A(1) adenosine receptor activation (313)
Ex vivo perfused mouse heart-reperfusion injury Sildenafil ↑Mitochondrial K(ATP) channels (314)

Boldface indicates that the phosphodiesterase (PDE) plays a negative role in ischemia injury. cAMP, cyclic adenosine monophosphate, Drp1, dynamin-related protein; ICER, Inducible cAMP early repressor; ISO, isoproterenol; LAD, ligation of left anterior coronary artery; MI, myocardial infarction; mPTP, mitochondrial permeability transition pore; NRCM, neonatal rat cardiomyocyte; p38, p38 mitogen-activated protein kinase; PI3K, phosphoinositide 3-kinase; PKA, protein kinase A; RyR2, ryanodine receptor 2; TG, transgenic mouse.