Some major pathobiologic processes in renal mesangial cells, elicited in response to immunoinflammatory stimuli, are modulated via cAMP-protein kinase A (PKA) signaling pathways; namely, generation of reactive oxygen metabolites (ROM) and accelerated proliferation of mesangial cells. We investigated the role of cAMP phosphodiesterase (PDE) isozymes in these regulatory mechanisms. Generation of ROM in cultured rat mesangial cells was inhibited by selective inhibitors of PDE4, rolipram and denbufylline, whereas PDE3 inhibitors, cilostamide and lixazinone, had no effect. Conversely, cilostamide or lixazinone suppressed mitogenic synthesis of DNA in mesangial cells, but 1 M rolipram or 1 M denbufylline showed no inhibitory effect. The efficacy of PDE isozyme inhibitors (IC 50 ) to suppress [ 3 H]thymidine incorporation or ROM generation paralleled IC 50 values for inhibition of cAMP PDE. Incubation of mesangial cells with either rolipram alone or with cilostamide alone increased significantly in situ activity of PKA in mesangial cells, assessed by (؊cAMP/؉cAMP) PKA activity ratio, and the stimulatory effects were additive. Results indicate that in mesangial cells a cAMP pool that is metabolized by PDE4 activates PKA and thereby inhibits ROM generation; another cAMP pool that is metabolized by PDE3 activates another PKA (isozyme or pool) which suppresses proliferation of mesangial cells. We propose that in mesangial cells, a cAMP-PKA pathway that regulates mitogenesis is determined by activity of PDE3, whereas another cAMP-PKA pathway is directed by activity of PDE4 and controls ROM generation. Therefore, two PDE isozymes within one cell type compartmentalize distinct cAMP signaling pathways.Mesangial cells in kidney glomeruli are specialized pericytes (1) that are located in the intercapillary spaces of glomeruli and comprise about 30% of glomerular cells (2). Mesangial cells have some properties, such as contractility, reminiscent of smooth muscle cells, and some that are common to monocytes and macrophages, i.e. phagocytosis or the ability to generate reactive oxygen metabolites (ROM) 1 (3,4). According to the current view, mesangial cells have a key role in maintaining the integrity of renal glomerular structure and function mainly by regulating capillary blood flow, uptake of macromolecules by phagocytosis, and synthesis of the extracellular matrix (1,3,4). Pathobiologic responses of mesangial cells to immunoinflammatory stimuli often determine and/or contribute to pathogenic processes involved in the development of acute or chronic glomerulonephritides, in particular, mesangial proliferative glomerulonephritis (5, 6).In our recent studies of rat mesangial cells grown in primary culture we observed that inhibition of cyclic-3Ј,5Ј-nucleotide phosphodiesterase (PDE) isozyme type-3 (PDE3) by selective inhibitors causes activation of cAMP-protein kinase A (PKA) and suppresses mesangial cell proliferation, either basal or stimulated by addition of growth factors such as epidermal growth factor or platelet-derived g...