“…This interesting effect may be related to the chemical structure of these compounds because diverse chemical moieties of rolipram, 4NO2PDPMe or 4APDPMe are very similar to various very well-known specific Ca 2+ –channel blockers, such as nifedipine, verapamil, diltiazem and indomethacin, which are structurally similar to diverse PDE-4 inhibitors [16] and to different chemical families of Ca 2+ -channel blockers that relax smooth muscle regardless of the contraction stimulant [26] (see Figure 7). Indeed, novel 1,4-dihydropyridine-based (similar to nifedipine and nicardipine molecules) PDE-4 inhibitors, which share many functional groups, have been described [53]; moreover, the number of reports disclosing the effects of PDE-4B inhibitors on Ca 2+ –channel blockage has recently increased [54]. Because thalidomide analogs are much less potent than specific Ca 2+ –channel blockers, they may not pose a risk of cardiovascular side effects [1,3,4].…”