2012
DOI: 10.1074/jbc.m112.389189
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Identification of Amino Acid Residues Responsible for the Selectivity of Tadalafil Binding to Two Closely Related Phosphodiesterases, PDE5 and PDE6

Abstract: Background: Most PDE5-selective inhibitors also potently inhibit photoreceptor PDE6. Results: Evolutionary trace analysis predicted amino acids responsible for the selectivity of tadalafil binding to the PDE6 catalytic site without altering vardenafil binding. Conclusion: A limited number of amino acid residues account for drug selectivity of PDE inhibitors. Significance: This work will help identify more selective PDE5 inhibitors lacking adverse side effects on vision.

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Cited by 34 publications
(26 citation statements)
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“…The inhibitory activity on PDE6 is another concern because it disrupts the cGMP signalling pathway used in retinal transduction and this is avoided in the highly selective PDE5 inhibitor, tadalafil [19]. The inhibition by these compounds on PDE6 suggests that 1, 3 and 4 had weak actions compared with the corresponding actions on PDE5 and accords with the 10‐fold selectivity of sildenafil [20].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The inhibitory activity on PDE6 is another concern because it disrupts the cGMP signalling pathway used in retinal transduction and this is avoided in the highly selective PDE5 inhibitor, tadalafil [19]. The inhibition by these compounds on PDE6 suggests that 1, 3 and 4 had weak actions compared with the corresponding actions on PDE5 and accords with the 10‐fold selectivity of sildenafil [20].…”
Section: Discussionmentioning
confidence: 99%
“…Demethylation of 1 gave the more polar analogue 4 resulting in a twofold lower inhibitory activity while removing both methoxyl groups yielded compound 3, which produced a fourfold reduction in activity. It might be possible that these metapositions need these bulky substituents for binding to the active site [19]…”
Section: Discussionmentioning
confidence: 99%
“…[13][14][15] Figure 4 summarizes the concentration-inhibition curves for tadalafil obtained from 3 in vitro studies, [13][14][15] in which the molar concentration of the drug was converted to mass concentration. When referring to the concentration-inhibition curves in Figure 4, the unbound postdose concentrations of tadalafil observed in our children (gray shaded region, corresponding to 5.9-146 nmol/L) were greater than the reported IC 50 values and seem to be clinically acceptable.…”
Section: Discussionmentioning
confidence: 99%
“…The unbound concentrations found in routinely treated children with PAH were compared with the concentration-inhibition curves and/or IC 50 value for tadalafil against PDE5, which were obtained from 3 recent in vitro studies. [13][14][15] …”
Section: Introductionmentioning
confidence: 99%
“…Progress in investigating the mechanisms of PDE6 mutations has been slow due to a lack of a heterologous expression system [1620]. Chimeras between cone PDE6C and the related cGMP-specific PDE5 (PDE5/6) or chimeric PDE5/6C catalytic domains have been employed to overcome this limitation [17, 19, 21].…”
Section: Introductionmentioning
confidence: 99%