We investigated the effectiveness of RPL554, a dual PDE3 and 4 enzyme inhibitor, on airway smooth muscle relaxation and compared it with that induced by salbutamol, ipratropium bromide, glycopyrrolate or their combination on bronchomotor tone induced by different spasmogenic agents.
EXPERIMENTAL APPROACHGuinea pig tracheal preparations were suspended under 1 g tension in Krebs-Henseleit solution maintained at 37°C and aerated with 95% O 2 /5% CO 2 and incubated in the presence of indomethacin (5 μM). Relaxation induced by cumulative concentrations of muscarinic receptor antagonists (ipratropium bromide or glycopyrrolate), β 2 -adrenoceptor agonists (salbutamol or formoterol), PDE3 inhibitors (cilostamide, cilostazol or siguazodan) or a PDE4 inhibitor (roflumilast) was evaluated in comparison with RPL554. Maximal relaxation was calculated (% Emax papaverine) and expressed as mean ± SEM.
KEY RESULTSBronchomotor tone induced by the various spasmogens was reduced by the different bronchodilators to varying degrees. RPL554 (10-300 μM) caused near maximum relaxation irrespective of the spasmogen examined, whereas the efficacy of the other relaxant agents varied according to the contractile stimulus used. During the evaluation of potential synergistic interactions between bronchodilators, RPL554 proved superior to salbutamol when either was combined with muscarinic receptor antagonists.
CONCLUSIONS AND IMPLICATIONSRPL554 produced near maximal relaxation of highly contracted respiratory smooth muscle and provided additional relaxation compared with that produced by other clinically used bronchodilator drugs. This suggests that RPL554 has the potential to produce additional beneficial bronchodilation over and above that of maximal clinical doses of standard bronchodilators in highly constricted airways of patients.
AbbreviationsCFTR, cystic fibrosis transmembrane receptor; COPD, chronic obstructive pulmonary disease; RPL554, [9,10-dimethoxy-2 (2,4,6-trimethylphenylimino)-3-(N-carbamoyl-2-aminoethyl)-3,4,6,7-tetrahydro-2H-pyrimido[6,1-a]
IntroductionBronchodilators including β 2 -adrenoceptor agonists and muscarinic receptor antagonists are used in acute and maintenance therapy of respiratory conditions including asthma and chronic obstructive pulmonary disease (COPD) (Barnes, 2011;Cazzola et al., 2012). The clinical effectiveness of these bronchodilators may be reduced with increased disease severity and also during exacerbation of disease symptoms. Hence, there is a need to increase the magnitude of bronchodilation to obtain greater clinical benefit. One approach is the administration of long-acting β 2 -adrenoceptor agonists and muscarinic receptor antagonists in combination (Tashkin and Ferguson, 2013;Spina, 2014). Similarly, the combination of ipratropium bromide with the short-acting β 2 -adrenoceptor agonist, salbutamol, is often used in the management of acute asthma, although the added benefit of the combination over salbutamol alone has been questioned (FitzGerald et al., 1997;Garrett et al., 1997).We have pre...