- Samirao A, Berry TM, Goreshi R, Simpson EL. A pilot study of an oral phosphodiesterase inhibitor (apremilast) for atopic dermatitis in adults. Arch Dermatol 2012;148(8):890–7.
- Li H, Zuo J, Tang W. Phosphodiesterase-4 Inhibitors for the Treatment of Inflammatory Diseases. Front Pharmacol 2018;9:1048.
- Konrad FM, Bury A, Schick MA, et al. The unrecognized effects of phosphodiesterase 4 on epithelial cells in pulmonary inflammation. PLoS ONE 2015;10(4):e0121725.
- Peter D, Jin SL, Conti M, et al. Differential expression and function of phosphodiesterase 4 (PDE4) subtypes in human primary CD4+ T cells: predominant role of PDE4D. J Immunol 2007;178(8):4820–31.
- Schafer PH, Truzzi F, Parton A, et al. Phosphodiesterase 4 in inflammatory diseases: Effects of apremilast in psoriatic blood and in dermal myofibroblasts through the PDE4/CD271 complex. Cell Signal 2016;28(7):753–63.
- Conteras S, Milara J, Morcillo E, Cortijo J. Selective Inhibition of Phosphodiesterases 4A, B, C and D Isoforms in Chronic Respiratory Diseases: Current and Future Evidences. Curr Pharm Des 2017;23(14):2073–83.
Findings
What does this study add?
- At a concentration of 308 nM, orismilast inhibited the PDE4 catalytic domain by 84%; other PDE enzymes tested were inhibited by 0–18%.
- Orismilast inhibited TNFα release 5-times more potently than apremilast in PBMC (IC50 10 nM versus 52 nM, respectively).
- Orismilast inhibited TNFα release 14-times more potently in whole blood (IC50 30 nM versus 432 nM).
- Oral orismilast reduced ear thickness in an oxazolone mouse model of chronic skin inflammation in a dose-dependent manner.
- Dosing with 0.1 mg/kg and 0.3 mg/kg decreased ear thickness, albeit not significantly.
- Oral orismilast 1 mg/kg and 10 mg/kg resulted in significant ear thickness reduction over time (p<0.01 and p<0.001, respectively).
- Reduction in ear thickness with oral orismilast was comparable to that of dexamethasone.