PMID- 37765223 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231003 IS - 1999-4923 (Print) IS - 1999-4923 (Electronic) IS - 1999-4923 (Linking) VI - 15 IP - 9 DP - 2023 Aug 31 TI - Modulation of Human Dendritic Cell Functions by Phosphodiesterase-4 Inhibitors: Potential Relevance for the Treatment of Respiratory Diseases. LID - 10.3390/pharmaceutics15092254 [doi] LID - 2254 AB - Inhibitors of phosphodiesterase-4 (PDE4) are small-molecule drugs that, by increasing the intracellular levels of cAMP in immune cells, elicit a broad spectrum of anti-inflammatory effects. As such, PDE4 inhibitors are actively studied as therapeutic options in a variety of human diseases characterized by an underlying inflammatory pathogenesis. Dendritic cells (DCs) are checkpoints of the inflammatory and immune responses, being responsible for both activation and dampening depending on their activation status. This review shows evidence that PDE4 inhibitors modulate inflammatory DC activation by decreasing the secretion of inflammatory and Th1/Th17-polarizing cytokines, although preserving the expression of costimulatory molecules and the CD4+ T cell-activating potential. In addition, DCs activated in the presence of PDE4 inhibitors induce a preferential Th2 skewing of effector T cells, retain the secretion of Th2-attracting chemokines and increase the production of T cell regulatory mediators, such as IDO1, TSP-1, VEGF-A and Amphiregulin. Finally, PDE4 inhibitors selectively induce the expression of the surface molecule CD141/Thrombomodulin/BDCA-3. The result of such fine-tuning is immunomodulatory DCs that are distinct from those induced by classical anti-inflammatory drugs, such as corticosteroids. The possible implications for the treatment of respiratory disorders (such as COPD, asthma and COVID-19) by PDE4 inhibitors will be discussed. FAU - Nguyen, Hoang Oanh AU - Nguyen HO AD - ImmunoConcEpT, CNRS UMR 5164, University of Bordeaux, 33000 Bordeaux, France. FAU - Tiberio, Laura AU - Tiberio L AUID- ORCID: 0000-0003-0482-9898 AD - Department of Molecular and Translational Medicine, University of Brescia, 25123 Brescia, Italy. FAU - Facchinetti, Fabrizio AU - Facchinetti F AD - Department of Experimental Pharmacology and Translational Science, Corporate Pre-Clinical R&D, Chiesi Farmaceutici S.p.A., 43122 Parma, Italy. FAU - Ripari, Giulia AU - Ripari G AD - Department of Molecular and Translational Medicine, University of Brescia, 25123 Brescia, Italy. FAU - Violi, Valentina AU - Violi V AD - Department of Molecular and Translational Medicine, University of Brescia, 25123 Brescia, Italy. FAU - Villetti, Gino AU - Villetti G AD - Department of Experimental Pharmacology and Translational Science, Corporate Pre-Clinical R&D, Chiesi Farmaceutici S.p.A., 43122 Parma, Italy. FAU - Salvi, Valentina AU - Salvi V AD - Department of Molecular and Translational Medicine, University of Brescia, 25123 Brescia, Italy. FAU - Bosisio, Daniela AU - Bosisio D AUID- ORCID: 0000-0001-6276-5365 AD - Department of Molecular and Translational Medicine, University of Brescia, 25123 Brescia, Italy. LA - eng GR - MUR-PRIN 20178ALPCM_005/Italian Ministry of the University and Research/ GR - Fondi Locali 2020/University of Brescia/ GR - Fondi Locali 2021/University of Brescia/ PT - Journal Article PT - Review DEP - 20230831 PL - Switzerland TA - Pharmaceutics JT - Pharmaceutics JID - 101534003 PMC - PMC10535230 OTO - NOTNLM OT - CD80 OT - CD86 OT - IL-12 OT - TNFalpha OT - Tanimilast OT - cDC1 OT - cDC2 OT - monocyte-derived DC OT - pDC OT - tolerogenic DCs COIS- This work also received funding from Chiesi Farmaceutici S.p.A., which is currently sponsoring the clinical development of Tanimilast. The funder had the following involvement with the study: contributed to manuscript review and editing, approved decision to publish. F.F. and G.V. also disclose that they are employees of Chiesi Farmaceutici S.p.A.; they do not hold Chiesi Farmaceutici S.p.A. stocks or equity shares. EDAT- 2023/09/28 06:42 MHDA- 2023/09/28 06:43 PMCR- 2023/08/31 CRDT- 2023/09/28 01:38 PHST- 2023/07/27 00:00 [received] PHST- 2023/08/23 00:00 [revised] PHST- 2023/08/29 00:00 [accepted] PHST- 2023/09/28 06:43 [medline] PHST- 2023/09/28 06:42 [pubmed] PHST- 2023/09/28 01:38 [entrez] PHST- 2023/08/31 00:00 [pmc-release] AID - pharmaceutics15092254 [pii] AID - pharmaceutics-15-02254 [pii] AID - 10.3390/pharmaceutics15092254 [doi] PST - epublish SO - Pharmaceutics. 2023 Aug 31;15(9):2254. doi: 10.3390/pharmaceutics15092254.