PMID- 8707444 OWN - NLM STAT- MEDLINE DCOM- 19960911 LR - 20190909 IS - 0192-0561 (Print) IS - 0192-0561 (Linking) VI - 17 IP - 10 DP - 1995 Oct TI - The specific type IV phosphodiesterase inhibitor rolipram combined with adenosine reduces tumor necrosis factor-alpha-primed neutrophil oxidative activity. PG - 793-803 AB - Monocytes and macrophages produce tumor necrosis factor-alpha (TNF alpha) in response to microbial products including endotoxin. TNF alpha is a potent primer of neutrophil (PMN) oxidative activity. Certain xanthine phosphodiesterase (PDE) inhibitors such as pentoxifylline have been shown to inhibit stimulated oxidative activity in PMN. In the present study, the non-xanthine PDE type IV inhibitor rolipram (4-[3'-cyclopentyloxy-4'-methoxyphenyl]-2-pyrrolidone) alone and in combination with adenosine is examined as a potential modulator of TNF alpha-primed PMN oxidative activity. Attainable in vivo concentrations of rolipram and physiological concentrations of adenosine alone and together synergistically decreased rhTNF alpha-primed suspended PMN oxidative activity stimulated by the chemoattractant f-met-leu-phe. The rolipram effect was reversible by washing, and rolipram had a comparable effect if added before or after priming, indicating that its effect was on the primed response rather than on priming per se. In addition, rolipram especially when combined with adenosine, decreased rhTNF alpha-stimulated PMN adherence to a fibrinogen-coated surface, and the oxidative burst of rhTNF alpha-stimulated adherent PMN. The specific adenosine A2a receptor agonists CGS 21680 and WRC-0474 had comparable activity to adenosine in these experiments. Adenosine (or CGS 21680) combined with rolipram synergistically increased f-met-leu-phe-stimulated PMN cAMP content. The effects of both adenosine and rolipram with adenosine could be only partly counteracted by treatment of the PMN with the protein kinase A inhibitor KT 5720, indicating that protein phosphorylation is only partially involved. Rolipram activity was about 1000 x (by molar concentration) greater than pentoxifylline in comparable assays. Thus, rolipram, especially when combined with adenosine, has potent modulating effects on PMN activation and may be useful in decreasing inflammatory tissue damage in patients with sepsis. FAU - Sullivan, G W AU - Sullivan GW AD - Department of Medicine, University of Virginia, Charlottesville 22908, USA. FAU - Carper, H T AU - Carper HT FAU - Mandell, G L AU - Mandell GL LA - eng GR - R01AI09504/AI/NIAID NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - England TA - Int J Immunopharmacol JT - International journal of immunopharmacology JID - 7904799 RN - 0 (Carbazoles) RN - 0 (Indoles) RN - 0 (Phenethylamines) RN - 0 (Phosphodiesterase Inhibitors) RN - 0 (Pyrroles) RN - 0 (Pyrrolidinones) RN - 0 (Tumor Necrosis Factor-alpha) RN - 11062-77-4 (Superoxides) RN - 120225-54-9 (2-(4-(2-carboxyethyl)phenethylamino)-5'-N-ethylcarboxamidoadenosine) RN - 58HV29I28S (KT 5720) RN - K676NL63N7 (Rolipram) RN - K72T3FS567 (Adenosine) RN - SD6QCT3TSU (Pentoxifylline) SB - IM MH - Adenosine/analogs & derivatives/*pharmacology MH - *Carbazoles MH - Drug Synergism MH - Humans MH - In Vitro Techniques MH - Indoles/pharmacology MH - Neutrophils/*drug effects MH - Pentoxifylline/pharmacology MH - Phenethylamines/pharmacology MH - Phosphodiesterase Inhibitors/*pharmacology MH - Pyrroles/pharmacology MH - Pyrrolidinones/*pharmacology MH - Respiratory Burst/drug effects MH - Rolipram MH - Superoxides/metabolism MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors EDAT- 1995/10/01 00:00 MHDA- 1995/10/01 00:01 CRDT- 1995/10/01 00:00 PHST- 1995/10/01 00:00 [pubmed] PHST- 1995/10/01 00:01 [medline] PHST- 1995/10/01 00:00 [entrez] AID - 019205619500073B [pii] AID - 10.1016/0192-0561(95)00073-b [doi] PST - ppublish SO - Int J Immunopharmacol. 1995 Oct;17(10):793-803. doi: 10.1016/0192-0561(95)00073-b.