Elevated sympathetic nervous system (SNS) tone contributes to excess cardiac mortality associated with type 2 diabetes mellitus (T2DM). Chronic SNS stimulation has detrimental effects to the heart, in particular, with its cell signaling abilities. (R)-[11C]Rolipram small animal positron emission tomography (PET), an noninvasive nuclear imaging modality, was used to assess phosphodiesterase-4 (PDE4) alterations in a high fat diet (HFD), streptozotocin (STZ) induced model of hyperglycemia in rats. Prior to investigation in the animal model, characterization of (R)-[11C]rolipram small animal PET was completed. (R)-[11C]Rolipram binds specifically to PDE4 in the rat heart demonstrated by competitive blockade with (R)-rolipram with the PDE4 enzyme susceptible to saturation with increasing injected masses of unlabeled rolipram. (R)-[11C]Rolipram cardiac retention was elevated by acute norepinephrine stimulation via desipramine pharmacologic challenge. Quantitative (R)-[11C]rolipram PET was highly reproducible in the heart and presents an ideal avenue to investigate PDE4 alterations. (R)-[11C]rolipram small animal PET did not reveal changes in PDE4 expression and activity in STZ-treated hyperglycemic animals compared to STZ-treated euglycemic and control groups. In vitro measures of PDE4 enzyme expression and activity, with or without desipramine, were also not altered between treatment groups. Although (R)-[11C]rolipram small animal PET does not reveal PDE4 alterations in this animal model of diabetes, its utility to assess PDE4 alterations in other over active SNS pathologies, such as heart failure and obesity, remains.

Elevated sympathetic nervous system (SNS) tone contributes to excess cardiac mortality associated with type 2 diabetes mellitus (T2DM). Chronic SNS stimulation has detrimental effects to the heart, in particular, with its cell signaling abilities. (R)-[11C]Rolipram small animal positron emission tomography (PET), an noninvasive nuclear imaging modality, was used to assess phosphodiesterase-4 (PDE4) alterations in a high fat diet (HFD), streptozotocin (STZ) induced model of hyperglycemia in rats. Prior to investigation in the animal model, characterization of (R)-[11C]rolipram small animal PET was completed. (R)-[11C]Rolipram binds specifically to PDE4 in the rat heart demonstrated by competitive blockade with (R)-rolipram with the PDE4 enzyme susceptible to saturation with increasing injected masses of unlabeled rolipram. (R)-[11C]Rolipram cardiac retention was elevated by acute norepinephrine stimulation via desipramine pharmacologic challenge. Quantitative (R)-[11C]rolipram PET was highly reproducible in the heart and presents an ideal avenue to investigate PDE4 alterations. (R)-[11C]rolipram small animal PET did not reveal changes in PDE4 expression and activity in STZ-treated hyperglycemic animals compared to STZ-treated euglycemic and control groups. In vitro measures of PDE4 enzyme expression and activity, with or without desipramine, were also not altered between treatment groups. Although (R)-[11C]rolipram small animal PET does not reveal PDE4 alterations in this animal model of diabetes, its utility to assess PDE4 alterations in other over active SNS pathologies, such as heart failure and obesity, remains.

Elevated sympathetic nervous system (SNS) tone contributes to excess cardiac mortality associated with type 2 diabetes mellitus (T2DM). Chronic SNS stimulation has detrimental effects to the heart, in particular, with its cell signaling abilities. (R)-[11C]Rolipram small animal positron emission tomography (PET), an noninvasive nuclear imaging modality, was used to assess phosphodiesterase-4 (PDE4) alterations in a high fat diet (HFD), streptozotocin (STZ) induced model of hyperglycemia in rats. Prior to investigation in the animal model, characterization of (R)-[11C]rolipram small animal PET was completed. (R)-[11C]Rolipram binds specifically to PDE4 in the rat heart demonstrated by competitive blockade with (R)-rolipram with the PDE4 enzyme susceptible to saturation with increasing injected masses of unlabeled rolipram. (R)-[11C]Rolipram cardiac retention was elevated by acute norepinephrine stimulation via desipramine pharmacologic challenge. Quantitative (R)-[11C]rolipram PET was highly reproducible in the heart and presents an ideal avenue to investigate PDE4 alterations. (R)-[11C]rolipram small animal PET did not reveal changes in PDE4 expression and activity in STZ-treated hyperglycemic animals compared to STZ-treated euglycemic and control groups. In vitro measures of PDE4 enzyme expression and activity, with or without desipramine, were also not altered between treatment groups. Although (R)-[11C]rolipram small animal PET does not reveal PDE4 alterations in this animal model of diabetes, its utility to assess PDE4 alterations in other over active SNS pathologies, such as heart failure and obesity, remains.

Nemaline myopathy is a subtype of congenital myopathy that is clinically characterized by muscle weakness and early hypotonia of variable severity. Pathologically, nemaline myopathy is characterized by the presence of nemaline rods that stain purple in modified Gӧmӧri trichrome dye in patient biopsies under a microscope. Affected individuals experience skeletal muscle weakness and feeding difficulties, but most individuals will also experience respiratory muscle weakness that is disproportional to the weakness in skeletal muscles. Currently, 6 different subtypes of nemaline myopathy have been identified, each caused by mutations in ACTA1, NEB, TPM2, TPM3, TNNT1, KBTBD13, CFL2, KLHL40, KLHL41, or LMOD3, which are genes that encode either thin filament proteins or Kelch-like proteins. Of these genes, mutations in NEB and ACTA1 account for the majority of nemaline myopathy cases. Due to the genetic heterogeneity of nemaline myopathy, it is imperative to discover therapeutic targets and treatments that can universally treat nemaline myopathy patients. Preliminary data from our lab has demonstrated that proteasome complexes are downregulated in nemaline myopathy patients. Further, proteasomal activators improved motor function in neb zebrafish models, demonstrating the potential for proteasome activators to be therapeutics for nemaline myopathy patients. To extend these studies, the effect of proteasome activators, betulinic acid and Rolipram, was evaluated on the motor function in neb zebrafish models. However, in our experimental trials with betulinic acid and Rolipram, no positive effect on motor function in neb zebrafish was observed. In order to confirm our findings for both betulinic acid and Rolipram, additional trials will need to be conducted. / 2019-10-31T00:00:00Z

Elevated sympathetic nervous system (SNS) tone contributes to excess cardiac mortality associated with type 2 diabetes mellitus (T2DM). Chronic SNS stimulation has detrimental effects to the heart, in particular, with its cell signaling abilities. (R)-[11C]Rolipram small animal positron emission tomography (PET), an noninvasive nuclear imaging modality, was used to assess phosphodiesterase-4 (PDE4) alterations in a high fat diet (HFD), streptozotocin (STZ) induced model of hyperglycemia in rats. Prior to investigation in the animal model, characterization of (R)-[11C]rolipram small animal PET was completed. (R)-[11C]Rolipram binds specifically to PDE4 in the rat heart demonstrated by competitive blockade with (R)-rolipram with the PDE4 enzyme susceptible to saturation with increasing injected masses of unlabeled rolipram. (R)-[11C]Rolipram cardiac retention was elevated by acute norepinephrine stimulation via desipramine pharmacologic challenge. Quantitative (R)-[11C]rolipram PET was highly reproducible in the heart and presents an ideal avenue to investigate PDE4 alterations. (R)-[11C]rolipram small animal PET did not reveal changes in PDE4 expression and activity in STZ-treated hyperglycemic animals compared to STZ-treated euglycemic and control groups. In vitro measures of PDE4 enzyme expression and activity, with or without desipramine, were also not altered between treatment groups. Although (R)-[11C]rolipram small animal PET does not reveal PDE4 alterations in this animal model of diabetes, its utility to assess PDE4 alterations in other over active SNS pathologies, such as heart failure and obesity, remains.

We have explored a formal [3+2] strategy that is synthetically useful for constructing polysubstituted pyroglutamates with three contiguous chiral centers in one step. Base-induced coupling/cyclization reactions of a-sulfonylacetamide with various ethyl (Z)-2-bromo-2-propenoates have been carried out. This reaction with high diastereoselectivity has been applied to the synthesis of Rolipram, Chlorpheg, Baclofen, Pseudoheliotridane and Kainic acid.

In this two-part study, I investigated whether the cyclic-adenosine monophosphate response element-binding (CREB) protein has the potential to be clinically modulated as a therapeutic target for the treatment of neurodegenerative diseases. Part one consisted of a systematic review that was conducted on select articles gathered through a stepwise method to explore (1) the relationship between diseased, neurodegenerative brains and levels of active, phosphorylated CREB (pCREB), (2) increased activation of CREB as a treatment for neurodegenerative symptoms, and (3) a potential therapeutic drug for neurodegenerative diseases that can target CREB signaling. The results of the systematic review showed evidence that suggested excitotoxic concentrations of N-methyl-D-aspartate (NMDA) results in decreased pCREB levels, while decreased pCREB levels were associated with impaired cognition and behavior, increased cell death, as well as decreased CRE-gene transcription and long-term potentiation (LTP). Part two consisted of a systematic review and meta-analysis on clinical trials that used the phosphodiesterase type IV inhibitor, roflumilast, on healthy and schizophrenic patients. It was found that 100 µM roflumilast was able to improve verbal learning in healthy and schizophrenic subjects (ES = 64). Initial evidence indicates that future research on neurodegenerative diseases should further investigate CREB’s potential to be clinically modulated and research investigating PDE4 inhibitor drug therapy for the treatment of neurodegeneration should be expanded upon further in subsequent studies.

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No. of bitstreams: 1 arcarofilho_ca_dr_arafcf_int.pdf: 7378512 bytes, checksum: cb295c066a7be41be3508e2daf64d24f (MD5) Previous issue date: 2018-04-27 / Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) / Considerando os avanços no conhecimento acerca dos mecanismos que controlam o metabolismo de proteínas na musculatura esquelética que permitiram a busca por novas opções para o tratamento das atrofias musculares, o presente estudo teve como objetivo a compreensão do potencial antiproteolítico de inibidores de fosfodiesterase, PDE (pentoxifilina, inibidor não-seletivo de PDE; rolipram, inibidor seletivo de PDE4) em músculos esqueléticos de ratos submetidos à atrofia muscular devido à insuficiência insulínica (diabetes mellitus experimental), com ênfase na elucidação da participação de componentes da sinalização do AMP cíclico (AMPc) nesta resposta. Ratos normais e diabéticos (60 mg/kg de estreptozotocina, administração intravenosa) foram tratados com salina (NS e DS) ou com 2 mg/kg de rolipram (NROL e DROL), ou com 25 mg/kg de pentoxifilina (NPTX e DPTX) durante 3 dias, por via intraperitoneal. Após três dias de tratamento, músculos soleus e extensor digitorum longus (EDL) foram removidos, pesados, congelados e processados para diversas análises: (i) conteúdo de AMPc (ensaio imunoenzimático); (ii) atividades das proteases proteassoma, calpaínas e caspase-3 (uso de substratos específicos fluorigênicos); (iii) níveis proteicos e/ou níveis de fosforilação de componentes das vias proteolíticas, efetores intracelulares sinalizatórios e fatores de transcrição (Western blotting); (iv) determinação dos níveis séricos de insulina e citocinas pró-inflamatórias. Foram realizados experimentos ex-vivo, para verificar a ação direta dos fármacos no controle da proteólise muscular e ativação de efetores intracelulares, via incubações dos músculos na presença de rolipram ou de agonistas de EPAC (Exchange protein directly activated by cAMP) e de PKA (proteína quinase dependente de AMPc), proteínas efetoras ativadas pelo AMPc. Também foram realizados experimentos no Laboratório do Prof. Dr. Marco Sandri, no Venetian Institute of Molecular Medicine, Padova, Itália, para a avaliação do papel de PDE4D no controle do processo autofágico-lisossomal em músculos esqueléticos de camundongos jejuados. Os tratamentos de animais diabéticos com rolipram (DROL) ou com pentoxifilina (DPTX) promoveram uma redução nas atividades do proteassoma e calpaínas em soleus e EDL, bem como nos níveis de componentes-chave do sistema proteolítico ubiquitina-proteassoma (MuRF-1, atrogin-1, conjugados poliubiquitinados), e aumento nos níveis de calpastatina (inibidor das calpaínas). Interesante ressaltar que o grupo DROL apresentou redução na atividade e níveis proteicos de caspase-3, em ambos os músculos, enquanto que o grupo DPTX apenas em músculos EDL. Contribuindo com a redução observada na atividade de caspase-3, houve uma redução nos níveis de Bax (proteína pró-apoptótica) e aumento nos níveis de Bcl-2 (proteína anti-apoptótica) em ambos os músculos de animais DROL. Animais diabéticos tratados com salina (DS) apresentaram aumento nas atividades das três proteases, bem como nos níveis de componentes participantes destes processos proteolíticos. Animais normais e diabéticos tratados com salina (NS e DS) apresentaram níveis de AMPc basais e semelhantes entre si, tanto em soleus quanto em EDL, enquanto que os tratamentos de ratos normais e diabéticos com pentoxifilina (NPTX e DPTX) ou rolipram (NROL e DROL) promoveram aumentos de AMPc, em ambos os músculos. Um dos mecanismos que podem estar envolvidos na inibição da proteólise muscular após aumentos nas concentrações de AMPc envolve a proteína EPAC, responsável por integrar a sinalização do AMPc e a sinalização insulínica via ativação da quinase AKT. Animais diabéticos tratados com pentoxifilina ou com rolipram apresentaram aumento nos níveis proteicos de EPAC 1 e na fosforilação de AKT, quando comparados ao grupo DS. Observamos também um aumento na fosforilação inibitória de fatores de transcrição FoxO 1 e 3a em ambos os músculos de animais DROL. Podemos sugerir que parte das ações de rolipram que culminaram em ativação de AKT e inibição de FoxO na musculatura esquelética possam estar associadas aos aumentos observados nos níveis circulantes de insulina em animais DROL. Investigamos, apenas nos animais tratados com rolipram, a possibilidade de participação da proteína PKA no controle da proteólise muscular. Em animais DROL houve ativação da PKA, verificada tanto pelo aumento na fosforilação de substratos de PKA, bem como do fator de transcrição CREB, em soleus e EDL. Vale destacar que animais DS apresentaram níveis reduzidos de p-CREB e de substratos fosforilados por PKA em soleus e EDL. Animais diabéticos tratados com os inibidores de PDE apresentaram uma diminuição de citocinas pró-inflamatórias séricas (TNF-, PTX e ROL; IL-1, ROL) e aumento nos níveis de insulina sérica (ROL) em relação aos animais DS. Nos estudos ex vivo, as incubações de músculos soleus e EDL com rolipram levaram a uma redução da proteólise total, bem como aumento na fosforilação de substratos de PKA e de AKT. Músculos soleus e EDL incubados com agonistas de EPAC apresentaram aumento na fosforilação de AKT, enquanto que a incubação com agonista de PKA promoveu aumento na fosforilação dos substratos de PKA (em ambos os músculos) e aumento na fosforilação de AKT (apenas em EDL), quando comparados aos músculos incubados na ausência do fármaco. Nos estudos para compreensão do papel de PDE4D no controle do processo autofágico-lisossomal, observou-se que o silenciamento gênico da PDE4D em músculos tibialis anterior promoveu uma preservação da massa muscular e da área da fibra em animais jejuados, quando comparados ao músculo controle. Músculos flexor digitorium brevis, silenciados para PDE4D, apresentaram diminuição na expressão de proteínas-chave do processo autofágico-lisossomal, tais como LC3 e p62. Estes resultados evidenciam os mecanismos que podem estar envolvidos na ação direta de inibidores de PDE no controle do metabolismo proteico muscular esquelético, via ativação de duas vias dependentes de AMPc: (i) a via PKA/CREB, que pode participar do controle da transcrição de Bcl-2 e calpastatina, bem como na inativação direta de caspases, inibindo assim os processos proteolíticos dependentes de caspase-3 e calpaínas, (ii) a via EPAC/AKT, via fosforilação e inibição de FoxO 1 e 3A, regulando a expressão dos atrogenes (MuRF-1 e atrogin-1) e promovendo uma diminuição na atividade do sistema ubiquitina-proteassoma. Além disso, o tratamento com inibidores de PDE diminuem o processo inflamatório e aumentam os níveis circulantes de insulina, ações que podem contribuir para os efeitos antiproteolíticos. Evidências iniciais também sugerem que PDE4D participa no controle do sistema autofágico-lisossomal na musculatura esquelética. Todos estes resultados indicam que PDE participam no controle de processos proteolíticos, portanto inibidores de PDE emergem como uma opção interessante na ativação da sinalização do AMPc na musculatura esquelética, com vistas à utilização futura no tratamento de quadros de perda de massa muscular durante situações de atrofia. / Considering the advances in the knowledge of the mechanisms controlling the protein metabolism in skeletal muscles that allowed the discover of new options for the treatment of muscle atrophies, the present study aimed to understand the antiproteolytic potential of phosphodiesterase (PDE) inhibitors (pentoxifylline, a non-selective PDE inhibitor; rolipram, a selective PDE 4 inhibitor), in skeletal muscles of rats submitted to muscle atrophy due to insulin insufficiency (experimental diabetes mellitus), with emphasis on the elucidation of the participation of cyclic AMP (cAMP) signaling components. Normal and diabetic rats (60 mg/kg streptozotocin, intravenous administration) were treated intraperitoneally with saline (NS and DS) or with 2 mg/kg rolipram (NROL and DROL) or with 25 mg/kg pentoxifylline (NPTX and DPTX) for 3 days. After three days of treatments, soleus and extensor digitorum longus (EDL) muscles were removed, weighed, frozen and processed for several analyzes: (i) cAMP content; (ii) activities of proteasome, calpain and caspase-3 (use of specific fluorigenic substrates); (iii) protein levels and/or phosphorylation levels of components of proteolytic pathways, intracellular signaling effectors and transcription factors (Western blotting); (iv) determination of serum insulin and proinflammatory cytokines levels. Ex vivo experiments were performed to verify the direct action of the drugs in the control of muscle proteolysis and activation of intracellular effectors, via muscle incubations in the presence of rolipram or agonists of EPAC (Exchange protein directly activated by cAMP) and PKA (cAMP-dependent protein kinase), intracellular effectors activated by cAMP. Experiments were also carried out in the Laboratory of Prof. Dr. Marco Sandri at the Venetian Institute of Molecular Medicine, Padova, Italy, for the evaluation of the role of PDE4D in controlling the autophagic-lysosomal process in skeletal muscles of starved mice. Treatments of diabetic animals with rolipram (DROL) or pentoxifylline (DPTX) promoted a reduction in the activities of proteasome and calpain in soleus and EDL, as well as reduced the levels of key components of the ubiquitin-proteasome system (MuRF-1, atrogin-1, polyubiquitinated conjugates), and increased the levels of calpastatin (calpain inhibitor). Interestingly, DROL rats showed a reduction in the activity and in the protein levels of caspase-3 in both muscles, whereas DPTX rat had reductions only in EDL muscles. Contributing to the reduction in caspase-3 activity, it was observed a reduction in the content of Bax (pro-apoptotic protein) and an increase of Bcl-2 (anti-apoptotic protein) in both muscles of DROL rats. Diabetic animals treated with saline (DS) showed an increase in the activities of the three proteases, as well as increases in the levels of components belonging to these proteolytic processes. Normal and diabetic animals treated with saline (NS and DS) had basal and similar levels of cAMP in both soleus and EDL, whereas the treatments of normal and diabetic rats with pentoxifylline (NPTX and DPTX) or with rolipram (NROL and DROL) promoted increases in cAMP in both muscles. One of the mechanisms that may be involved in the muscle proteolysis inhibition after increases in cAMP involves the EPAC protein, responsible for integrating the cAMP and the insulin signaling pathways via AKT activation. Diabetic animals treated with pentoxifylline or with rolipram showed an increase in the protein levels of EPAC 1 and in the phosphorylation of AKT, when compared with the DS group. We also observed an increase in the phosphorylation (inhibitory) of FoxO 1 and 3a in both muscles of DROL rats. It can be suggested that part of the rolipram actions causing AKT activation and FoxO inhibition in skeletal muscles may be associated with the increases in the circulating levels of insulin observed in DROL animals. It was investigated, only in animals treated with rolipram, the possible involvement of PKA in the control of muscle proteolysis. DROL rats had activation of PKA, verified both by the increase in the phosphorylation of PKA substrates, as well as in the phophorylation of the transcription factor CREB, in soleus and EDL. DS rats had decreased levels of p-CREB and of the PKA substrates, in soleus and EDL. Diabetic animals treated with PDE inhibitors showed a decrease in serum proinflammatory cytokines (TNF-, PTX and ROL; IL-1, ROL) when compared with DS. In ex vivo studies, incubations of soleus and EDL with rolipram caused a reduction of the total proteolysis as well as an increase in the phosphorylation of PKA substrates and and of AKT. Soleus and EDL muscles incubated with EPAC agonist showed increased in the AKT phosphorylation, whereas incubation with PKA agonist promoted an increase in the phosphorylation of PKA substrates (in both muscles) and and increase in the AKT phosphorylation (EDL), when compared with muscles incubated in the absence of the drugs. In studies to understand the role of PDE4D in the control of the autophagic-lysosomal process, it was observed that the PDE4D gene silencing in anterior tibialis muscles caused a preservation of the muscle mass and fiber area in fasted animals when compared with control muscle. Flexor digitorium brevis muscles, silenced for PDE4D, showed a decreased expression of key proteins of the autophagic-lysosomal process, such as LC3 and p62. These results suggested the mechanisms that may be involved in the direct action of PDE inhibitors in the control of skeletal muscle protein metabolism, through activation of two cAMP-dependent pathways: (i) the PKA/CREB pathway, which may participate in transcriptional control of Bcl-2 and calpastatin, as well as causing direct inactivation of caspases, thus inhibiting the proteolytic processes dependent on caspase-3 and calpains, (ii) the EPAC/AKT pathway, via phosphorylation and inhibition of FoxO 1 and 3a factors, regulating the expression of atrogenes (MuRF-1 and atrogin-1) and promoting a decrease in activity of ubiquitin-proteasome system. Treatments with PDE inhibitors also decreased the inflammatory process and increased the circulating linsulin levels, which may be contributing to the antiproteolytic responses. Initial evidence also suggests that PDE4D participates in the control of the autophagy-lysosomal system in skeletal muscles. All these results indicate that PDE participate in the control of proteolytic processes, therefore PDE inhibitors emerge as an interesting option to activate the cAMP signaling in the skeletal muscles, which may be used in the future in treatments muscle mass loss during atrophy situations. / FAPESP: Processo 2013/18861-2 / FAPESP: Processo 2014/12202-0 / FAPESP: Processo 2017/02348-5

Thesis (M.Sc.)--Memorial University of Newfoundland, Faculty of Medicine, / Typescript. Bibliography: leaves 44-68.