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cGMP-specific phosphodiesterase (PDE (with specific isoforms such as PDE5, PDE6, and PDE9 being cGMP-specific))

Target
PDE (with specific isoforms such as PDE5, PDE6, and PDE9 being cGMP-specific)
Molecular classification
Enzyme, Cyclic nucleotide phosphodiesterase, Signal transduction enzyme
01

Overview

cGMP-specific phosphodiesterase is an enzyme responsible for hydrolyzing cyclic guanosine monophosphate (cGMP) to 5’-GMP, thus controlling cellular cGMP levels and modulating several physiological processes[1][3][4][10]. Multiple isoforms exist—most notably PDE5 (predominant in smooth muscle, key to vascular tone regulation and drug target for erectile dysfunction and pulmonary hypertension) and PDE6 (critical for phototransduction in retinal photoreceptors)[7][10]. Inhibition of cGMP-phosphodiesterases increases intracellular cGMP, promoting smooth muscle relaxation, vasodilation, and signaling effects that are used therapeutically in cardiovascular, genitourinary, and some neurodegenerative disorders[3][2][8]. The family is recognized as a major therapeutic and research target due to its central role in second messenger signaling and disease[8][9].

Other names
cGMP phosphodiesterasecGMP-PDE3',5'-cyclic-GMP phosphodiesterasePhosphodiesterase type 5 (PDE5)Phosphodiesterase type 6 (PDE6)Phosphodiesterase type 9 (PDE9)
02

Mechanism of action

Inhibition leads to increased intracellular cGMP, resulting in smooth muscle relaxation, vasodilation, and modulation of signal transduction pathways[2][3][4].\nPhotoreceptor PDE (PDE6) hydrolyzes cGMP in response to light, leading to hyperpolarization of photoreceptors during visual signaling[10][7].

03

Biological functions

Regulation of cGMP levelsSignal transductionVisual phototransductionSmooth muscle relaxationVasodilationRegulation of cardiac contractility
04

Disease associations

Cardiovascular diseaseErectile dysfunctionPulmonary hypertensionNeurodegenerative diseases (including Alzheimer’s disease)Some cancersRetinal diseases
05

Safety considerations

Risk of hypotension, especially when combined with nitratesVisual disturbances (due to PDE6 cross-reactivity by some drugs)Headache, flushing, dyspepsiaHearing loss and vision impairment (rare but reported adverse effects)Drug-drug interactions, particularly with antihypertensives and nitroglycerin
06

Interacting drugs

Sildenafil

5 more in the full profile.

07

Biomarkers

cGMP levels in tissues or fluids (e.g., cGMP in urine or blood)PDE5 protein (for erectile dysfunction and pulmonary hypertension therapeutic targeting)Expression levels of specific PDE isoforms in disease tissues

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