Target intelligence / Profile preview

Cyclic GMP-specific phosphodiesterase (PDE)

Target
PDE
Molecular classification
Enzyme, Hydrolase, Cyclic nucleotide phosphodiesterase
01

Overview

Cyclic GMP-specific phosphodiesterases are a superfamily of enzymes that hydrolyze 3',5'-cyclic guanosine monophosphate (cGMP) to 5'-GMP, thereby terminating cGMP signaling within cells. In mammals, these are encoded by several gene families (notably PDE5, PDE6, and PDE9), each with distinct tissue distributions, regulatory properties, and biological roles. These enzymes are molecular targets for important drugs, especially those treating erectile dysfunction and pulmonary hypertension, as well as emerging agents for heart failure and neurodegenerative diseases. Inhibitors of these enzymes prolong cGMP activity, resulting in beneficial effects such as vasodilation, improved cardiac function, or altered neuronal signaling, though their use requires attention to safety risks such as hypotension and drug interactions. It is essential to specify the isoform/family ("PDE5", "PDE6", etc.) to avoid ambiguity, since the term "cyclic GMP-phosphodiesterase" refers to a broad activity present in multiple proteins. If you need structured information on a particular isoform (e.g., "Phosphodiesterase 5A"), specify it for greater accuracy—this response covers the general target class based on your query.

Other names
Cyclic GMP phosphodiesterasecGMP-specific phosphodiesterasePDE (with family number if known, e.g., PDE5, PDE6)Phosphodiesterase, cGMP-specificPDE5/PDE6/PDE9 (when referring to the main families in mammals)
02

Mechanism of action

Inhibition of cyclic GMP phosphodiesterase increases cGMP levels in target tissues, resulting in prolonged and amplified cGMP signaling. Effects include vasodilation, erection (smooth muscle relaxation), enhanced visual signal transmission (retina), and cardiac contractility modulation.

03

Biological functions

Signal transduction (termination of cGMP signaling)Regulation of cyclic nucleotide levelsRegulation of vascular toneVisual signal processing (specific to PDE6 in retina)Regulation of cardiac contractility (e.g., PDE5 in myocardium)Smooth muscle relaxation
04

Disease associations

Cardiovascular disease (heart failure, pulmonary hypertension)Erectile dysfunctionRetinal degenerative diseases (specific to PDE6)Neurodegenerative diseasePulmonary hypertensionOther (emerging roles in CNS, cancer, inflammation depending on isoform)
05

Safety considerations

Hypotension (from excessive vasodilation)Visual disturbance (PDE6 inhibition as off-target effect)Hearing loss (rare; PDE5 inhibitors)Drug interactions with nitrates and alpha-blockersHeadache, flushing, dyspepsia (class effects)Cardiac arrhythmias (rare, when combined with other agents or underlying disease)
06

Interacting drugs

Sildenafil (PDE5 inhibitor)

7 more in the full profile.

07

Biomarkers

Plasma cGMP levels (sometimes used as a pharmacodynamic biomarker for PDE5 inhibitor efficacy)NO–cGMP pathway markers(No broadly accepted biomarker specific for all cGMP phosphodiesterases; may be isoform- or tissue-specific)

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