Target intelligence / Profile preview

High affinity cGMP-specific 3',5'-cyclic phosphodiesterase 9A (PDE9A)

Target
PDE9A
Molecular classification
Enzyme, Hydrolase, Phosphodiesterase
01

Overview

High affinity cGMP-specific 3',5'-cyclic phosphodiesterase 9A (PDE9A) is an enzyme that specifically hydrolyzes cyclic guanosine monophosphate (cGMP), a key second messenger in various physiological processes. Unlike many other phosphodiesterases, PDE9A has the highest affinity for cGMP and does not significantly act on cAMP. It is widely expressed in the human body, with high concentrations found in the brain (particularly the hippocampus and cortex), hematopoietic cells, and the heart. In the central nervous system, PDE9A regulates synaptic plasticity and memory consolidation, making it a significant target for treating neurodegenerative disorders like Alzheimer's disease and Schizophrenia. In the context of hematology, PDE9A inhibition has been shown to increase fetal hemoglobin levels, providing a therapeutic avenue for sickle cell disease. Pharmacological targeting of PDE9A aims to elevate cGMP levels to restore signaling balance in diseased states, though clinical trials have faced challenges regarding efficacy in cognitive endpoints.

Other names
Phosphodiesterase 9APDE9HSPDE9A1cGMP-specific 3',5'-cyclic phosphodiesterase 9A
02

Mechanism of action

Selective inhibition of PDE9A prevents the hydrolysis of cyclic guanosine monophosphate (cGMP), thereby increasing intracellular cGMP concentrations and enhancing downstream signaling pathways such as the NO/sGC/cGMP pathway.

03

Biological functions

Signal transductioncGMP catabolic processRegulation of intracellular cyclic nucleotide levelsSynaptic plasticityRegulation of fetal hemoglobin expression
04

Disease associations

Alzheimer's diseaseSchizophreniaSickle cell diseaseHeart failureDiabetes mellitusCognitive impairment
05

Safety considerations

Gastrointestinal disturbances (nausea, diarrhea)HeadacheDizzinessPotential for visual disturbances (though lower risk than PDE5/6 inhibitors)Risk of hypotension when combined with nitric oxide donors
06

Interacting drugs

Tovinontrine (IMR-687)

4 more in the full profile.

07

Biomarkers

Cyclic guanosine monophosphate (cGMP) levels in cerebrospinal fluidCyclic guanosine monophosphate (cGMP) levels in plasmaFetal hemoglobin (HbF) levels (in sickle cell disease)F-cell count

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