Target intelligence / Profile preview

Phosphodiesterase 3A and Phosphodiesterase 3B (PDE3A and PDE3B)

Target
PDE3A and PDE3B
Molecular classification
Enzyme, Phosphodiesterase
01

Overview

Phosphodiesterase 3A and Phosphodiesterase 3B (PDE3A/B) are closely related enzymes of the phosphodiesterase 3 family that regulate intracellular levels of cyclic nucleotides, primarily cAMP and, to a lesser extent, cGMP[1][3][4]. PDE3A and PDE3B play key roles in controlling cardiac muscle contraction, vascular smooth muscle relaxation, and platelet aggregation[1][2][3]. PDE3A is especially important in cardiovascular tissues and platelets, while PDE3B is relevant in metabolic tissues such as adipose tissue and the liver[3]. Both enzymes contain conserved catalytic domains and regulatory regions, including family-specific phosphorylation sites that modulate their activity[2][3]. PDE3 inhibitors are used therapeutically for acute heart failure and intermittent claudication but are associated with significant safety risks including arrhythmia and increased mortality in chronic use[1]. The genes encoding these enzymes and their activity are important research and therapeutic targets in cardiovascular and metabolic diseases[1][2][3][4].

Other names
cGMP-inhibited cAMP phosphodiesterasecGMP-inhibited phosphodiesterase 3PDE3 family
02

Mechanism of action

Inhibitors block hydrolysis of cAMP and/or cGMP, leading to increased intracellular cyclic nucleotide concentrations, which results in enhanced cardiac contractility, vasodilation, and inhibition of platelet aggregation[1][4]. Many drugs act as selective allosteric inhibitors of the PDE3 catalytic domain[1].

03

Biological functions

Hydrolysis of cyclic adenosine monophosphate (cAMP)Hydrolysis of cyclic guanosine monophosphate (cGMP)Regulation of cardiac and vascular smooth muscle contractilityModulation of platelet aggregationSignal transduction
04

Disease associations

Cardiovascular diseaseHeart failureThrombosisOther disorders involving vascular and platelet function
05

Safety considerations

Risk of cardiac arrhythmia[1]Increased mortality with long-term use in heart failure[1]HypotensionThrombocytopenia (rare for some inhibitors)
06

Interacting drugs

Milrinone

4 more in the full profile.

07

Biomarkers

Platelet PDE3A/B activity (research/clinical biomarker for anti-platelet efficacy)cAMP/cGMP levels in cardiovascular tissues (experimental)

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