Phosphodiesterase Flashcards

1
Q

A hydrolase that breaks a phosphodiester bond

A

Phosphodiesterase

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2
Q

How are phosphodiester bonds formed?

A

Two hydroxyl groups of phosphoric acid react with two hydroxyl groups attached to carbons to form ester bonds

Formed when adenylyl cyclase catalyzes the conversion of ATP to cAMP

Formed when guanylyl cyclase catalyzes the conversion of GTP to cGMP

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3
Q

Phosphodiesterase physiologic function

A

Sole known enzyme for terminating cyclic nucleotide signals- regulating physical and pathologic processes

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4
Q

Phosphodiesterase that is nonselective for cAMP and cGMP, but has10x affinity for cAMP

A

PDE 3

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5
Q

Phosphodiesterase that is found in the heart, vascular and placental smooth muscle, and tissues important to homeostasis (liver, pancreatic B-cells, adipocytes)

A

PDE3

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6
Q

Phosphodiesterase that is inhibited by milrinone and amrinone

A

PDE3

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7
Q

Effect of PDE3 inhibition on cardiac myocytes

A

Increased cAMP = positive chronotropy, dromotropy, inotropy, and lusitropy

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8
Q

Effect of PDE3 inhibition on vascular smooth muscle

A

Increased cAMP = vasodilation

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9
Q

Phosphodiesterase inhibitors that are called an inodilator

A

PDE3 inhibitors

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10
Q

Phosphodiesterase that is cGMP selective

A

PDE5

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11
Q

Phosphodiesterase that is found at high levels in the corpus cavernosus, vascular smooth muscle, and platelets

A

PDE5

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12
Q

Phosphodiesterase inhibitors that are metabolized by CYP450 in the liver

A

PDE 5 inhibitors

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13
Q

Phosphodiesterase inhibitors that end in -afil

A

PDE 5 inhibitors

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14
Q

Phosphodiesterase that is cAMP selective and found throughout the body

A

PDE4

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15
Q

Phosphodiesterase that modulates B2-adrenergic responses in pulmonary smooth muscle

A

PDE4

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16
Q

PDE3 inhibitors are useful for what types of patient conditions

A

Beta-blocker induced myocardial depression
Acute heart failure
Unresponsiveness to IV catecholamines
When inotropy and decreased afterload is needed

17
Q

Prototype nonselective PDE inhibitor

A

Theophylline