Phosphodiesterase 2 and Its Isoform A as Therapeutic Targets in the Central Nervous System Disorders

CNS Neurol Disord Drug Targets. 2024;23(8):941-955. doi: 10.2174/1871527323666230811093126.

Abstract

Cyclic adenosine monophosphates (cAMP) and cyclic guanosine monophosphate (cGMP) are two essential second messengers, which are hydrolyzed by phosphodiesterase's (PDEs), such as PDE-2. Pharmacological inhibition of PDE-2 (PDE2A) in the central nervous system improves cAMP and cGMP signaling, which controls downstream proteins related to neuropsychiatric, neurodegenerative, and neurodevelopmental disorders. Considering that there are no specific treatments for these disorders, PDE-2 inhibitors' development has gained more attention in the recent decade. There is high demand for developing new-generation drugs targeting PDE2 for treating diseases in the central nervous and peripheral systems. This review summarizes the relationship between PDE-2 with neuropsychiatric, neurodegenerative, and neurodevelopmental disorders as well as its possible treatment, mainly involving inhibitors of PDE2.

Keywords: Phosphodiesterase 2 (PDE2 or PDE2A); cyclic AMP (cAMP); cyclic GMP (cGMP); neurodegenerative; neurodevelopmental disorders.; neuropsychiatric.

Publication types

  • Review

MeSH terms

  • Animals
  • Central Nervous System Diseases* / drug therapy
  • Central Nervous System Diseases* / enzymology
  • Cyclic AMP / metabolism
  • Cyclic GMP / metabolism
  • Cyclic Nucleotide Phosphodiesterases, Type 2* / antagonists & inhibitors
  • Cyclic Nucleotide Phosphodiesterases, Type 2* / metabolism
  • Humans
  • Phosphodiesterase Inhibitors* / pharmacology
  • Phosphodiesterase Inhibitors* / therapeutic use

Substances

  • Cyclic AMP
  • Cyclic GMP
  • Cyclic Nucleotide Phosphodiesterases, Type 2
  • Phosphodiesterase Inhibitors
  • PDE2A protein, human