Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0010200 (cough)
 23,843 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Xanthine derivatives may inhibit phosphodiesterases without selective action on their single isoforms. In this study, effects of theophylline and theobromine on cough and airway reactivity were evaluated in awake guinea pigs using double-chamber whole body plethysmograph. Pre-treatment with theophylline and theobromine (10 mg/kg, i.p.) decreased the number of cough efforts evoked by inhalation of citric acid aerosol (0.6 mol/l) in both healthy and ovalbumin-sensitized animals. Theophylline and theobromine decreased in vivo airway reactivity, i.e., specific airway resistance measured after nebulization of citric acid and histamine aerosol (10(-6) mol/l), only in ovalbumin-sensitized animals, whereas in vitro reactivity to cumulative doses of histamine and acetylcholine (10(8)-10(-3) mol/l) measured in organ chambers significantly decreased in both healthy and ovalbumin-sensitized animals, with more pronounced effect in the latter group. In conclusion, administration of theophylline and theobromine influenced the cough and airway reactivity in ovalbumin-sensitized guinea pigs, indicating the anti-inflammatory potential of xanthine derivatives.
 ...
PMID:Influence of xanthine derivatives on cough and airway reactivity in guinea pigs. 2013 46

A group of 11 enzyme families of metalophosphohydrolases called phosphodiesterases (PDEs) is responsible for a hydrolysis of intracellular cAMP and cGMP. Xanthine derivatives (methylxanthines) inhibit PDEs without selective action on their single isoforms and lead to many pharmacological effects, e.g. bronchodilation, anti-inflammatory and immunomodulating effects, and thus they can modulate the cough reflex. Contrary, selective PDE inhibitors have been developed to inhibit PDE isoforms with different pharmacological effects based on their tissue expression. In this paper, effects of non-selective PDE inhibitors (e.g. theophylline) are discussed, with a description of other putative mechanisms in their effects on cough. Antitussive effects of selective inhibitors of several PDE isoforms are reviewed, focusing on PDE1, PDE3, PDE4, PDE5 and PDE7. The inhibition of PDEs suggests participation of bronchodilation, suppression of TRPV channels and anti-inflammatory action in cough suppression. Selective PDE3, PDE4 and PDE5 inhibitors have demonstrated the most significant cough suppressive effects, confirming their benefits in chronic inflammatory airway diseases associated with bronchoconstriction and cough.
 ...
PMID:Inhibitors of phosphodiesterases in the treatment of cough. 2933 69