Dual expression and differential regulation of phosphodiesterase 3A and phosphodiesterase 3B in human vascular smooth muscle: Implications for phosphodiesterase 3 inhibition in human cardiovascular tissues

Cyclic nucleotide phosphodiesterases (PDEs) are a superfamily of enzymes wh ose physiological role is the attenuation of the signaling mediated by the ubiquitous second messengers cAMP and cGMP. Given the myriad of physiologic al processes regulated by cAMP and cGMP, PDEs have long been studied as pot ential therapeutic targets. Although phosphodiesterase 3 (PDE3) activity is abundant in human cardiovascular tissues, and acute PDE3 inhibition, with agents such as milrinone, was beneficial in heart failure patients, prolong ed treatments were associated with time-dependent reductions in hemodynamic effects and increased mortality. The molecular basis of this time-dependen t reduction in efficacy has not been elucidated. In this context, we used a combination of approaches to determine PDE3 expression in human cardiovasc ular tissues and to elucidate the effects of prolonged elevations of cellul ar cAMP, as would occur with PDE3 inhibition, on this activity. Although ou r data confirms the expression of PDE3A in human blood vessel smooth muscle cells (HASMCs), we identify a previously unrecognized role for PDE3B in cA MP hydrolysis in human cardiovascular tissues. Specifically, although both PDE3A and PDE3B were expressed in HASMCs, their subcellular expression patt ern and regulated expression by cAMP were distinct, with only expression of PDE3B being subject to cAMP-regulated expression. Thus, a paradigm emerges that allows for dual expression, with distinctive regulation, of both PDE3 A and PDE3B proteins in cardiovascular tissues that may have profound signi ficance for the rational design of molecules regulating this PDE activity.