Tadalafil, a Long-Acting Inhibitor of PDE5, Improves Pulmonary Hemodynamics and Survival Rate of Monocrotaline-Induced Pulmonary Artery Hypertension in Rats

The aim of this study was to assess the effect of tadalafil (0.5, 2.5, and 10 mg/kg per day) on the progression of pulmonary arterial hypertension (PAH) in early treatment and on the survival rate in late treatment on the monocrotaline (MCT)-induced PAH rat model. Tadalafil was administered once dai...

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Main Authors: Fusae Sawamura, Masami Kato, Kazuhisa Fujita, Takahiro Nakazawa, Anthony Beardsworth
Format: Article
Language:English
Published: Elsevier 2009-01-01
Series:Journal of Pharmacological Sciences
Online Access:http://www.sciencedirect.com/science/article/pii/S1347861319310898
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author Fusae Sawamura
Masami Kato
Kazuhisa Fujita
Takahiro Nakazawa
Anthony Beardsworth
author_facet Fusae Sawamura
Masami Kato
Kazuhisa Fujita
Takahiro Nakazawa
Anthony Beardsworth
author_sort Fusae Sawamura
collection DOAJ
description The aim of this study was to assess the effect of tadalafil (0.5, 2.5, and 10 mg/kg per day) on the progression of pulmonary arterial hypertension (PAH) in early treatment and on the survival rate in late treatment on the monocrotaline (MCT)-induced PAH rat model. Tadalafil was administered once daily to rats for 3 weeks from the day of MCT-injection or 21 days after the injection. With early treatment, tadalafil at 10 mg/kg per day prevented the development of PAH by maintaining mean pulmonary artery pressure within the normal range and attenuated right ventricular hypertrophy. With late treatment, tadalafil tended to increase the partial pressure of oxygen in arterial blood and dose-dependently improved the survival rate by 55%, 60%, and 70% at 0.5, 2.5, and 10 mg/kg per day, respectively, versus 40% in the MCT-control group. Both early and late treatments with tadalafil were associated with elevated lung cyclic guanosine monophosphate (cGMP). These results suggest that tadalafil relaxes pulmonary arteries by elevating cGMP in lungs and extend survival time by improving pulmonary hemodynamics even when treatment occurs in the late phase of PAH. Thus, it is expected that tadalafil may be an effective, once-daily treatment option in humans with PAH. Keywords:: tadalafil, phosphodiesterase 5 (PDE5) inhibitor, pulmonary artery hypertension (PAH), monocrotaline (MCT), survival
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spelling doaj.art-32f41682c9cd49678761e2ce0c12263a2022-12-21T23:42:43ZengElsevierJournal of Pharmacological Sciences1347-86132009-01-011113235243Tadalafil, a Long-Acting Inhibitor of PDE5, Improves Pulmonary Hemodynamics and Survival Rate of Monocrotaline-Induced Pulmonary Artery Hypertension in RatsFusae Sawamura0Masami Kato1Kazuhisa Fujita2Takahiro Nakazawa3Anthony Beardsworth4Lilly Research Laboratories Japan, Eli Lilly Japan K.K., 7-1-5 Isogami-dori, Chuo-ku, Kobe, Hyogo 651-0086, Japan; Corresponding author. sawamura_fusae@lilly.comHashima Laboratory, Nihon Bioresearch Inc., 104, 6-chome, Majima, Fukuju-cho, Hashima, Gifu 501-6251, JapanHashima Laboratory, Nihon Bioresearch Inc., 104, 6-chome, Majima, Fukuju-cho, Hashima, Gifu 501-6251, JapanLilly Research Laboratories Japan, Eli Lilly Japan K.K., 7-1-5 Isogami-dori, Chuo-ku, Kobe, Hyogo 651-0086, JapanCialis Global Development Team, Eli Lilly and Company Ltd., Erl Wood Manor, GU20 6PH, UKThe aim of this study was to assess the effect of tadalafil (0.5, 2.5, and 10 mg/kg per day) on the progression of pulmonary arterial hypertension (PAH) in early treatment and on the survival rate in late treatment on the monocrotaline (MCT)-induced PAH rat model. Tadalafil was administered once daily to rats for 3 weeks from the day of MCT-injection or 21 days after the injection. With early treatment, tadalafil at 10 mg/kg per day prevented the development of PAH by maintaining mean pulmonary artery pressure within the normal range and attenuated right ventricular hypertrophy. With late treatment, tadalafil tended to increase the partial pressure of oxygen in arterial blood and dose-dependently improved the survival rate by 55%, 60%, and 70% at 0.5, 2.5, and 10 mg/kg per day, respectively, versus 40% in the MCT-control group. Both early and late treatments with tadalafil were associated with elevated lung cyclic guanosine monophosphate (cGMP). These results suggest that tadalafil relaxes pulmonary arteries by elevating cGMP in lungs and extend survival time by improving pulmonary hemodynamics even when treatment occurs in the late phase of PAH. Thus, it is expected that tadalafil may be an effective, once-daily treatment option in humans with PAH. Keywords:: tadalafil, phosphodiesterase 5 (PDE5) inhibitor, pulmonary artery hypertension (PAH), monocrotaline (MCT), survivalhttp://www.sciencedirect.com/science/article/pii/S1347861319310898
spellingShingle Fusae Sawamura
Masami Kato
Kazuhisa Fujita
Takahiro Nakazawa
Anthony Beardsworth
Tadalafil, a Long-Acting Inhibitor of PDE5, Improves Pulmonary Hemodynamics and Survival Rate of Monocrotaline-Induced Pulmonary Artery Hypertension in Rats
Journal of Pharmacological Sciences
title Tadalafil, a Long-Acting Inhibitor of PDE5, Improves Pulmonary Hemodynamics and Survival Rate of Monocrotaline-Induced Pulmonary Artery Hypertension in Rats
title_full Tadalafil, a Long-Acting Inhibitor of PDE5, Improves Pulmonary Hemodynamics and Survival Rate of Monocrotaline-Induced Pulmonary Artery Hypertension in Rats
title_fullStr Tadalafil, a Long-Acting Inhibitor of PDE5, Improves Pulmonary Hemodynamics and Survival Rate of Monocrotaline-Induced Pulmonary Artery Hypertension in Rats
title_full_unstemmed Tadalafil, a Long-Acting Inhibitor of PDE5, Improves Pulmonary Hemodynamics and Survival Rate of Monocrotaline-Induced Pulmonary Artery Hypertension in Rats
title_short Tadalafil, a Long-Acting Inhibitor of PDE5, Improves Pulmonary Hemodynamics and Survival Rate of Monocrotaline-Induced Pulmonary Artery Hypertension in Rats
title_sort tadalafil a long acting inhibitor of pde5 improves pulmonary hemodynamics and survival rate of monocrotaline induced pulmonary artery hypertension in rats
url http://www.sciencedirect.com/science/article/pii/S1347861319310898
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