RT Journal Article SR Electronic T1 Partial reversal of experimental pulmonary hypertension by phosphodiesterase-3/4 inhibition JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 599 OP 610 DO 10.1183/09031936.00002007 VO 31 IS 3 A1 E. Dony A1 Y-J. Lai A1 R. Dumitrascu A1 S. S. Pullamsetti A1 R. Savai A1 H. A. Ghofrani A1 N. Weissmann A1 C. Schudt A1 D. Flockerzi A1 W. Seeger A1 F. Grimminger A1 R. T. Schermuly YR 2008 UL http://erj.ersjournals.com/content/31/3/599.abstract AB Phosphodiesterase (PDE) inhibitors are currently under investigation for the therapy of pulmonary hypertension. The present study was designed to investigate chronic effects of oral pumafentrine, a mixed selective PDE-3/4 inhibitor, in monocrotaline (MCT)-induced pulmonary hypertension in rats. Treatment with pumafentrine (10 mg·kg−1 daily) from week 4 to 6 after a single injection of MCT (60 mg·kg−1) partially reversed pulmonary hypertension and right heart hypertrophy in rats. In addition, small pulmonary arterial muscularisation, media hypertrophy and decrease in lumen area were largely reversed. Inhibition of smooth muscle proliferation under pumafentrine was demonstrated in vivo as was a pro-apoptotic effect of pumafentrine on vascular cells. Moreover, pumafentrine dose-dependently increased cyclic adenosine monophosphate levels and inhibited proliferation of cultured pulmonary arterial smooth muscle cells. In conclusion, oral pumafentrine partially reverses monocrotaline-induced pulmonary hypertension, lung vascular remodelling and right heart hypertrophy in rats.