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© Copyright 2004 The British Pharmacological Society

100P GKT, University of London
Winter Meeting December 2003

The effect of roflumilast N-oxide on human leukocyte function in-vitro

Boswell-Smith V and Page CP. The Sackler Institute of Pulmonary Pharmacology, GKT School of Biomedical Sciences, Kings College London, SE1 1UL, UK.

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Boswell-Smith V

Page CP

Roflumilast, an orally active, selective PDE4 inhibitor, currently in phase III clinical development for Chronic Obstructive Pulmonary Disease and asthma, can suppress both myeloperoxidase (MPO) activity and neutrophil elastase (NE) release from fMLP-stimulated neutrophils and also TNF-, but not IL-8 from LPS-stimulated mononuclear cells (Boswell et al 2002). The aim of this study was to investigate whether the pharmacologically active metabolite of roflumilast, roflumilast N-oxide, also suppressed these parameters.

Neutrophils and mononuclear cells were isolated from blood of healthy, non-smoking volunteers (n=6) by density dependent centrifugation. Mononuclear cells (2 x106/well) were incubated with roflumilast N-oxide (10-10-10-6M) or 0.1% DMSO vehicle control, and stimulated for 18 hours with LPS (10ngml-1) (37oC, 5% CO2). TNF- and IL-8 release was quantified by ELISA. Neutrophils (2.5 x 10-6 /well) were incubated with roflumilast N-oxide (10-9-10-5M) or vehicle control, along with TNF- (100Uml-1) or HBSS vehicle control and cytochalasin B (5µgml-1), for 30 minutes prior to activation with fMLP (10-7M) (Room temperature). After 45 minutes the cells were removed by centrifugation and NE release and MPO activity were assessed colorimetrically. Inhibitor data were expressed as % of control, mean ± SEM (n=6). Statistical significance was assessed by ANOVA followed by Dunnett's test.

LPS induced significant TNF- release (control, 25.6 ± 8.4 absorbance units (AU) vs. LPS, 417 ± 88.1 AU; P<0.01) and IL-8 release (control, 26.01 ± 10.4 AU vs. LPS, 811.7 ± 137.3 AU; P<0.01) from human mononuclear cells Roflumilast N-oxide suppressed LPS-induced TNF- release (max % inhibition: 92.5 ± 4.5, P<0.01), but not IL-8 release from human mononuclear cells.Roflumilast N-oxide also suppressed NE release and MPO activity from stimulated neutrophils in both the absence (max. % inhibition, NE: 58.4 ± 15.7; MPO: 75.2 ± 10.1, P<0.05) and presence of TNF- (max. % inhibition NE: 62.6 ± 10.3; MPO: 63.29 ± 11.60, P<0.05).

These results demonstrate that the pharmacologically active metabolite of roflumilast, roflumilast N-oxide can significantly suppress neutrophil degranulation and TNF- release from mononuclear cells.

Boswell et al., 2003. Am. J. Resp. Crit. Care. Med. 167, A310.

This research is funded by the MRC/Altana LTD.