Roflumilast, a potent and selective inhibitor of
phosphodiesterase-4 (PDE4), has been used in treatment of
COPD.
PDE4 inhibitor is associated with inhibition of chronic airway
inflammation, oxidative stress, and mesenchymal markers in B(a)P-induced lung
tumors. The aim of this study was to assess whether
roflumilast alone or added to inhaled
budesonide might have dose-dependent inhibition on lung
carcinogenesis induced by
carcinogen B(a)P in mice. Female A/J mice were given a single dose of
benzo(a)pyrene. Administration of
roflumilast (1mg/kg or 5mg/kg) via oral gavage and aerosolized
budesonide (2.25mg/ml) began 2 weeks post-
carcinogen treatment and continued for 26 weeks.
Tumor load was determined by averaging the total
tumor volume in each group.
Benzo(a)pyrene induced an average
tumor size of 9.38 ± 1.75
tumors per mouse, with an average
tumor load of 19.53 ± 3.81mm3.
Roflumilast 5mg/kg treatment decreased (P < 0.05)
tumor load per mouse compared to the B(a)P group.
Roflumilast 5mg/kg treatment significantly increased the levels of cAMP in
tumors with adjacent lung tissues (P < 0.05). The expression level of PDE4D gene was decreased by
roflumilast 5mg/kg treatment, significantly (P < 0.05). Compared to the B(a)P exposure group, expression levels of HIF-1α and VEGFA were attenuated by
roflumilast 5mg/kg treatment (P < 0.05). High-dose
roflumilast can attenuate lung
carcinogenesis in B(a)P-induced murine
lung cancer model. The chemopreventive effect of
roflumilast might be associated with inhibition of increased cAMP-mediated inflammatory process and markers of angiogenesis in
tumor tissues.