“…Tel: +886-4-24730022 ext.11675; Fax: +886-4-23248195; E-mail: lhj@csmu.edu.tw Abbreviations: ROS, reactive oxygen species; STZ, streptozotocin; CTZ, cilostazol; NO, nitric oxide; ECM, extracellular matrix; cAMP, cyclic adenosine monophosphate; cGMP, cyclic guanosine monophosphate; PDE, phosphodiesterase; MDA, malondialdehyde; BUN, blood urea nitrogen; ACR, urine albumin/creatinine ratio; GFR, glomerular filtration rate; PKC, protein kinase C; DAG, diacylglycerol; PI-3K, phosphatidylinositol-3 kinase concentration of cyclic nucleotides changes, the actions of numerous hormones and neurotransmitter signals are mediated for cell growth, differentiation, survival, and inflammation. 14,15) Recent studies have suggested that cAMP and cGMP regulate several signaling pathways involved in the development and progression of renal disease, including mitogenesis, inflammation, and extracellular matrix synthesis. [16][17][18] Cilostazol {6-[4-(1-cyclohexyl-1H-tetrazol-5-yl) butoxy]-3, 4-dihydro-2(1H)-quinolinone} is a specific inhibitor of phosphodiesterase 3 (PDE 3).…”