Cyclooxygenase inhibitors suppress angiogenesis and reduce tumor growth in vivo
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Updated: Jul 30, 2026

Analysis of Combinatorial miRNA Treatments to Regulate Cell Cycle and Angiogenesis
Published on: March 30, 2019
1Department of Internal Medicine and Therapeutics, Oska University Graduate School of Medicine, Suita, Japan.
Abstract:
Angiogenesis plays a key role in the development of malignant tumors. To clarify the roles of cyclooxygenase (COX) in malignant tumor development and angiogenesis, we investigated the effects of COX inhibitors on two kinds of gastrointestinal cancer xenograft, one of which overexpresses COX-2 and the other expresses no COX, in nude mice in vivo. There was a positive correlation between tumor volume and angiogenesis within the xenograft. Oral administration with a specific COX-2 or a nonspecific COX inhibitors lowered the expression of potent angiogenic factors; vascular endothelial growth factor and basic fibroblast growth factor, reduced angiogenesis and growth, induced apoptosis, and suppressed cell replication of the COX-2 overexpressing cancer xenografts in a dose-dependent manner. A nonspecific COX inhibitor, not a specific COX-2 inhibitor, reduced growth and angiogenesis of non-COX expressing cancer xenograft by inhibition of COX-1 in vascular endothelial cells. These results demonstrate that COX inhibitors suppress angiogenesis and tumor growth by inhibiting expression of angiogenic factors and vascular endothelial cell growth. They support the hypothesis that COX plays an important role in cancer growth via angiogenesis. These findings offer a new strategy against cancer using COX inhibitors (nonsteroidal anti-inflammatory drugs).
Insights
Cyclooxygenase (COX) inhibitors reduce tumor growth and angiogenesis in gastrointestinal cancers. These drugs suppress key angiogenic factors and impact tumor cell replication, offering a new cancer treatment strategy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Angiogenesis is crucial for malignant tumor development.
- Cyclooxygenase (COX) enzymes are implicated in tumor growth and angiogenesis.
Purpose of the Study:
- To investigate the effects of COX inhibitors on gastrointestinal cancer xenografts.
- To clarify the roles of COX-1 and COX-2 in tumor angiogenesis and growth.
Main Methods:
- In vivo study using nude mice with two types of gastrointestinal cancer xenografts (COX-2 overexpressing and non-COX expressing).
- Oral administration of specific COX-2 or non-specific COX inhibitors.
- Assessment of tumor volume, angiogenesis, expression of angiogenic factors (VEGF, bFGF), apoptosis, and cell replication.
Main Results:
- Positive correlation observed between tumor volume and angiogenesis.
- COX inhibitors dose-dependently reduced angiogenesis, growth, and expression of VEGF and bFGF in COX-2 overexpressing xenografts.
- Non-specific COX inhibitors, but not COX-2 specific inhibitors, reduced growth and angiogenesis in non-COX expressing xenografts by inhibiting COX-1 in vascular endothelial cells.
Conclusions:
- COX inhibitors suppress tumor angiogenesis and growth by inhibiting angiogenic factor expression and vascular endothelial cell proliferation.
- COX plays a significant role in cancer growth through angiogenesis.
- COX inhibitors (NSAIDs) represent a potential therapeutic strategy against cancer.
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