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Updated: Aug 11, 2026

Hyperinsulinemic-euglycemic Clamps in Conscious, Unrestrained Mice
Published on: November 16, 2011
COX-2 inhibition prevents insulin-dependent diabetes in low-dose streptozotocin-treated mice
T Tabatabaie1, A M Waldon, J M Jacob
1Free Radical Biology and Aging Research Program, Oklahoma Medical Research Foundation, 825 N. E. 13th Street, Oklahoma City, Oklahoma 73104, USA. Tahereh-Tabatabaie@omrf.ouhsc.edu
Abstract:
Insulin-dependent diabetes mellitus (IDDM) is an autoimmune disease believed to be caused by an inflammatory process in the pancreas leading to selective destruction of the beta cells. Inducible cyclooxygenase (COX-2) is expressed under inflammatory conditions and its product prostaglandin E(2) (PGE(2)) is an important inflammation mediator. We report here that administration of the selective COX-2 inhibitor NS-398 prevents the onset of diabetes in mice brought on by multiple low-doses of streptozotocin (STZ). Histological observations indicated that STZ-mediated destruction of beta cells was prevented by NS-398 treatment. Delayed (day 3) administration of NS-398 was also protective in this model. No protective effect was observed when NS-398 was administered prior to a high, toxic dose of STZ. These results demonstrate the critical importance of COX-2 activity in autoimmune destruction of beta cells, and point to the fact that COX-2 inhibition can potentially develop into a preventive therapy against IDDM.
Insights
Selective COX-2 inhibition prevents autoimmune diabetes in mice. This finding highlights the critical role of COX-2 in beta cell destruction and suggests potential preventive therapies for insulin-dependent diabetes mellitus.
Area of Science:
- Immunology
- Endocrinology
- Pharmacology
Background:
- Insulin-dependent diabetes mellitus (IDDM) is an autoimmune disease characterized by pancreatic beta cell destruction.
- Inducible cyclooxygenase-2 (COX-2) is upregulated during inflammation and produces prostaglandin E(2) (PGE(2)), a key mediator.
Purpose of the Study:
- To investigate the role of COX-2 in the autoimmune destruction of beta cells.
- To evaluate the therapeutic potential of selective COX-2 inhibition in preventing IDDM.
Main Methods:
- Administration of a selective COX-2 inhibitor, NS-398, to mice.
- Induction of diabetes using multiple low doses of streptozotocin (STZ).
- Histological examination of pancreatic islets to assess beta cell survival.
Main Results:
- NS-398 treatment significantly prevented the onset of STZ-induced diabetes in mice.
- Histological analysis confirmed that NS-398 protected beta cells from STZ-mediated destruction.
- Delayed administration of NS-398 also conferred protection, but pre-treatment with a high toxic dose of STZ showed no protective effect.
Conclusions:
- COX-2 activity is crucial for the autoimmune destruction of pancreatic beta cells.
- Selective COX-2 inhibition demonstrates potential as a preventive strategy for IDDM.
- Targeting COX-2 pathways may offer a novel therapeutic approach for autoimmune diabetes.
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