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Cyclooxygenase-2: a target for the prevention and treatment of breast cancer
L R Howe1, K Subbaramaiah, A M Brown
1Strang Cancer Research Laboratory, Rockefeller University, Box 231, 1230 York Avenue, New York, New York 10021, USA. lrhowe@med.cornell.edu
Abstract:
Cyclooxygenase-2 (COX-2), an inducible prostaglandin synthase, is normally expressed in parts of the kidney and brain. Aberrant COX-2 expression was first reported in colorectal carcinomas and adenomas, and has now been detected in various human cancers, including those of the breast. Strikingly, COX-2 overexpression in murine mammary gland is sufficient to cause tumour formation. To date, the role of COX-2 in tumorigenesis has been most intensively studied in the colon. Thus, the relationship between COX-2 and neoplasia can best be illustrated with reference to intestinal tumorigenesis. Here we consider the potential utility of selective COX-2 inhibitors for the prevention and treatment of breast cancer. Data for cancers of the colon and breast are compared where possible. In addition, the mechanisms by which COX-2 is upregulated in cancers and contributes to tumorigenesis are discussed. Importantly, several recent studies of mammary tumorigenesis in animal models have found selective COX-2 inhibitors to be effective in the prevention and treatment of breast cancer. Clinical trials will be needed to determine whether COX-2 inhibition represents a useful approach to preventing or treating human breast cancer.
Insights
Cyclooxygenase-2 (COX-2) overexpression drives tumor formation. Selective COX-2 inhibitors show promise for preventing and treating breast cancer, warranting clinical trials.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Cyclooxygenase-2 (COX-2), an inducible prostaglandin synthase, is upregulated in various human cancers, including breast cancer.
- COX-2 overexpression in the mammary gland is sufficient to induce tumor formation in animal models.
- The role of COX-2 in tumorigenesis is well-studied in colorectal cancer and is being investigated for breast cancer.
Purpose of the Study:
- To explore the potential utility of selective COX-2 inhibitors for breast cancer prevention and treatment.
- To compare data from colon and breast cancers regarding COX-2's role.
- To discuss mechanisms of COX-2 upregulation and its contribution to tumorigenesis.
Main Methods:
- Review and comparison of existing data on COX-2 in colorectal and breast cancers.
- Analysis of studies investigating COX-2 inhibitors in mammary tumorigenesis models.
- Discussion of molecular mechanisms underlying COX-2's role in cancer.
Main Results:
- COX-2 overexpression is implicated in breast cancer development.
- Selective COX-2 inhibitors have demonstrated effectiveness in preventing and treating breast cancer in animal models.
- Understanding COX-2 upregulation mechanisms is crucial for therapeutic strategies.
Conclusions:
- Selective COX-2 inhibitors represent a potential therapeutic strategy for breast cancer.
- Further clinical trials are necessary to validate the efficacy of COX-2 inhibition in human breast cancer.
- COX-2's role in tumorigenesis provides a target for novel cancer therapies.
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