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Celecoxib: a novel treatment for lung cancer
Hussein Abou-Issa1, Galal Alshafie
1Ohio State University, Division of Surgical Oncology, Department of Surgery, College of Medicine & Public Health, M-260 Starling-Loving Hall, 320 W 10th Ave, Columbus, OH 43210, USA. abou-issa.1@osu.edu
Abstract:
Lung cancer is by far the leading cause of cancer-related deaths. Overall survival is poor and has not improved substantially over the last 50 years. Therefore, it is clear that novel and more effective treatments are needed to improve the outcome of therapy. Recent attention has been drawn to the role of cyclooxygenase (COX)-2 in the pathogenesis of cancer, and it has been considered as an attractive target for therapeutic and chemopreventive strategies in lung cancer patients. Celecoxib (Celebrex), Pfizer), a selective COX-2 inhibitor and potent anti-inflammatory agent, has been approved for the treatment of osteoarthritis and rheumatoid arthritis. This orally administered agent is generally well tolerated and has almost no gastrointestinal or renal toxicity. Phase II clinical trials suggest that COX-2 inhibition by celecoxib would enhance response to cytotoxic chemotherapy or radiation therapy through interference with cellular proliferation and tumor angiogenic processes, promotion of apoptosis and immune surveillance, or other possible mechanisms. Celecoxib has shown promising antitumor efficacy in lung cancer and a large variety of solid tumors that rely on COX-2-related mechanisms for growth and survival. This article reviews the profile of celecoxib and evidence supporting its role in the therapy of lung cancer.
Insights
Novel lung cancer treatments are needed. Celecoxib, a cyclooxygenase (COX)-2 inhibitor, shows promise in enhancing chemotherapy and radiation therapy response, offering a new therapeutic avenue for lung cancer patients.
Area of Science:
- Oncology
- Pharmacology
Background:
- Lung cancer remains a leading cause of cancer mortality with limited therapeutic advancements.
- Cyclooxygenase (COX)-2 is implicated in cancer pathogenesis, presenting a potential therapeutic target.
- Selective COX-2 inhibitors, like celecoxib, are anti-inflammatory agents with potential anticancer applications.
Purpose of the Study:
- To review the therapeutic potential of celecoxib in lung cancer treatment.
- To examine the evidence supporting celecoxib's role in enhancing conventional lung cancer therapies.
Main Methods:
- Review of preclinical and clinical data on celecoxib in lung cancer.
- Analysis of celecoxib's mechanism of action, including its effects on COX-2 pathways.
- Evaluation of celecoxib's efficacy and safety profile in solid tumors.
Main Results:
- Celecoxib, a selective COX-2 inhibitor, is generally well-tolerated with minimal toxicity.
- Phase II trials suggest celecoxib enhances responses to chemotherapy and radiation therapy.
- Celecoxib demonstrates antitumor efficacy in various solid tumors dependent on COX-2.
Conclusions:
- Celecoxib exhibits promising antitumor activity and may enhance conventional treatments for lung cancer.
- Targeting COX-2 with celecoxib represents a viable strategy for improving lung cancer outcomes.
- Further investigation into celecoxib's role in lung cancer therapy is warranted.
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