[Cyclooxygenase 2 and breast cancer. From biological concepts to clinical trials]

Jean-Paul Guastalla1, Thomas Bachelot, Isabelle Ray-Coquard

  • 1Centre Léon-Bérard, 28, rue Laennec, 69008 Lyon. guastall@lyon.fnclcc.fr

Bulletin Du Cancer
|May 19, 2005
PubMed

Insights

Cyclooxygenases (Cox) are key in breast cancer development. Nonsteroidal anti-inflammatory drugs (NSAIDs) and dietary factors may reduce breast cancer risk by inhibiting Cox enzymes.

Area of Science:

  • Biochemistry
  • Oncology
  • Molecular Biology

Context:

  • Cyclooxygenases (Cox) are crucial prostaglandin synthetase enzymes implicated in mammary carcinogenesis.
  • Research has established links between Cox enzymes and various factors including oncogenes, dietary products, transcription factors, and apoptosis regulators.

Purpose:

  • To explore the multifaceted roles and associations of Cyclooxygenases (Cox) in the context of breast cancer.
  • To review the evidence linking Cox enzymes to oncogenes, cellular pathways, and potential therapeutic interventions.

Summary:

  • Cox enzymes are linked to oncogenes (e.g., v-src, HER-2/neu), PUFAs, transcription factors (c-jun, c-fos), apoptosis regulators (Bax, Bcl-x(L), Bcl-2), CYP19 aromatase, NFkappaB receptor (RANKL), and angiogenesis factors (VEGF, TXA2).
  • No correlation was found between Cox2 expression and hormonal receptors. Epidemiological studies suggest reduced breast cancer risk with long-term NSAID use.
  • Dietary factors like resveratrol and unsaturated fatty acids may decrease Cox2 expression, warranting further human studies. Clinical trials are planned for celecoxib in breast cancer prevention and treatment.

Impact:

  • Highlights the significant role of Cox enzymes in breast cancer pathogenesis and progression.
  • Identifies potential therapeutic targets and preventive strategies, including NSAIDs and dietary modifications.
  • Informs future clinical trials investigating Cox inhibitors for breast cancer prevention and therapy.

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