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Published on: September 30, 2016
[Cyclooxygenase 2 and colorectal cancer: therapeutic implications]
Antoni Castells1, Francesc Balaguer, Victòria Gonzalo
1Servicio de Gastroenterología, Institut de Malalties Digestives i Metabòliques, Hospital Clínic, Villaroel 170, 08036 Barcelona, Spain. castells@clinic.ub.es
Abstract:
There is epidemiological evidence that suggests an inverse association between the consumption of non-steroidal anti-inflammatories (NSAIDs) and the risk of developing certain neoplasms. This association led to the identification of the therapeutic target of these drugs, cyclooxygenase type 2 (COX-2). Later studies have demonstrated that COX-2 is over-expressed in many malignant and pre-malignant lesions of different origins, among which are included colorectal neoplasms. This factor explains the beneficial effect observed with the use of classic NSAIDs and more recently, with selective COX-2 inhibitors (coxibs), in the treatment and/or prevention of several neoplasms.
Insights
Non-steroidal anti-inflammatory drugs (NSAIDs) show a link to reduced cancer risk. Cyclooxygenase type 2 (COX-2) is a key target, explaining NSAID benefits in cancer prevention and treatment.
Area of Science:
- Oncology
- Pharmacology
- Epidemiology
Context:
- Epidemiological studies suggest NSAIDs reduce the risk of certain cancers.
- Cyclooxygenase type 2 (COX-2) is identified as a therapeutic target for NSAIDs.
- COX-2 is frequently over-expressed in various malignant and pre-malignant lesions.
Purpose:
- To explore the association between NSAID consumption and cancer risk.
- To investigate the role of COX-2 in neoplasm development.
- To understand the mechanism behind NSAID efficacy in cancer treatment and prevention.
Summary:
- Epidemiological data indicate an inverse relationship between NSAID use and the incidence of specific neoplasms.
- Over-expression of COX-2 in neoplastic tissues supports its role as a therapeutic target.
- Both traditional NSAIDs and selective COX-2 inhibitors (coxibs) demonstrate efficacy in managing and preventing various cancers.
Impact:
- Provides mechanistic insight into NSAID-mediated cancer chemoprevention.
- Highlights COX-2 as a validated therapeutic target for oncological interventions.
- Supports the clinical application of NSAIDs and coxibs in cancer management strategies.
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