Effects of nimesulide, a cyclooxygenase-2 selective inhibitor, on colitis induced tumors

T Inoue1, I Hirata, M Murano

  • 1Second Department of Internal Medicine, Osaka Medical College, 2-7 Daigakumachi, Takatsuki city, Osaka, 569-8686, Japan. ino-taku@sa2.so-net.ne.jp

Inflammopharmacology
|February 8, 2008
PubMed

Insights

Nimesulide, a selective COX-2 inhibitor, demonstrated preventive effects against colorectal neoplasia in a mouse model of ulcerative colitis. It significantly suppressed dysplasia and cancer during the remission phase of carcinogenesis.

Area of Science:

  • Gastroenterology
  • Oncology
  • Pharmacology

Background:

  • Cyclooxygenase-2 (COX-2) plays a role in suppressing sporadic colorectal cancer.
  • The impact of selective COX-2 inhibitors on ulcerative colitis (UC)-associated neoplasia remains unclear.

Purpose of the Study:

  • To investigate the effect of a selective COX-2 inhibitor, nimesulide (NIM), on colorectal carcinogenesis in a murine model of UC.

Main Methods:

  • Chronic colitis was induced in mice using dextran sulfate sodium (DSS) over four cycles.
  • Mice received NIM during different phases: throughout the study, during DSS administration, or during the remission phase post-DSS.
  • Neoplasia development was assessed 120 days after the final DSS cycle.

Main Results:

  • Nimesulide significantly suppressed the occurrence of dysplasia and/or cancer in mice treated during the remission phase (Group D).
  • NIM demonstrated inhibitory effects on both dysplasia and cancer in DSS-treated mice.

Conclusions:

  • Nimesulide exhibits preventive effects on colorectal carcinogenesis, particularly during the remission phase of UC-associated neoplasia.
  • Selective COX-2 inhibition may be a viable strategy for preventing neoplasia in the context of ulcerative colitis.

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