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Published on: March 30, 2019
[Suppression of COX-2 protein to cell apoptosis in non-small cell lung cancer]
Limei Sun1, Yue Zhao, Lujian Wang
1Department of Pathology, China Medical University, Shenyang, Liao-ning 110001, P.R.China.
Background:
One of mechanisms of carcinogenesis is suppression of cell apoptosis which leads to accumulation of aberrant cells. The aim of this study is to investigate cell apoptosis and COX-2 protein expression in non-small cell lung cancer (NSCLC).
Methods:
Cell apoptosis, expression of COX-2 and microvessel density (MVD) were detcted in 111 NSCLC samples by TdT-mediated dUTP nick end labeling (TUNEL) technique and immunohistochemical staining.
Results:
The positive rate of COX-2 protein expression was 67.6% (75/111), and there were 53 patients with high level cell apoptosis (47.7%). Expression of COX-2 protien was significantly related to TNM stages (P=0.025) and lymph node metastasis (P=0.018). The MVD in NSCLC tissues with positive COX-2 expression was significantly higher than that in negative expression ones (P=0.000). COX model showed that lymph node metastasis (P=0.006) and positive expression of COX-2 protein (P=0.000) were independent prognostic factors of NSCLC.
Conclusions:
The expression of COX-2 protein may suppress cell apoptosis of tumor, and it may serve as a potential marker of prognosis for NSCLC.
Insights
Cyclooxygenase-2 (COX-2) protein expression may inhibit cancer cell apoptosis in non-small cell lung cancer (NSCLC). High COX-2 levels are linked to advanced TNM stages, lymph node metastasis, and poorer prognosis, suggesting it as a potential prognostic marker.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Context:
- Carcinogenesis involves the suppression of programmed cell death (apoptosis), leading to the proliferation of abnormal cells.
- Non-small cell lung cancer (NSCLC) is a major cause of cancer-related mortality worldwide.
- Understanding the molecular mechanisms underlying NSCLC progression is crucial for developing effective therapeutic strategies.
Purpose:
- To investigate the relationship between cell apoptosis and cyclooxygenase-2 (COX-2) protein expression in non-small cell lung cancer (NSCLC).
- To evaluate the potential of COX-2 as a prognostic marker in NSCLC.
Summary:
- This study analyzed 111 NSCLC samples for cell apoptosis, COX-2 expression, and microvessel density (MVD) using TUNEL and immunohistochemical staining.
- A high rate of positive COX-2 expression (67.6%) was observed. COX-2 expression correlated significantly with TNM stage and lymph node metastasis.
- Elevated MVD was found in NSCLC tissues with positive COX-2 expression. Lymph node metastasis and positive COX-2 expression were identified as independent prognostic factors.
Impact:
- The findings suggest that COX-2 protein expression may suppress tumor cell apoptosis in NSCLC.
- COX-2 could serve as a valuable prognostic biomarker for NSCLC patients.
- This research contributes to understanding the role of COX-2 in lung cancer pathogenesis and progression.
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