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Updated: May 11, 2026

Assessment of Ovarian Cancer Spheroid Attachment and Invasion of Mesothelial Cells in Real Time
Published on: May 20, 2014
Non-steroidal anti-inflammatory drugs decrease E2F1 expression and inhibit cell growth in ovarian cancer cells
Blanca L Valle1, Theresa D'Souza, Kevin G Becker
1Laboratory of Molecular Biology and Immunology, National Institute on Aging, Baltimore, Maryland, United States of America.
Abstract:
Epidemiological studies have shown that the regular use of non-steroidal anti-inflammatory (NSAIDs) drugs is associated with a reduced risk of various cancers. In addition, in vitro and experiments in mouse models have demonstrated that NSAIDs decrease tumor initiation and/or progression of several cancers. However, there are limited preclinical studies investigating the effects of NSAIDs in ovarian cancer. Here, we have studied the effects of two NSAIDs, diclofenac and indomethacin, in ovarian cancer cell lines and in a xenograft mouse model. Diclofenac and indomethacin treatment decreased cell growth by inducing cell cycle arrest and apoptosis. In addition, diclofenac and indomethacin reduced tumor volume in a xenograft model of ovarian cancer. To identify possible molecular pathways mediating the effects of NSAID treatment in ovarian cancer, we performed microarray analysis of ovarian cancer cells treated with indomethacin or diclofenac. Interestingly, several of the genes found downregulated following diclofenac or indomethacin treatment are transcriptional target genes of E2F1. E2F1 was downregulated at the mRNA and protein level upon treatment with diclofenac and indomethacin, and overexpression of E2F1 rescued cells from the growth inhibitory effects of diclofenac and indomethacin. In conclusion, NSAIDs diclofenac and indomethacin exert an anti-proliferative effect in ovarian cancer in vitro and in vivo and the effects of NSAIDs may be mediated, in part, by downregulation of E2F1.
Insights
Non-steroidal anti-inflammatory drugs (NSAIDs) like diclofenac and indomethacin inhibit ovarian cancer growth. These drugs reduce tumor volume by downregulating the E2F1 pathway, offering potential therapeutic strategies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Epidemiological studies suggest non-steroidal anti-inflammatory drugs (NSAIDs) reduce cancer risk.
- NSAIDs show preclinical efficacy in various cancers, but data in ovarian cancer is limited.
Purpose of the Study:
- To investigate the anti-cancer effects of NSAIDs, specifically diclofenac and indomethacin, in ovarian cancer.
- To explore the molecular mechanisms underlying NSAID action in ovarian cancer models.
Main Methods:
- Ovarian cancer cell lines and a xenograft mouse model were used.
- Cell growth, cell cycle arrest, apoptosis, and tumor volume were assessed.
- Microarray analysis identified molecular pathways affected by NSAID treatment.
Main Results:
- Diclofenac and indomethacin inhibited ovarian cancer cell growth by inducing cell cycle arrest and apoptosis.
- NSAID treatment reduced tumor volume in a xenograft mouse model.
- Microarray analysis revealed downregulation of E2F1 target genes and E2F1 itself.
Conclusions:
- NSAIDs, diclofenac and indomethacin, demonstrate anti-proliferative effects in ovarian cancer, both in vitro and in vivo.
- The anti-cancer effects of NSAIDs in ovarian cancer may be mediated, in part, by the downregulation of the E2F1 pathway.
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