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Published on: March 10, 2015
Role of microsomal prostaglandin E synthase-1 (mPGES-1)-derived prostaglandin E2 in colon carcinogenesis
Yuka Sasaki1, Yoshihito Nakatani1, Shuntaro Hara1
1Division of Health Chemistry, Department of Healthcare and Regulatory Sciences, School of Pharmacy, Showa University, Tokyo, Japan.
Abstract:
Nonsteroidal anti-inflammatory drugs, especially selective cyclooxygenase-2 (COX-2) inhibitors, are among the most promising chemopreventive agents for colorectal cancer. However, recent clinical trials have indicated that these inhibitors pose a significantly increased cardiovascular risk. Microsomal prostaglandin E (PGE) synthase-1 (mPGES-1) and mPGES-1-derived PGE2 have gained attention recently as alternative targets to COX-2 for colorectal cancer chemoprevention and chemotherapy. In this review, we summarize the current understanding of the roles of mPGES-1, a PGE2-inactivating enzyme (15-hydroxyprostagladin dehydrogenase), and PGE2 specific receptors (EPs) in colon carcinogenesis.
Insights
Nonsteroidal anti-inflammatory drugs show promise for colorectal cancer prevention but increase cardiovascular risk. Targeting microsomal prostaglandin E synthase-1 (mPGES-1) offers an alternative strategy for cancer treatment.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Nonsteroidal anti-inflammatory drugs (NSAIDs), particularly selective cyclooxygenase-2 (COX-2) inhibitors, are explored for colorectal cancer chemoprevention.
- Clinical trials reveal significant cardiovascular risks associated with these COX-2 inhibitors.
- Microsomal prostaglandin E synthase-1 (mPGES-1) and its product PGE2 are emerging as alternative therapeutic targets.
Purpose of the Study:
- To review the role of mPGES-1 in colon carcinogenesis.
- To discuss the function of 15-hydroxyprostaglandin dehydrogenase (a PGE2-inactivating enzyme) in colorectal cancer.
- To summarize the involvement of PGE2 specific receptors (EPs) in colon cancer development.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of biochemical pathways involved in prostaglandin synthesis and metabolism.
- Examination of the expression and function of mPGES-1, 15-hydroxyprostaglandin dehydrogenase, and EP receptors in colon cancer models.
Main Results:
- mPGES-1 and its downstream product PGE2 play a crucial role in promoting colon carcinogenesis.
- 15-hydroxyprostaglandin dehydrogenase acts as a tumor suppressor by inactivating PGE2.
- EP receptors mediate the pro-tumorigenic effects of PGE2 in the colon.
Conclusions:
- Targeting the mPGES-1/PGE2 pathway presents a promising alternative to COX-2 inhibition for colorectal cancer chemoprevention and chemotherapy.
- Modulating the activity of mPGES-1, 15-hydroxyprostaglandin dehydrogenase, and EP receptors could offer novel therapeutic strategies.
- Further research is warranted to translate these findings into effective clinical interventions for colorectal cancer.
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