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[Cancer Research 55, 3785-3789, September 1, 1995]
© 1995 American Association for Cancer Research

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Expression of Cyclooxygenase-1 and -2 in Human Colorectal Cancer1

Hajime Sano2, Yutaka Kawahito, Ronald L. Wilder, Akira Hashiramoto, Shigehiko Mukai, Kiyoshi Asai, Shigeru Kimura, Haruki Kato, Motoharu Kondo and Timothy Hla

First Department of Internal Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602, Japan [H. S., Y. K., A. H., S. M., K. A., S. K., H. K., M. K.]; Arthritis and Rheumatism Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, NIH, Bethesda, Maryland 20892 [R. L. W.]; and Department of Molecular Biology, Holland Laboratory, American Red Cross, Rockville, Maryland 20855 [T. H.]

Several studies indicate that nonsteroidal anti-inflammatory drugs including indomethacin, aspirin, sulindac, and piroxicam reduce the risk of colon cancer. Furthermore, nonsteroidal anti-inflammatory drugs that inhibit the cyclooxygenase (COX) enzyme were shown to inhibit the development of colon cancer in animal models of carcinogenesis. Nonsteroidal anti-inflammatory drugs inhibit the enzymatic activity of both the constitutive (COX-1) and inducible (COX-2) isoforms of COX enzyme. We have investigated the expression of COX-1 and COX-2 polypeptides in human colon cancer tissues using immunohistochemistry. Enhanced COX-2 expression was observed in colon cancer tissues from 15 subjects with clinically diagnosed colorectal cancer. Marked COX-2 expression was observed in cancer cells, inflammatory cells, vascular endothelium, and fibroblasts of the lesional tissues compared with the nonlesional and normal colon tissues. The extent and intensity of the immunoreactive COX-2 in cancer cells was much greater than that of the other cell types. In contrast, the expression of COX-1 polypeptide was weak in both normal and cancerous specimens. These data suggest that the enhanced expression of the COX-2 gene in colon cancer tissues may contribute to the enhanced synthesis of prostaglandin E2 by the colon cancer tissues. Enhanced expression of COX-2 may play a role in the pathogenesis of colon cancer. Furthermore, selective inhibition of COX-2 may prove to be more efficacious in the retardation of colon cancer development.

1 This work was supported by a Grant-in-Aid for scientific research from the Ministry of Education, Science, and Culture of Japan, by the Inamori Foundation, and by the Japan Rheumatism Foundation (H. S.) and NIH Grants HL 49094 and DK 45659 (T. H.).

2 To whom requests for reprints should be addressed.

Received 4/18/95. Accepted 7/ 5/95.




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T. Sato, K. Yoshinaga, S. Okabe, T. Okawa, T. Higuchi, M. Enomoto, T. Takizawa, and K. Sugihara
Cyclooxygenase-2 Expression and its Relationship with Proliferation of Colorectal Adenomas
Jpn. J. Clin. Oncol., December 1, 2003; 33(12): 631 - 635.
[Abstract] [Full Text] [PDF]


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Molecular Cancer TherapeuticsHome page
B. V.V. Pardhasaradhi, A. M. Ali, A. L. Kumari, P. Reddanna, and A. Khar
Phycocyanin-mediated apoptosis in AK-5 tumor cells involves down-regulation of Bcl-2 and generation of ROS
Mol. Cancer Ther., November 1, 2003; 2(11): 1165 - 1170.
[Abstract] [Full Text] [PDF]


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The Annals of PharmacotherapyHome page
J. M Herendeen and C. Lindley
Use of NSAIDs for the Chemoprevention of Colorectal Cancer
Ann. Pharmacother., November 1, 2003; 37(11): 1664 - 1674.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
S.-J. Yeo, J.-G. Yoon, and A.-K. Yi
Myeloid Differentiation Factor 88-dependent Post-transcriptional Regulation of Cyclooxygenase-2 Expression by CpG DNA: TUMOR NECROSIS FACTOR-{alpha} RECEPTOR-ASSOCIATED FACTOR 6, A DIVERGING POINT IN THE Toll-LIKE RECEPTOR 9-SIGNALING
J. Biol. Chem., October 17, 2003; 278(42): 40590 - 40600.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
J. Y. Lee, J. Ye, Z. Gao, H. S. Youn, W. H. Lee, L. Zhao, N. Sizemore, and D. H. Hwang
Reciprocal Modulation of Toll-like Receptor-4 Signaling Pathways Involving MyD88 and Phosphatidylinositol 3-Kinase/AKT by Saturated and Polyunsaturated Fatty Acids
J. Biol. Chem., September 26, 2003; 278(39): 37041 - 37051.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
K.-S. Chun, Y.-S. Keum, S. S. Han, Y.-S. Song, S.-H. Kim, and Y.-J. Surh
Curcumin inhibits phorbol ester-induced expression of cyclooxygenase-2 in mouse skin through suppression of extracellular signal-regulated kinase activity and NF-{kappa}B activation
Carcinogenesis, September 1, 2003; 24(9): 1515 - 1524.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
H. Nishihara, S. Kizaka-Kondoh, P. A. Insel, and L. Eckmann
Inhibition of apoptosis in normal and transformed intestinal epithelial cells by cAMP through induction of inhibitor of apoptosis protein (IAP)-2
PNAS, July 22, 2003; 100(15): 8921 - 8926.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
W. Liu, N. Reinmuth, O. Stoeltzing, A. A. Parikh, C. Tellez, S. Williams, Y. D. Jung, F. Fan, A. Takeda, M. Akagi, et al.
Cyclooxygenase-2 Is Up-Regulated by Interleukin-1{beta} in Human Colorectal Cancer Cells via Multiple Signaling Pathways
Cancer Res., July 1, 2003; 63(13): 3632 - 3636.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
R. N. DuBois
Evaluation of the Whole Prostaglandin Biosynthetic Pathway in Lung Cancer
Clin. Cancer Res., May 1, 2003; 9(5): 1577 - 1578.
[Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
T. Inaba, H. Sano, Y. Kawahito, T. Hla, K. Akita, M. Toda, I. Yamashina, M. Inoue, and H. Nakada
Induction of cyclooxygenase-2 in monocyte/macrophage by mucins secreted from colon cancer cells
PNAS, March 4, 2003; 100(5): 2736 - 2741.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
J. Y. Lee, A. Plakidas, W. H. Lee, A. Heikkinen, P. Chanmugam, G. Bray, and D. H. Hwang
Differential modulation of Toll-like receptors by fatty acids: preferential inhibition by n-3 polyunsaturated fatty acids
J. Lipid Res., March 1, 2003; 44(3): 479 - 486.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
R. K. Wali, S. Khare, M. Tretiakova, G. Cohen, L. Nguyen, J. Hart, J. Wang, M. Wen, A. Ramaswamy, L. Joseph, et al.
Ursodeoxycholic Acid and F6-D3 Inhibit Aberrant Crypt Proliferation in the Rat Azoxymethane Model of Colon Cancer: Roles of Cyclin D1 and E-Cadherin
Cancer Epidemiol. Biomarkers Prev., December 1, 2002; 11(12): 1653 - 1662.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
H. J. Lin, K. M. Lakkides, T. O. Keku, S. T. Reddy, A. D. Louie, I. H. Kau, H. Zhou, J. S. Y. Gim, H. L. Ma, C. F. Matthies, et al.
Prostaglandin H Synthase 2 Variant (Val511Ala) in African Americans May Reduce the Risk for Colorectal Neoplasia
Cancer Epidemiol. Biomarkers Prev., November 1, 2002; 11(11): 1305 - 1315.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
K.-i. Sunayama, H. Konno, T. Nakamura, H. Kashiwabara, T. Shoji, T. Tsuneyoshi, and S. Nakamura
The role of cyclooxygenase-2 (COX-2) in two different morphological stages of intestinal polyps in APC{Delta}474 knockout mice
Carcinogenesis, August 1, 2002; 23(8): 1351 - 1359.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
P. S. Carlton, R. Gopalakrishnan, A. Gupta, B. W. Liston, S. Habib, M. A. Morse, and G. D. Stoner
Piroxicam Is an Ineffective Inhibitor of N-Nitrosomethylbenzylamine-induced Tumorigenesis in the Rat Esophagus
Cancer Res., August 1, 2002; 62(15): 4376 - 4382.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Tamura, S. Sebastian, S. Yang, B. Gurates, K. Ferrer, H. Sasano, K. Okamura, and S. E. Bulun
Up-regulation of Cyclooxygenase-2 Expression and Prostaglandin Synthesis in Endometrial Stromal Cells by Malignant Endometrial Epithelial Cells. A PARACRINE EFFECT MEDIATED BY PROSTAGLANDIN E2 AND NUCLEAR FACTOR-kappa B
J. Biol. Chem., July 12, 2002; 277(29): 26208 - 26216.
[Abstract] [Full Text] [PDF]


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Vet PatholHome page
M. F. McEntee, J. M. Cates, and N. Neilsen
Cyclooxygenase-2 Expression in Spontaneous Intestinal Neoplasia of Domestic Dogs
Vet. Pathol., July 1, 2002; 39(4): 428 - 436.
[Abstract] [Full Text] [PDF]


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Jpn J Clin OncolHome page
H. Tsunozaki, K. Yoshinaga, J. Kumagai, and K. Sugihara
Cyclooxygenase-2 Overexpression in Colorectal Cancer is Associated with Non-polypoid Growth
Jpn. J. Clin. Oncol., May 1, 2002; 32(5): 167 - 171.
[Abstract] [Full Text] [PDF]


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Reproductive SciencesHome page
A. R. Munkarah, R. Morris, P. Baumann, G. Deppe, J. Malone, M. P. Diamond, and G. M. Saed
Effects of Prostaglandin E2 on Proliferation and Apoptosis of Epithelial Ovarian Cancer Cells
Reproductive Sciences, May 1, 2002; 9(3): 168 - 173.
[Abstract] [PDF]


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Mol Hum ReprodHome page
S. Chu, S. Rushdi, E.T. Zumpe, P. Mamers, D.L. Healy, T. Jobling, H.G. Burger, and P.J. Fuller
FSH-regulated gene expression profiles in ovarian tumours and normal ovaries
Mol. Hum. Reprod., May 1, 2002; 8(5): 426 - 433.
[Abstract] [Full Text] [PDF]


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Ann OncolHome page
G. Davies, L.-A. Martin, N. Sacks, and M. Dowsett
Cyclooxygenase-2 (COX-2), aromatase and breast cancer: a possible role for COX-2 inhibitors in breast cancer chemoprevention
Ann. Onc., May 1, 2002; 13(5): 669 - 678.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
D. K. Bol, R. B. Rowley, C.-P. Ho, B. Pilz, J. Dell, M. Swerdel, K. Kiguchi, S. Muga, R. Klein, and S. M. Fischer
Cyclooxygenase-2 Overexpression in the Skin of Transgenic Mice Results in Suppression of Tumor Development
Cancer Res., May 1, 2002; 62(9): 2516 - 2521.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
C. Waskewich, R. D. Blumenthal, H. Li, R. Stein, D. M. Goldenberg, and J. Burton
Celecoxib Exhibits the Greatest Potency amongst Cyclooxygenase (COX) Inhibitors for Growth Inhibition of COX-2-negative Hematopoietic and Epithelial Cell Lines
Cancer Res., April 1, 2002; 62(7): 2029 - 2033.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
T. Asano, J. Shoda, T. Ueda, T. Kawamoto, T. Todoroki, M. Shimonishi, T. Tanabe, Y. Sugimoto, A. Ichikawa, M. Mutoh, et al.
Expressions of Cyclooxygenase-2 and Prostaglandin E-Receptors in Carcinoma of the Gallbladder: Crucial Role of Arachidonate Metabolism in Tumor Growth and Progression
Clin. Cancer Res., April 1, 2002; 8(4): 1157 - 1167.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
D. Sample, M. Wargovich, S. M. Fischer, N. Inamdar, P. Schwartz, X. Wang, K.-A. Do, F. A. Sinicrope, N. E. Day, D. E. G. Shuker, et al.
A Dose-finding Study of Aspirin for Chemoprevention Utilizing Rectal Mucosal Prostaglandin E2 Levels as a Biomarker
Cancer Epidemiol. Biomarkers Prev., March 1, 2002; 11(3): 275 - 279.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
Y. Kakiuchi, S. Tsuji, M. Tsujii, H. Murata, N. Kawai, M. Yasumaru, A. Kimura, M. Komori, T. Irie, E. Miyoshi, et al.
Cyclooxygenase-2 Activity Altered the Cell-Surface Carbohydrate Antigens on Colon Cancer Cells and Enhanced Liver Metastasis
Cancer Res., March 1, 2002; 62(5): 1567 - 1572.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
T. Niki, T. Kohno, S. Iba, Y. Moriya, Y. Takahashi, M. Saito, A. Maeshima, T. Yamada, Y. Matsuno, M. Fukayama, et al.
Frequent Co-Localization of Cox-2 and Laminin-5 {gamma}2 Chain at the Invasive Front of Early-Stage Lung Adenocarcinomas
Am. J. Pathol., March 1, 2002; 160(3): 1129 - 1141.
[Abstract] [Full Text] [PDF]


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The OncologistHome page
J. D. Wayne, E. K. Abdalla, R. A. Wolff, C. H. Crane, P. W.T. Pisters, and D. B. Evans
Localized Adenocarcinoma of the Pancreas: The Rationale for Preoperative Chemoradiation
Oncologist, February 1, 2002; 7(1): 34 - 45.
[Abstract] [Full Text] [PDF]


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Neuro Oncol DukeHome page
J. Portnow, S. Suleman, S. A. Grossman, S. Eller, and K. Carson
A cyclooxygenase-2 (COX-2) inhibitor compared with dexamethasone in a survival study of rats with intracerebral 9L gliosarcomas
Neuro-oncol, January 1, 2002; 4(1): 22 - 25.
[Abstract] [PDF]


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Cancer Res.Home page
C. V. Rao, C. Indranie, B. Simi, P. T. Manning, J. R. Connor, and B. S. Reddy
Chemopreventive Properties of a Selective Inducible Nitric Oxide Synthase Inhibitor in Colon Carcinogenesis, Administered Alone or in Combination with Celecoxib, a Selective Cyclooxygenase-2 Inhibitor
Cancer Res., January 1, 2002; 62(1): 165 - 170.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
D. HWANG
Modulation of the expression of cyclooxygenase-2 by fatty acids mediated through Toll-like receptor 4-derived signaling pathways
FASEB J, December 1, 2001; 15(14): 2556 - 2564.
[Abstract] [Full Text] [PDF]


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Infect. Immun.Home page
W. Thomas, Z. K. Ascott, D. Harmey, L. W. Slice, E. Rozengurt, and A. J. Lax
Cytotoxic Necrotizing Factor from Escherichia coli Induces RhoA-Dependent Expression of the Cyclooxygenase-2 Gene
Infect. Immun., November 1, 2001; 69(11): 6839 - 6845.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
E. Fritsche, S. J. Baek, L. M. King, D. C. Zeldin, T. E. Eling, and D. A. Bell
Functional Characterization of Cyclooxygenase-2 Polymorphisms
J. Pharmacol. Exp. Ther., November 1, 2001; 299(2): 468 - 476.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
K. Salmenkivi, C. Haglund, A. Ristimaki, J. Arola, and P. Heikkila
Increased Expression of Cyclooxygenase-2 in Malignant Pheochromocytomas
J. Clin. Endocrinol. Metab., November 1, 2001; 86(11): 5615 - 5619.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
J. Fujita, J. R. Mestre, J. B. Zeldis, K. Subbaramaiah, and A. J. Dannenberg
Thalidomide and Its Analogues Inhibit Lipopolysaccharide-mediated Induction of Cyclooxygenase-2
Clin. Cancer Res., November 1, 2001; 7(11): 3349 - 3355.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
R. J. Bing, M. Miyataka, K. A. Rich, N. Hanson, X. Wang, H. D. Slosser, and S.-R. Shi
Nitric Oxide, Prostanoids, Cyclooxygenase, and Angiogenesis in Colon and Breast Cancer
Clin. Cancer Res., November 1, 2001; 7(11): 3385 - 3392.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
Z. Han, P. Pantazis, J. H. Wyche, N. Kouttab, V. J. Kidd, and E. A. Hendrickson
A Fas-associated Death Domain Protein-dependent Mechanism Mediates the Apoptotic Action of Non-steroidal Anti-inflammatory Drugs in the Human Leukemic Jurkat Cell Line
J. Biol. Chem., October 12, 2001; 276(42): 38748 - 38754.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
H. Pyo, H. Choy, G. P. Amorino, J.-s. Kim, Q. Cao, S. K. Hercules, and R. N. DuBois
A Selective Cyclooxygenase-2 Inhibitor, NS-398, Enhances the Effect of Radiation in Vitro and in Vivo Preferentially on the Cells That Express Cyclooxygenase-2
Clin. Cancer Res., October 1, 2001; 7(10): 2998 - 3005.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
W.-L. Yang and H. Frucht
Activation of the PPAR pathway induces apoptosis and COX-2 inhibition in HT-29 human colon cancer cells
Carcinogenesis, September 1, 2001; 22(9): 1379 - 1383.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
G. Lal, C. Ash, K. Hay, M. Redston, E. Kwong, B. Hancock, T. Mak, S. Kargman, J. F. Evans, and S. Gallinger
Suppression of Intestinal Polyps in Msh2-deficient and Non-Msh2-deficient Multiple Intestinal Neoplasia Mice by a Specific Cyclooxygenase-2 Inhibitor and by a Dual Cyclooxygenase-1/2 Inhibitor
Cancer Res., August 1, 2001; 61(16): 6131 - 6136.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
K. Saukkonen, O. Nieminen, B. van Rees, S. Vilkki, M. Harkonen, M. Juhola, J.-P. Mecklin, P. Sipponen, and A. Ristimaki
Expression of Cyclooxygenase-2 in Dysplasia of the Stomach and in Intestinal-type Gastric Adenocarcinoma
Clin. Cancer Res., July 1, 2001; 7(7): 1923 - 1931.
[Abstract] [Full Text] [PDF]




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