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[Cancer Research 58, 4997-5001, November 15, 1998]
© 1998 American Association for Cancer Research

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Expression of Cyclooxygenase-2 in Human Lung Carcinoma1

Henrik Wolff2, Kirsi Saukkonen, Sisko Anttila, Antti Karjalainen, Harri Vainio and Ari Ristimäki

Finnish Institute of Occupational Health [H. W., S. A., A. K.], 00250 Helsinki, and Departments of Obstetrics and Gynecology [K. S., A. R.] and Bacteriology and Immunology, the Haartman Institute [A. R.], University of Helsinki, 00290 Helsinki, Finland, and International Agency for Research on Cancer, Lyon, France [H. V.], F-69372 Lyon Cedex 08

Epidemiological studies indicate that the use of aspirin decreases incidence of and mortality from gastrointestinal cancers. A major target of aspirin and other nonsteroid anti-inflammatory drugs is cyclooxygenase (Cox), the rate-limiting enzyme in the conversion of arachidonic acid to prostanoids. Two Cox genes have been cloned (Cox-1 and Cox-2), of which Cox-2 has recently been found to be expressed in several human carcinomas. We have now studied the expression of Cox-2 mRNA and protein in human lung adenocarcinoma, squamous cell carcinoma, and small cell lung cancer. Cox-2 mRNA steady-state levels were high in well-differentiated adenocarcinoma samples, but low in poorly differentiated adenocarcinoma, squamous cell carcinoma, and small cell lung cancer, as detected by Northern blot analysis. Immunohistochemistry showed Cox-2 staining in 19 of 21 adenocarcinomas. However, well-differentiated adenocarcinomas contained more Cox-2 staining than the poorly differentiated ones. Expression of the Cox-2 protein was also seen in all 11 squamous cell carcinomas studied, although the level of staining seemed to be less than that in the adenocarcinomas. Small cell lung cancer specimens (n = 4) stained with a relatively weak intensity. Interestingly, atypical alveolar epithelium, which associates with asbestosis and idiopathic fibrosing alveolitis and is considered to be a precursor lesion for lung cancer, expressed the Cox-2 protein. Our data, thus, suggest that Cox-2 is expressed in human lung carcinomas and in precursor lesions leading to this malignancy.

1 Supported by the Finnish Institute of Occupational Health, Academy of Finland, Helsinki University Central Hospital Research Funds, and Clinical Research Institute of Helsinki University Central Hospital.

2 To whom requests for reprints should be addressed, at Laboratory of Pathology, Finnish Institute of Occupational Health, Topeliuksenkatu 41aA, 00250 Helsinki, Finland. Phone: 358-9-474-7282; Fax: 358-9-241-2414.

Received 7/15/98. Accepted 10/ 1/98.




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D. Saha, K. R. Sekhar, C. Cao, J. D. Morrow, H. Choy, and M. L. Freeman
The Antiangiogenic Agent SU5416 Down-Regulates Phorbol Ester-Mediated Induction of Cyclooxygenase 2 Expression by Inhibiting Nicotinamide Adenine Dinucleotide Phosphate Oxidase Activity
Cancer Res., October 15, 2003; 63(20): 6920 - 6927.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
J. E. Castelao, R. D. Bart III, C. A. DiPerna, E. M. Sievers, and R. M. Bremner
Lung cancer and cyclooxygenase-2
Ann. Thorac. Surg., October 1, 2003; 76(4): 1327 - 1335.
[Abstract] [Full Text] [PDF]


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JNCI J Natl Cancer InstHome page
H. Choy and L. Milas
Enhancing Radiotherapy With Cyclooxygenase-2 Enzyme Inhibitors: A Rational Advance?
J Natl Cancer Inst, October 1, 2003; 95(19): 1440 - 1452.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
K.-T. Kuo, K.-C. Chow, Y.-C. Wu, C.-S. Lin, H.-W. Wang, W.-Y. Li, and L.-S. Wang
Clinicopathologic significance of cyclooxygenase-2 overexpression in esophageal squamous cell carcinoma
Ann. Thorac. Surg., September 1, 2003; 76(3): 909 - 914.
[Abstract] [Full Text] [PDF]


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JCOHome page
N.K. Altorki, R.S. Keresztes, J.L. Port, D.M. Libby, R.J. Korst, D.B. Flieder, C.A. Ferrara, D.F. Yankelevitz, K. Subbaramaiah, M.W. Pasmantier, et al.
Celecoxib, a Selective Cyclo-Oxygenase-2 Inhibitor, Enhances the Response to Preoperative Paclitaxel and Carboplatin in Early-Stage Non-Small-Cell Lung Cancer
J. Clin. Oncol., July 15, 2003; 21(14): 2645 - 2650.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
L. Ermert, C. Dierkes, and M. Ermert
Immunohistochemical Expression of Cyclooxygenase Isoenzymes and Downstream Enzymes in Human Lung Tumors
Clin. Cancer Res., May 1, 2003; 9(5): 1604 - 1610.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
Y. Miyata, S. Koga, S. Kanda, M. Nishikido, T. Hayashi, and H. Kanetake
Expression of Cyclooxygenase-2 in Renal Cell Carcinoma: Correlation with Tumor Cell Proliferation, Apoptosis, Angiogenesis, Expression of Matrix Metalloproteinase-2, and Survival
Clin. Cancer Res., May 1, 2003; 9(5): 1741 - 1749.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
H. A. Minter, J. W. Eveson, S. Huntley, D. J. E. Elder, and A. Hague
The Cyclooxygenase 2-selective Inhibitor NS398 Inhibits Proliferation of Oral Carcinoma Cell Lines by Mechanisms Dependent and Independent of Reduced Prostaglandin E2 Synthesis
Clin. Cancer Res., May 1, 2003; 9(5): 1885 - 1897.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
H. Sawaoka, D. A. Dixon, J. A. Oates, and O. Boutaud
Tristetraprolin Binds to the 3'-Untranslated Region of Cyclooxygenase-2 mRNA. A POLYADENYLATION VARIANT IN A CANCER CELL LINE LACKS THE BINDING SITE
J. Biol. Chem., April 11, 2003; 278(16): 13928 - 13935.
[Abstract] [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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Clin. Cancer Res.Home page
I. Milas, R. Komaki, T. Hachiya, R. S. Bubb, J. Y. Ro, L. Langford, R. Sawaya, J. B. Putnam, P. Allen, J. D. Cox, et al.
Epidermal Growth Factor Receptor, Cyclooxygenase-2, and BAX Expression in the Primary Non-Small Cell Lung Cancer and Brain Metastases
Clin. Cancer Res., March 1, 2003; 9(3): 1070 - 1076.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Dohadwala, R. K. Batra, J. Luo, Y. Lin, K. Krysan, M. Pold, S. Sharma, and S. M. Dubinett
Autocrine/Paracrine Prostaglandin E2 Production by Non-small Cell Lung Cancer Cells Regulates Matrix Metalloproteinase-2 and CD44 in Cyclooxygenase-2-dependent Invasion
J. Biol. Chem., December 20, 2002; 277(52): 50828 - 50833.
[Abstract] [Full Text] [PDF]


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Cancer Epidemiol. Biomarkers Prev.Home page
M. E. Reid, A. J. Duffield-Lillico, L. Garland, B. W. Turnbull, L. C. Clark, and J. R. Marshall
Selenium Supplementation and Lung Cancer Incidence: An Update of the Nutritional Prevention of Cancer Trial
Cancer Epidemiol. Biomarkers Prev., November 1, 2002; 11(11): 1285 - 1291.
[Abstract] [Full Text] [PDF]


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ThoraxHome page
G E Goodman
Lung cancer * 1: Prevention of lung cancer
Thorax, November 1, 2002; 57(11): 994 - 999.
[Abstract] [Full Text] [PDF]


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Mol. Pharmacol.Home page
S. A. Wardlaw, N. Zhang, and S. A. Belinsky
Transcriptional Regulation of Basal Cyclooxygenase-2 Expression in Murine Lung Tumor-Derived Cell Lines by CCAAT/Enhancer-Binding Protein and Activating Transcription Factor/cAMP Response Element-Binding Protein
Mol. Pharmacol., August 1, 2002; 62(2): 326 - 333.
[Abstract] [Full Text] [PDF]


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JCOHome page
G. K. Dy and A. A. Adjei
Novel Targets for Lung Cancer Therapy: Part II
J. Clin. Oncol., July 1, 2002; 20(13): 3016 - 3028.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
T. Hida, K.-i. Kozaki, H. Ito, O. Miyaishi, Y. Tatematsu, T. Suzuki, K. Matsuo, T. Sugiura, M. Ogawa, T. Takahashi, et al.
Significant Growth Inhibition of Human Lung Cancer Cells Both in Vitro and in Vivo by the Combined Use of a Selective Cyclooxygenase 2 Inhibitor, JTE-522, and Conventional Anticancer Agents
Clin. Cancer Res., July 1, 2002; 8(7): 2443 - 2447.
[Abstract] [Full Text] [PDF]


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J. Clin. Pathol.Home page
C Costa, R Soares, J S Reis-Filho, D Leitao, I Amendoeira, and F C Schmitt
Cyclo-oxygenase 2 expression is associated with angiogenesis and lymph node metastasis in human breast cancer
J. Clin. Pathol., June 1, 2002; 55(6): 429 - 434.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
C. C. Sombroek, A. G. M. Stam, A. J. Masterson, S. M. Lougheed, M. J. A. G. Schakel, C. J. L. M. Meijer, H. M. Pinedo, A. J. M. van den Eertwegh, R. J. Scheper, and T. D. de Gruijl
Prostanoids Play a Major Role in the Primary Tumor-Induced Inhibition of Dendritic Cell Differentiation
J. Immunol., May 1, 2002; 168(9): 4333 - 4343.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
C. Denkert, M. Kobel, S. Pest, I. Koch, S. Berger, M. Schwabe, A. Siegert, A. Reles, B. Klosterhalfen, and S. Hauptmann
Expression of Cyclooxygenase 2 Is an Independent Prognostic Factor in Human Ovarian Carcinoma
Am. J. Pathol., March 1, 2002; 160(3): 893 - 903.
[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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Cancer Res.Home page
K. J. Sales, A. A. Katz, B. Howard, R. P. Soeters, R. P. Millar, and H. N. Jabbour
Cyclooxygenase-1 Is Up-Regulated in Cervical Carcinomas: Autocrine/Paracrine Regulation of Cyclooxygenase-2, Prostaglandin E Receptors, and Angiogenic Factors by Cyclooxygenase-1
Cancer Res., January 1, 2002; 62(2): 424 - 432.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
S. Zha, W. R. Gage, J. Sauvageot, E. A. Saria, M. J. Putzi, C. M. Ewing, D. A. Faith, W. G. Nelson, A. M. De Marzo, and W. B. Isaacs
Cyclooxygenase-2 Is Up-Regulated in Proliferative Inflammatory Atrophy of the Prostate, but not in Prostate Carcinoma
Cancer Res., December 1, 2001; 61(24): 8617 - 8623.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
K. Yoshimatsu, D. Golijanin, P. B. Paty, R. A. Soslow, P.-J. Jakobsson, R. A. DeLellis, K. Subbaramaiah, and A. J. Dannenberg
Inducible Microsomal Prostaglandin E Synthase Is Overexpressed in Colorectal Adenomas and Cancer
Clin. Cancer Res., December 1, 2001; 7(12): 3971 - 3976.
[Abstract] [Full Text] [PDF]


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Toxicol SciHome page
B. L. Upham and J. G. Wagner
Toxicant-Induced Oxidative Stress in Cancer
Toxicol. Sci., November 1, 2001; 64(1): 1 - 3.
[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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Cancer Res.Home page
A. H. Klimp, H. Hollema, C. Kempinga, A. G. J. van der Zee, E. G. E. de Vries, and T. Daemen
Expression of Cyclooxygenase-2 and Inducible Nitric Oxide Synthase in Human Ovarian Tumors and Tumor-associated Macrophages
Cancer Res., October 1, 2001; 61(19): 7305 - 7309.
[Abstract] [Full Text] [PDF]


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Clin. Cancer Res.Home page
J. M. Kurie and R. N. Dubois
Prostaglandin E Synthase: Another Enzyme in the Cyclooxygenase Pathway Driving Epithelial Cancer?
Clin. Cancer Res., September 1, 2001; 7(9): 2608 - 2610.
[Full Text] [PDF]


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Clin. Cancer Res.Home page
K. Yoshimatsu, N. K. Altorki, D. Golijanin, F. Zhang, P.-J. Jakobsson, A. J. Dannenberg, and K. Subbaramaiah
Inducible Prostaglandin E Synthase Is Overexpressed in Non-Small Cell Lung Cancer
Clin. Cancer Res., September 1, 2001; 7(9): 2669 - 2674.
[Abstract] [Full Text] [PDF]


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J. Histochem. Cytochem.Home page
E. M. P. de Almeida, C. Piche, J. Sirois, and M. Dore
Expression of Cyclo-oxygenase-2 in Naturally Occurring Squamous Cell Carcinomas in Dogs
J. Histochem. Cytochem., July 1, 2001; 49(7): 867 - 876.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
K. J. Sales, A. A. Katz, M. Davis, S. Hinz, R. P. Soeters, M. D. Hofmeyr, R. P. Millar, and H. N. Jabbour
Cyclooxygenase-2 Expression and Prostaglandin E2 Synthesis Are Up-Regulated in Carcinomas of the Cervix: A Possible Autocrine/Paracrine Regulation of Neoplastic Cell Function via EP2/EP4 Receptors
J. Clin. Endocrinol. Metab., May 1, 2001; 86(5): 2243 - 2249.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
R. N. DuBois
Cyclooxygenease-2 and Hepatocellular Carcinoma: Is It a Target for Prevention?
Clin. Cancer Res., May 1, 2001; 7(5): 1110 - 1110.
[Full Text]


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J Biomol ScreenHome page
K. Subbaramaiah, P. Bulic, Y. Lin, A. J. Dannenberg, and D. S. Pasco
Development and Use of a Gene Promoter-Based Screen to Identify Novel Inhibitors of Cyclooxygenase-2 Transcription
J Biomol Screen, April 1, 2001; 6(2): 101 - 110.
[Abstract] [PDF]


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Clin. Cancer Res.Home page
F. R. Khuri, H. Wu, J. J. Lee, B. L. Kemp, R. Lotan, S. M. Lippman, L. Feng, W. K. Hong, and X.-C. Xu
Cyclooxygenase-2 Overexpression Is a Marker of Poor Prognosis in Stage I Non-Small Cell Lung Cancer
Clin. Cancer Res., April 1, 2001; 7(4): 861 - 867.
[Abstract] [Full Text]


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Clin. Cancer Res.Home page
T. Shirahama and C. Sakakura
Overexpression of Cyclooxygenase-2 in Squamous Cell Carcinoma of the Urinary Bladder
Clin. Cancer Res., March 1, 2001; 7(3): 558 - 561.
[Abstract] [Full Text]


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Am. J. Pathol.Home page
A. Ristimaki, O. Nieminen, K. Saukkonen, K. Hotakainen, S. Nordling, and C. Haglund
Expression of Cyclooxygenase-2 in Human Transitional Cell Carcinoma of the Urinary Bladder
Am. J. Pathol., March 1, 2001; 158(3): 849 - 853.
[Abstract] [Full Text] [PDF]


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CarcinogenesisHome page
F. W. Wiese, P. A. Thompson, and F. F. Kadlubar
Carcinogen substrate specificity of human COX-1 and COX-2
Carcinogenesis, January 1, 2001; 22(1): 5 - 10.
[Abstract] [Full Text] [PDF]


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GutHome page
S Chariyalertsak, V Sirikulchayanonta, D Mayer, A Kopp-Schneider, G Furstenberger, F Marks, and K Muller-Decker
Aberrant cyclooxygenase isozyme expression in human intrahepatic cholangiocarcinoma
Gut, January 1, 2001; 48(1): 80 - 86.
[Abstract] [Full Text] [PDF]


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Cancer Res.Home page
C. Denkert, M. Köbel, S. Berger, A. Siegert, A. Leclere, U. Trefzer, and S. Hauptmann
Expression of Cyclooxygenase 2 in Human Malignant Melanoma
Cancer Res., January 1, 2001; 61(1): 303 - 308.
[Abstract] [Full Text]




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