Vegeler Reid C, Yip-Schneider Michele T, Ralstin Matthew, Wu Huangbing, Crooks Peter A, Neelakantan Sundar, Nakshatri Harikrishna, Sweeney Christopher J, Schmidt C Max
Department of Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.
J Surg Res. 2007 Nov;143(1):169-76. doi: 10.1016/j.jss.2007.08.007. Epub 2007 Aug 31.
Lung cancer is the leading cause of cancer deaths in the United States. Inflammatory molecules, cyclooxygenase-2 (COX-2) and nuclear factor kappa B (NF-kappaB) have been implicated in lung carcinogenesis. The therapeutic potential of celecoxib, a COX-2 selective inhibitor, and LC-1, a pro-apoptotic drug with accompanying inhibition of NF-kappaB, were investigated.
Syrian golden hamsters (n = 140) underwent N-nitroso-bis(2-oxopropyl)amine (BOP) injection weekly for 6 wk. Hamsters were randomized into seven groups: placebo and low/high doses of LC-1, celecoxib, and LC-1/celecoxib. Treatments were given via orogastric lavage for 32 wk. Immunohistochemistry was used to determine COX-2 expression and NF-kappaB activity. Ki-67 labeling was used as an index of proliferation. COX activity was measured by prostaglandin E(2) enzyme-linked immunosorbent assay.
BOP successfully induced lung adenocarcinoma in 63% of placebo animals. Lung tumors strongly expressed COX-2 and NF-kappaB. Prostaglandin E(2) levels were decreased in celecoxib compared with placebo groups (P < 0.05) reflecting suppression of COX activity, but no decrease in NF-kappaB was seen as measured by immunohistochemistry in the tumors. There was no significant difference in tumor size, tumor incidence, or tumor proliferation index between placebo and treatment groups.
Carcinogen exposure results in increased COX-2 and NF-kappaB expression and suggests a role in carcinogenesis. Celecoxib and LC-1 did not have any effect in preventing lung cancer development when co-administered with and continued after the carcinogen BOP. Higher doses that can result in suppression of NF-kappaB activity will need to be explored to determine the viability of this approach to prevent lung cancer development.
肺癌是美国癌症死亡的主要原因。炎症分子环氧合酶-2(COX-2)和核因子κB(NF-κB)与肺癌发生有关。研究了COX-2选择性抑制剂塞来昔布和具有伴随抑制NF-κB作用的促凋亡药物LC-1的治疗潜力。
140只叙利亚金仓鼠每周接受N-亚硝基双(2-氧代丙基)胺(BOP)注射,共6周。仓鼠被随机分为七组:安慰剂组以及低/高剂量的LC-1组、塞来昔布组和LC-1/塞来昔布组。通过灌胃给药32周。采用免疫组织化学法测定COX-2表达和NF-κB活性。Ki-67标记用作增殖指标。通过前列腺素E2酶联免疫吸附测定法测量COX活性。
BOP成功诱导63%的安慰剂组动物发生肺腺癌。肺肿瘤强烈表达COX-2和NF-κB。与安慰剂组相比,塞来昔布组的前列腺素E2水平降低(P < 0.05),反映出COX活性受到抑制,但通过肿瘤免疫组织化学测定未发现NF-κB降低。安慰剂组和治疗组之间在肿瘤大小、肿瘤发生率或肿瘤增殖指数方面没有显著差异。
致癌物暴露导致COX-2和NF-κB表达增加,提示其在致癌过程中的作用。与致癌物BOP联合给药并在其之后持续给药时,塞来昔布和LC-1对预防肺癌发展没有任何作用。需要探索能够抑制NF-κB活性的更高剂量,以确定这种预防肺癌发展方法的可行性。