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COX-2 Inhibition in Glioblastoma Cells Counteracts Resistance to Temozolomide by Inducing Oxidative Stress.

作者信息

Augello Francesca Rosaria, Lombardi Francesca, Ciummo Valeria, Ciafarone Alessia, Cifone Maria Grazia, Cinque Benedetta, Palumbo Paola

机构信息

Department of Life, Health and Environmental Sciences, University of L'Aquila, 67100 L'Aquila, Italy.

Department of Innovative Technologies in Medicine and Dentistry, University "G. D'Annunzio", 66100 Chieti, Italy.

出版信息

Antioxidants (Basel). 2025 Apr 12;14(4):459. doi: 10.3390/antiox14040459.


DOI:10.3390/antiox14040459
PMID:40298811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12024373/
Abstract

Oxidative stress critically influences the pathophysiology of glioblastoma (GBM), a deadly and aggressive brain tumor. Reactive oxygen species (ROS) regulate cancer cell homeostasis, influencing the treatment response. The transcription factor Nuclear Factor Erythroid 2-Related Factor 2 (Nrf2) activates antioxidant defenses, protecting GBM cells from therapy-induced oxidative stress and contributing to Temozolomide (TMZ) resistance. Cyclooxygenase-2 (COX-2) plays a key role in GBM chemoresistance by modulating the tumor microenvironment and supporting a pro-survival phenotype. The impact of COX-2 inhibition by celecoxib (CXB), a selective COX-2 inhibitor, combined with TMZ on oxidative stress modulation linked to resistance was investigated in GBM primary cultures and cell lines. The drug combination CXB+TMZ was tested on TMZ-sensitive and -resistant cells, and ROS levels and Nrf2 activation were evaluated via a DCFH-DA probe and Western blotting, respectively. The oxidative stress marker malondialdehyde and antioxidant enzymes were assayed using standard methods. COX-2 inhibition combined with TMZ significantly increased ROS, while TMZ alone induced a compensatory antioxidant response, sustaining resistance. Drug combination reduced this response, restoring oxidative stress even in TMZ-resistant cells. Prostaglandin E2 reversed these effects, confirming the role of the COX-2/PGE2 axis in redox balance. Drug combination increased ROS, disrupted redox homeostasis and overcame TMZ resistance, supporting COX-2 inhibition as a promising GBM therapy strategy.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/1ab07629b073/antioxidants-14-00459-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/bee5f61b4c3c/antioxidants-14-00459-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/b37595234d4f/antioxidants-14-00459-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/a491f48ebdc7/antioxidants-14-00459-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/1875a2720f5b/antioxidants-14-00459-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/80cc31fc1b95/antioxidants-14-00459-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/2c48694bd885/antioxidants-14-00459-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/1ab07629b073/antioxidants-14-00459-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/bee5f61b4c3c/antioxidants-14-00459-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/b37595234d4f/antioxidants-14-00459-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/a491f48ebdc7/antioxidants-14-00459-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/1875a2720f5b/antioxidants-14-00459-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/80cc31fc1b95/antioxidants-14-00459-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/2c48694bd885/antioxidants-14-00459-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20cc/12024373/1ab07629b073/antioxidants-14-00459-g007.jpg

相似文献

[1]
COX-2 Inhibition in Glioblastoma Cells Counteracts Resistance to Temozolomide by Inducing Oxidative Stress.

Antioxidants (Basel). 2025-4-12

[2]
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Int J Mol Sci. 2021-9-23

[3]
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[4]
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[5]
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[6]
Up-Regulation of Cyclooxygenase-2 (COX-2) Expression by Temozolomide (TMZ) in Human Glioblastoma (GBM) Cell Lines.

Int J Mol Sci. 2022-1-28

[7]
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[8]
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Eur J Pharm Sci. 2020-9-1

[9]
S-allyl-cysteine triggers cytotoxic events in rat glioblastoma RG2 and C6 cells and improves the effect of temozolomide through the regulation of oxidative responses.

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[10]
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引用本文的文献

[1]
HADHB mediates 5-fluorouracil sensitivity in colorectal cancer.

Discov Oncol. 2025-8-28

[2]
Catechin inhibits ox-LDL-induced ferroptosis in vascular smooth muscle cells to alleviate and stabilize atherosclerosis.

Front Nutr. 2025-6-2

本文引用的文献

[1]
Oxidative cell death in cancer: mechanisms and therapeutic opportunities.

Cell Death Dis. 2024-8-1

[2]
The Cancer Antioxidant Regulation System in Therapeutic Resistance.

Antioxidants (Basel). 2024-6-27

[3]
Roles of reactive oxygen species in inflammation and cancer.

MedComm (2020). 2024-4-4

[4]
The pleiotropic functions of reactive oxygen species in cancer.

Nat Cancer. 2024-3

[5]
The Role of Oxidative Stress in Tumorigenesis and Progression.

Cells. 2024-3-2

[6]
Molecular Mechanism of Natural Food Antioxidants to Regulate ROS in Treating Cancer: A Review.

Antioxidants (Basel). 2024-2-6

[7]
Involvement of Cyclooxygenase-2 in Establishing an Immunosuppressive Microenvironment in Tumorspheres Derived from TMZ-Resistant Glioblastoma Cell Lines and Primary Cultures.

Cells. 2024-1-30

[8]
ROS regulation in gliomas: implications for treatment strategies.

Front Immunol. 2023

[9]
The COX-2/PGE2 Response Pathway Upregulates Radioresistance in A549 Human Lung Cancer Cells through Radiation-Induced Bystander Signaling.

Biology (Basel). 2023-10-25

[10]
Reactive oxygen species, toxicity, oxidative stress, and antioxidants: chronic diseases and aging.

Arch Toxicol. 2023-10

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