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Clinical Cancer Research Vol. 7, 1410-1418, May 2001
© 2001 American Association for Cancer Research


Experimental Therapeutics, Preclinical Pharmacology

Expression of Cyclooxygenase-2 (COX-2) in Hepatocellular Carcinoma and Growth Inhibition of Hepatoma Cell Lines by a COX-2 Inhibitor, NS-3981

Si Hyun Bae, Eun Sun Jung, Young Min Park2, Boo Sung Kim, Byung Kee Kim, Dong Goo Kim and Wang Shick Ryu

Departments of Internal Medicine [S. H. B., Y. M. P., B. S. K.], Pathology [E. S. J., B. K. K.], and General Surgery [D. K. K.], and WHO Collaborating Center for Reference and Research on Viral Hepatitis, College of Medicine, Catholic University of Korea, and Department of Biochemistry, College of Science, Yonsei University, Seoul, Korea [W. S. R.]

Cyclooxygenase-2 (COX-2) has been suggested to be associated with carcinogenesis. In hepatocellular carcinoma (HCC), the expression pattern of COX-2 protein has been well correlated with the differentiation grade, suggesting that abnormal COX-2 expression plays an important role in hepatocarcinogenesis. We investigated the expression pattern and clinical significance of COX-2 in HCC tissues. In addition, we evaluated the efficacy of a selective COX-2 inhibitor, NS-398, in three hepatoma cell lines. Thirty-six HCC tissues, 15 hepatoma cell lines, 1 colorectal cell line (HT-29), and 1 fibroblast cell line (SV80) were included in the study. We evaluated serological tests and histological and radiological evaluations of HCC tissues. Immunohistochemical staining for COX-2 was performed on 36 HCC tissues and 17 cancer cell lines. A cell viability assay for growth inhibition of NS-398 in five cell lines was performed. Immunohistochemically, all six well-differentiated HCCs were positive, whereas 83% (10 of 12) of the poorly differentiated HCCs were negative. There was no significant relationship between the intensity of COX-2 expression and the level of {alpha}-fetoprotein, tumor size, presence of portal vein thrombosis, tumor capsule and metastasis, Tumor-Node-Metastasis staging, and growth types (P > 0.05). According to the cell viability assay, NS-398 suppressed the growth of all cell lines, independent of the degree of COX-2 expression. The inhibitory effect on each cell line was identified in 10 µM NS-398 and was significantly strong in 100 µM NS-398. All cell lines exhibited apoptosis, which was identified by 4'-6diamidino-2-phenylindole staining. In conclusion, COX-2 may be a determinant of the differentiation grade of HCC, and the inhibition of COX-2 can induce growth suppression of hepatoma cell lines via induction of apoptosis.


Commentary

Cyclooxygenease-2 and Hepatocellular Carcinoma: Is It a Target for Prevention?
Raymond N. DuBois
Clin. Cancer Res. 2001 7: 1110. [Full Text] [PDF]



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