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Circulating cycloxygenase-2 in patients with tobacco-related intraoral squamous cell carcinoma and evaluation of its peptide inhibitors as potential antitumor agent

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Abstract

Purpose

The aim of this study was to quantitate circulating COX-2 levels in patients with tobacco-related intraoral cancer and to evaluate antitumor activities of COX-2 peptide inhibitors in vitro on KB cell lines.

Patients and methods

We used a novel biosensor-based surface plasmon resonance (SPR) technique for estimation of circulating COX-2 levels in 76 patients with oral cancer and 43 normal individuals. Antitumor activities of five COX-2 inhibitory peptides were evaluated using propidium iodide labeling and flow cytometry, alamar blue, MTS, and annexin-V binding assays.

Results

Patients with oral cancer showed threefold increase in serum COX-2 level when compared to normal controls (P < 0.0001). Further, late-stage tumors and lymph node metastasis were associated with significant increase in serum COX-2 levels. Patients with higher circulating COX-2 also showed higher immunoreactivity to anti-COX-2 antibody in the lesions. The peptides significantly reduced viability and inhibited growth/proliferation, induced cytotoxicity and apoptosis in tumor cells. However, no such effect was observed either on normal human leukocytes or on MCF-7 cell line that did not over express COX-2.

Conclusion

Our results indicate that SPR may be a useful proteomic technique for quantitative assessment of COX-2 and to identify patients with high-risk oral premalignant or occult cancer, as well as in monitoring response to novel COX-2 targeting strategies. Furthermore, COX-2 peptide inhibitors appear to be a new class of potent anticancer agent for human oral carcinoma.

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References

  • American Joint Committee on Cancer (1988) Manual for staging of cancer. JB Lippincott, Philadelphia

    Google Scholar 

  • Bertino JR, Masher MB, Deconti RC (1973) Chemotherapy of cancer of the head and neck. Cancer 31:1141–1149

    Article  CAS  PubMed  Google Scholar 

  • Castellone MD, Teramoto IT, Williams BO, Druey KM, Gutkind JS (2005) Prostaglandin E2 promotes colon cancer cell growth through a GS- axin-β-catenin signalling axis. Science 310:1504–1510

    Article  CAS  PubMed  Google Scholar 

  • Cornwall H, Odukoya O, Shklar G (1983) Oral mucosa tumor inhibition by ibuprofen. J Oral Maxillofac Surg 41:795–800

    Article  CAS  PubMed  Google Scholar 

  • Denkert C, Furstenberg A, Daniel PT, Koch I, Köbel M, Weichert W, Siegert A, Hauptmann S (2003) Induction of G o/G 1 cell cycle arrest in ovarian carcinoma cells by the anti inflammatory drug NS-398, but not by COX-2-specific RNA interference. Oncogene 22:8653–8661

    Article  CAS  PubMed  Google Scholar 

  • El-Hakim IE, Langdon JD (1991) Arachidonic acid cascade and oral squamous cell carcinoma. Clin Otolarygol 16:563–573

    Article  CAS  Google Scholar 

  • Fields RD, Lancaster MV (1993) Dual attributes continuous monitoring of cell proliferation/cytotoxicity. Am Biotech Lab 11:48–50

    CAS  Google Scholar 

  • GLOBOCAN (2002) Cancer incidence mortality and prevalence world-wide. IARC Press, Lyon

    Google Scholar 

  • Grau JJ, Carles J, Monzo M, Palmero R, Artells R, Domingo-Domenech J, Navarro A, Amat M, Fabregat X, Gascon P (2004) Expression of cyclooxygenase-2 mRNA (COX-2-mRNA) in peripheral blood (PB) of head and neck cancer patients (HNC) and healthy controls (HC). Proc J Clin Oncol 22(14S):5521

    Google Scholar 

  • Han C, Leng J, Demetris AJ, Wu T (2004) Cycloxygenase-2 promotes human cholangio-carcinoma growth: evidence for cycloxygenase-2—independent mechanism in celecoxib - mediated induction of p21 waf 1/cip1 and p27 kip 1 and cell cycle arrest. Cancer Res 64:1369–1376

    Article  CAS  PubMed  Google Scholar 

  • Howe LR, Subbaramaiah K, Brown AM, Dannenberg AJ (2001) Cycloxygenase-2: a target for the prevention and treatment of breast cancer. Endocr Relat Cancer 8:97–114

    Article  CAS  PubMed  Google Scholar 

  • Jemal A, Siegel R, Ward E, Murray T, Xu J, Thun MJ (2007) Cancer statistics. CA Cancer J Clin 57(1):43–66

    Article  PubMed  Google Scholar 

  • Jeng JH, Wang YJ, Chiang BL, Lee PH, Chan CP, Ho YS, Wang TM, Lee JJ, Hahn LJ, Chang MC (2003) Roles of keratinocyte inflammation in oral cancer: regulating the prostaglandin E2, interleukin-6 and TNF-α production of oral epithelial cells by areca nut extract and arecoline. Carcinogenesis 24:1301–1315

    Article  CAS  PubMed  Google Scholar 

  • Khanna NN, Srivastava PK, Khanna S, Das SN (1983) Intensive combination chemo-therapy for cancer of the oral cavity. Cancer 52:790–793

    Article  CAS  PubMed  Google Scholar 

  • Ko SH, Choi GJ, Lee JH, Han YA, Lim SJ, Kim SH (2008) Differential effects of selective cycloxygenase-2 inhibitors in inhibiting proliferation and induction of apoptosis in oral squamous cell carcinoma. Oncol Rep 19:425–433

    CAS  PubMed  Google Scholar 

  • Li N, Sood S, Wang S, Fang M, Wang P, Sun Z, Yang CS, Chen X (2005) Over expression of 5-Lipxygenase and Cycloxygenase-2 in Hamster and Human Oral Cancer and chemo-preventive effects of Zileuton and Celecoxib. Clin Cancer Res 11:2089–2096

    Article  CAS  PubMed  Google Scholar 

  • Lim K, Han C, Xu L, Isse K, Demetris AJ, Wu T (2008) Cycloxygenase-2-derived prostaglandin E2 activates β-catenin in human cholangiocarcinoma cells: evidence of inhibition of these signaling pathways by ω3 polyunsaturated fatty acids. Cancer Res 68:553–560

    Article  CAS  PubMed  Google Scholar 

  • Mackenzie J, Ah-See K, Thakker N, Sloan P, Maran AG, Birch J, Macfarlane GJ (2000) Increasing incidence of oral cancer amongst young persons: what is the etiology? Oral Oncol 36:387–389

    Article  CAS  PubMed  Google Scholar 

  • Marnett LJ, DuBois RN (2002) COX 2: a target for colon cancer prevention. Ann Rev Pharmacol Toxicol 42:55–80

    Article  CAS  Google Scholar 

  • Merrifield RB (1963) The synthesis or a tetrapeptide. J Am Chem Soc 85:2149–2154

    Article  CAS  Google Scholar 

  • Morita I (2002) Distinct function of COX-1 and COX-2. Prostaglandins Other Lipid Mediat 68–69:165–175

    Article  PubMed  Google Scholar 

  • Ondrey FG, John SK, Adams GL (1996) Inhibition of head and neck tumor cell growth with arachidonic acid metabolism inhibition. Laryngoscope 106:129–134

    Article  CAS  PubMed  Google Scholar 

  • Pandey M, Prakash O, Santhi WS, Soumithran CS, Pillai RM (2008) Over expression of COX-2 gene in oral cancer is independent of stage of disease and degree of differentiation. Int J Oral Maxillofac Surg 37:379–383

    Google Scholar 

  • Papadimitrakopolou VA, William WN Jr, Dannenberg AJ, Lippman SM, Lee JJ, Ondrey FG et al (2008) Pilot randomized phase II study of celecoxib in oral premalignant lesions. Clin Cancer Res 14:2095–2101

    Article  Google Scholar 

  • Perkins TM, Shklar G (1982) Delay in hamster buccal pouch carcinogenesis by aspirin and endomethacin. Oral Surg 53:170–177

    Article  CAS  PubMed  Google Scholar 

  • Rigas B, Kashfi K (2005) Cancer prevention: a new era beyond cycloxygenase-2. J Pharmacol Exp Ther 314:1–8

    Article  CAS  PubMed  Google Scholar 

  • Saba NF, Choi M, Muller S, Shin HJ, Tighiouart M, Papadimitrakopolou VA, El-Naggar AK, Khuri FR, Chen ZG, Shin DM (2009) Role of Cycloxygenase-2 in tumor progression and survival of head and neck squamous cell carcinoma. Cancer Prev Res 2:823–829

    Article  Google Scholar 

  • Sawhney M, Rohatgi N, Kaur G, Shishodia S, Sethi G, Gupta SD, Deo SVS, Shukla NK, Aggarwal BB, Ralhan R (2007) Expression of NF-κB parallels COX-2 expression in oral pre cancer and cancer: association with smokeless tobacco. Int J Cancer 120:2545–2556

    Article  CAS  PubMed  Google Scholar 

  • Shibata M, Kodani I, Osaki M, Araki K, Adachi H, Ryoke K, Ito H (2005) Cycloxygenase-1 and -2 expression in human oral mucosa, dysplasias and squamous cell carcinomas and their pathological significance. Oral Oncol 41:304–312

    Article  CAS  PubMed  Google Scholar 

  • Shiotani H, Denda A, Yamamoto K, Kitayama W, Endoh T, Sasaki Y, Tsutsumi N, Sugimura M, Konishi Y (2001) Increased expression of cycloxygenase-2 protein in 4-nitroquinoline-1-oxide-induced rat tongue carcinomas and chemopreventive efficacy of a specific inhibitor, nimesulide. Cancer Res 61:1451–1456

    CAS  PubMed  Google Scholar 

  • Silverman S Jr (2001) Demographic and occurrence of oral and pharyngeal cancers. The outcomes, the trends, the challenge. J Am Dent Assoc 132(Suppl):7S–11S

    PubMed  Google Scholar 

  • Somvanshi RK, Kumar A, Kant S, Gupta D, Singh SB, Das U, Srinivasan A, Singh TP, Dey S (2007) Surface plasmon resonance studies and biochemical evaluation of a potent peptide inhibitor against cycloxygenase-2 as an anti-inflammatory agent. Biochem Biophys Res Commun 361:37–42

    Article  CAS  PubMed  Google Scholar 

  • Wu T (2005) Cycloxygenase-2 and prostaglandin signaling in cholangiocarcinoma. Biochim Biophys Acta 1755:135–150

    CAS  PubMed  Google Scholar 

  • Wu T, Leng J, Han C, Demetris AJ (2004) The cycloxygenase-2 inhibitor celecoxib blocks phosphorylation of Akt and induces apoptosis in human cholangio-carcinoma cells. Mol Cancer Ther 3:299–307

    CAS  PubMed  Google Scholar 

  • Yang CY, Meng CL, Liao CL, Wong PY (2003) Regulation of cell growth by selective COX-2 inhibitors in oral carcinoma cell lines. Prostaglandins Other Lipid Mediat 72:115–130

    Article  CAS  PubMed  Google Scholar 

  • Zhao X, Goswami M, Pokhriyal N, Ma H, Du H, Yao J, Victor TA, Polyak K, Sturgis CD, Band H, Band V (2008) Cycloxygenase-2 expression during immortalization and breast cancer progression. Cancer Res 68:467–475

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This study was partly supported by the Department of Biotechnology (DBT), Ministry of Science and Technology, Government of India. VK was recipient of fellowship from DBT.

Conflict of interest statement

We declare that we have no conflict of interest.

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Correspondence to Satya N. Das.

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432_2010_837_MOESM1_ESM.tif

Suppl Fig. 1 Immunocytochemical staining of COX-2 in KB and MCF-7 cells (A KB cells negative control treated with secondary antibody only; B KB cells showing intense staining (arrows; original magnification × 10×) C MCF-7 cells negative control treated with secondary antibody only; D MCF-7 tumor cells showing no staining (original magnification × 10×)). (TIFF 1594 kb)

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Kapoor, V., Singh, A.K., Dey, S. et al. Circulating cycloxygenase-2 in patients with tobacco-related intraoral squamous cell carcinoma and evaluation of its peptide inhibitors as potential antitumor agent. J Cancer Res Clin Oncol 136, 1795–1804 (2010). https://doi.org/10.1007/s00432-010-0837-4

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  • DOI: https://doi.org/10.1007/s00432-010-0837-4

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