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Carcinogenesis Advance Access published online on October 24, 2008

Carcinogenesis, doi:10.1093/carcin/bgn242
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© The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Chemopreventive agents induce oxidative stress in cancer cells leading to COX-2 overexpression and COX-2-independent cell death

Yu Sun*, Jie Chen* and Basil Rigas

Division of Cancer Prevention, Stony Brook University, Stony Brook, NY 11794-5200, USA

Corresponding author: Basil Rigas, Division of Cancer Prevention, Stony Brook University, Life Sciences Building, Room 006, Stony Brook, NY 11794-5200, Tel: 631-632-9035; Fax: 631-632-1992; e-mail: basil.rigas{at}stonybrook.edu

Chemopreventive agents generate oxidative stress, which culminates in cell death and may be part of a general mechanism of chemoprevention. The redox-responsive COX-2, overexpressed during carcinogenesis, has been a target for cancer prevention. To assess the potential link between chemopreventive agents, oxidative stress and COX-2, we studied the chemopreventive sulindac and nitric oxide-releasing aspirin (NO-ASA). Both generated oxidative stress and induced COX-2 in various cell lines, more prominently in dying cells. Two antioxidants and an inhibitor of NADPH oxidase abrogated the induction of COX-2 and cell death. Exogenous xanthine/xanthine oxidase, which produce O2.-, had the same effect. Inhibition of caspases and cox-2 knock-down showed that COX-2 did not participate in ROS generation or cell death induction in response to NO-ASA. Our results support three potentially useful ideas: a) the concept that ROS are a critical component of the action of chemopreventive agents; b) the notion that COX-2 may not be an ideal target for chemoprevention; and c) the possibility that COX-2 may be overexpressed in cancer cells due to their state of oxidative stress. It is conceivable that, if further substantiated, these findings may inform the rational design of chemotherapeutic strategies, in particular the choice of agents in combination approaches.

Key Words: cell death • oxidative stress • cyclooxygenase • NO-aspirin • sulindac • chemoprevention


* These authors contributed equally to the work

Received August 5, 2008; revised October 17, 2008; accepted October 17, 2008.


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