help button home button Am J Pathol R & D Systems
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Purchase Article
Right arrow View Shopping Cart
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Denkert, C.
Right arrow Articles by Hauptmann, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Denkert, C.
Right arrow Articles by Hauptmann, S.
(American Journal of Pathology. 2002;160:893-903.)
© 2002 American Society for Investigative Pathology


Regular Articles

Expression of Cyclooxygenase 2 Is an Independent Prognostic Factor in Human Ovarian Carcinoma

Carsten Denkert*, Martin Köbel*, Sören Pest{dagger}, Ines Koch*, Stefan Berger*, Michael Schwabe*, Antje Siegert*, Angela Reles{ddagger}, Bernd Klosterhalfen§ and Steffen Hauptmann*

From the Institute of Pathology*
and theDepartment of Gynecology and Obstetrics,{ddagger}
Charité Hospital, Berlin; the EpidemiologyUnit,{dagger}
Institute of Public Health, TechnicalUniversity of Berlin, Berlin; and the Institute ofPathology,§
Rheinisch WestfälischeTechnische Hochschule, Aachen, Germany

Cyclooxygenase-2 (COX-2) is the rate-limiting enzyme in prostanoid biosynthesis and is involved in tumor progression. We investigated expression of COX-1 and COX-2 in cell lines and tumors from ovarian carcinomas. Expression of COX-2 mRNA and protein was detectable in three of five ovarian carcinoma cell lines and was inducible by interleukin-1ß or phorbolester in a subset of cell lines. Prostaglandin E2 (PGE2) production could be inhibited by the selective COX-2 inhibitor NS-398. In malignant ascites of ovarian carcinomas significantly increased levels of PGE2 were found compared to other carcinomas or nonmalignant ascites (P = 0.03). We investigated expression of COX-2 by immunohistochemistry in 117 ovarian surface epithelial tumors. Expression of COX-2 was detected in 42% of 86 ovarian carcinomas and in 37% of 19 low malignant potential tumors, but not in 12 cystadenomas or 2 normal ovaries. Expression of COX-1 was detected by immunohistochemistry in 75% of 75 invasive ovarian carcinomas and in 75% of 16 low malignant potential tumors, whereas 2 samples from normal ovaries and 8 cystadenomas were positive for COX-1. In univariate survival analysis of invasive carcinomas, expression of COX-2 was associated with a significantly reduced median survival time (log rank test, P = 0.04). For patients younger than 60 years of age, this association was even more significant (P < 0.004). In contrast, expression of COX-1 was no prognostic parameter (P = 0.89). There was no significant correlation between COX-2 or COX-1 expression and other clinicopathological markers. In multivariate analysis expression of COX-2 was an independent prognostic factor for poor survival (relative risk, 2.74; 95% CI, 1.38 to 5.47). Our data indicate that COX-2 expression is an independent prognostic factor in ovarian carcinoma. Based on the results of this study, it would be interesting to investigate whether ovarian carcinoma patients with tumors positive for COX-2 would benefit from treatment with selective COX-2 inhibitors.





This article has been cited by other articles:


Home page
FASEB J.Home page
S. Donnini, F. Finetti, R. Solito, E. Terzuoli, A. Sacchetti, L. Morbidelli, P. Patrignani, and M. Ziche
EP2 prostanoid receptor promotes squamous cell carcinoma growth through epidermal growth factor receptor transactivation and iNOS and ERK1/2 pathways
FASEB J, August 1, 2007; 21(10): 2418 - 2430.
[Abstract] [Full Text] [PDF]


Home page
J. Clin. Pathol.Home page
S. Stadlmann, U. Gueth, E. Wight, L. A Kunz-Schughart, A. Hartmann, and G. Singer
Expression of peroxisome proliferator activated receptor {gamma} and cyclo-oxygenase 2 in primary and recurrent ovarian carcinoma
J. Clin. Pathol., March 1, 2007; 60(3): 307 - 310.
[Abstract] [Full Text] [PDF]


Home page
CarcinogenesisHome page
A. Y. Ting, B. F. Kimler, C. J. Fabian, and B. K. Petroff
Characterization of a preclinical model of simultaneous breast and ovarian cancer progression
Carcinogenesis, January 1, 2007; 28(1): 130 - 135.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
H. Tsubochi, N. Sato, M. Hiyama, M. Kaimori, S. Endo, Y. Sohara, and T. Imai
Combined Analysis of Cyclooxygenase-2 Expression With p53 and Ki-67 in Nonsmall Cell Lung Cancer.
Ann. Thorac. Surg., October 1, 2006; 82(4): 1198 - 1204.
[Abstract] [Full Text] [PDF]


Home page
Endocr Relat CancerHome page
P. Siironen, A. Ristimaki, K. Narko, S. Nordling, J. Louhimo, S. Andersson, R. Haapiainen, and C. Haglund
VEGF-C and COX-2 expression in papillary thyroid cancer.
Endocr. Relat. Cancer, June 1, 2006; 13(2): 465 - 473.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
G. K. Yiu and A. Toker
NFAT Induces Breast Cancer Cell Invasion by Promoting the Induction of Cyclooxygenase-2
J. Biol. Chem., May 5, 2006; 281(18): 12210 - 12217.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
A. Lee, J. Frischer, A. Serur, J. Huang, J.-O Bae, Z. N. Kornfield, L. Eljuga, C. J. Shawber, N. Feirt, M. Mansukhani, et al.
Inhibition of cyclooxygenase-2 disrupts tumor vascular mural cell recruitment and survival signaling.
Cancer Res., April 15, 2006; 66(8): 4378 - 4384.
[Abstract] [Full Text] [PDF]


Home page
Endocr Relat CancerHome page
A. Bagnato, F. Spinella, and L. Rosano
Emerging role of the endothelin axis in ovarian tumor progression
Endocr. Relat. Cancer, December 1, 2005; 12(4): 761 - 772.
[Abstract] [Full Text] [PDF]


Home page
CarcinogenesisHome page
Y. Shoji, M. Takahashi, N. Takasuka, N. Niho, T. Kitamura, H. Sato, T. Maruyama, Y. Sugimoto, S. Narumiya, T. Sugimura, et al.
Prostaglandin E receptor EP3 deficiency modifies tumor outcome in mouse two-stage skin carcinogenesis
Carcinogenesis, December 1, 2005; 26(12): 2116 - 2122.
[Abstract] [Full Text] [PDF]


Home page
JCOHome page
D. Vallbohmer, W. Zhang, M. Gordon, D. Y. Yang, J. Yun, O. A. Press, K. E. Rhodes, A. E. Sherrod, S. Iqbal, K. D. Danenberg, et al.
Molecular Determinants of Cetuximab Efficacy
J. Clin. Oncol., May 20, 2005; 23(15): 3536 - 3544.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
T. Daikoku, D. Wang, S. Tranguch, J. D. Morrow, S. Orsulic, R. N. DuBois, and S. K. Dey
Cyclooxygenase-1 Is a Potential Target for Prevention and Treatment of Ovarian Epithelial Cancer
Cancer Res., May 1, 2005; 65(9): 3735 - 3744.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
M. Heinonen, P. Bono, K. Narko, S.-H. Chang, J. Lundin, H. Joensuu, H. Furneaux, T. Hla, C. Haglund, and A. Ristimaki
Cytoplasmic HuR Expression Is a Prognostic Factor in Invasive Ductal Breast Carcinoma
Cancer Res., March 15, 2005; 65(6): 2157 - 2161.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
J. Symowicz, B. P. Adley, M. M.M. Woo, N. Auersperg, L. G. Hudson, and M. S. Stack
Cyclooxygenase-2 Functions as a Downstream Mediator of Lysophosphatidic Acid to Promote Aggressive Behavior in Ovarian Carcinoma Cells
Cancer Res., March 15, 2005; 65(6): 2234 - 2242.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
F. Spinella, L. Rosano, V. Di Castro, P. G. Natali, and A. Bagnato
Endothelin-1-induced Prostaglandin E2-EP2, EP4 Signaling Regulates Vascular Endothelial Growth Factor Production and Ovarian Carcinoma Cell Invasion
J. Biol. Chem., November 5, 2004; 279(45): 46700 - 46705.
[Abstract] [Full Text] [PDF]


Home page
Hum Reprod UpdateHome page
J. Sirois, K. Sayasith, K. A. Brown, A. E. Stock, N. Bouchard, and M. Dore
Cyclooxygenase-2 and its role in ovulation: a 2004 account
Hum. Reprod. Update, September 1, 2004; 10(5): 373 - 385.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
F. Spinella, L. Rosano, V. Di Castro, M. R. Nicotra, P. G. Natali, and A. Bagnato
Inhibition of Cyclooxygenase-1 and -2 Expression by Targeting the Endothelin A Receptor in Human Ovarian Carcinoma Cells
Clin. Cancer Res., July 15, 2004; 10(14): 4670 - 4679.
[Abstract] [Full Text] [PDF]


Home page
Clin. Cancer Res.Home page
T.-L. Erkinheimo, H. Lassus, P. Finne, B. P. van Rees, A. Leminen, O. Ylikorkala, C. Haglund, R. Butzow, and A. Ristimaki
Elevated Cyclooxygenase-2 Expression Is Associated with Altered Expression of p53 and SMAD4, Amplification of HER-2/neu, and Poor Outcome in Serous Ovarian Carcinoma
Clin. Cancer Res., January 15, 2004; 10(2): 538 - 545.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
C. Denkert, W. Weichert, S. Pest, I. Koch, D. Licht, M. Kobel, A. Reles, J. Sehouli, M. Dietel, and S. Hauptmann
Overexpression of the Embryonic-Lethal Abnormal Vision-like Protein HuR in Ovarian Carcinoma Is a Prognostic Factor and Is Associated with Increased Cyclooxygenase 2 Expression
Cancer Res., January 1, 2004; 64(1): 189 - 195.
[Abstract] [Full Text] [PDF]


Home page
EndocrinologyHome page
G. B. Perchick and H. N. Jabbour
Cyclooxygenase-2 Overexpression Inhibits Cathepsin D-Mediated Cleavage of Plasminogen to the Potent Antiangiogenic Factor Angiostatin
Endocrinology, December 1, 2003; 144(12): 5322 - 5328.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
T.-L. Erkinheimo, H. Lassus, A. Sivula, S. Sengupta, H. Furneaux, T. Hla, C. Haglund, R. Butzow, and A. Ristimaki
Cytoplasmic HuR Expression Correlates with Poor Outcome and with Cyclooxygenase 2 Expression in Serous Ovarian Carcinoma
Cancer Res., November 15, 2003; 63(22): 7591 - 7594.
[Abstract] [Full Text] [PDF]


Home page
JNCI J Natl Cancer InstHome page
H. Choy and L. Milas
Enhancing Radiotherapy With Cyclooxygenase-2 Enzyme Inhibitors: A Rational Advance?
J Natl Cancer Inst, October 1, 2003; 95(19): 1440 - 1452.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
E. Mandelin, H. Lassus, M. Seppala, A. Leminen, J.-A. Gustafsson, G. Cheng, R. Butzow, and R. Koistinen
Glycodelin in Ovarian Serous Carcinoma: Association with Differentiation and Survival
Cancer Res., October 1, 2003; 63(19): 6258 - 6264.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
R. Agarwal, C. Denkert, and S. Hauptmann
The Function of COX-2 in Human Ovarian Carcinoma
Am. J. Pathol., July 1, 2003; 163(1): 368 - 369.
[Full Text] [PDF]


Home page
Clin Med ResHome page
T. P. Connolly
Cyclooxygenase-2 Inhibitors in Gynecologic Practice
Clin. Med. Res., April 1, 2003; 1(2): 105 - 110.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Pathol.Home page
R. L. Konger, G. A. Scott, Y. Landt, J. H. Ladenson, and A. P. Pentland
Loss of the EP2 Prostaglandin E2 Receptor in Immortalized Human Keratinocytes Results in Increased Invasiveness and Decreased Paxillin Expression
Am. J. Pathol., December 1, 2002; 161(6): 2065 - 2078.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2002 by the American Society for Investigative Pathology.