Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2003-5-15
pubmed:abstractText
Emerging data indicate a link between genetic instability and up-regulation of cyclooxygenase-2 (COX-2). To see if individuals at high risk of oral cancer are candidates for treatment with selective COX-2 inhibitors (coxibs), levels of COX-2 expression in healthy, premalignant and cancerous oral mucosa were compared with the occurrence of DNA ploidy status as a genetic risk marker of oral cancer. COX-2 gene product was evaluated immunohistochemically in 30 healthy persons, in 22 patients with dysplastic lesions without previous or concomitant carcinomas, and in 29 patients with oral carcinomas. The immunohistochemical findings were verified by western blotting. COX-2 expression was correlated to DNA content as a genetic risk marker of oral cancer. COX-2 was up-regulated from healthy to premalignant to cancerous oral mucosa. Thus, COX-2 expression was found in 1 case of healthy oral mucosa (3%). All specimens from healthy mucosa had a normal DNA content. In patients with premalignancies. In 29 patients with oral carcinomas, cyclooxygenase-2 expression was observed in 26 (88%), and aneuploidy was observed in 25 cases (94%, P=0.04). Notably, of 22 patients with dysplastic lesions, COX-2 was exclusively expressed in a subgroup of nine patients (41%) identified to be at high risk of cancer by the aberrant DNA content of their lesions. Seven of these patients were followed for 5 years or more. An oral carcinoma developed in six of them (85%; P=0.02). These findings emphasize the need to determine whether coxibs can reduce the risk of oral cancer in patients with high-risk precancerous lesions.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1368-8375
pubmed:author
pubmed:issnType
Print
pubmed:volume
39
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
497-505
pubmed:dateRevised
2007-10-26
pubmed:meshHeading
pubmed-meshheading:12747975-Aged, pubmed-meshheading:12747975-Analysis of Variance, pubmed-meshheading:12747975-Aneuploidy, pubmed-meshheading:12747975-Blotting, Western, pubmed-meshheading:12747975-Cyclooxygenase 2, pubmed-meshheading:12747975-Female, pubmed-meshheading:12747975-Gene Expression Regulation, Enzymologic, pubmed-meshheading:12747975-Humans, pubmed-meshheading:12747975-Isoenzymes, pubmed-meshheading:12747975-Male, pubmed-meshheading:12747975-Membrane Proteins, pubmed-meshheading:12747975-Middle Aged, pubmed-meshheading:12747975-Mouth Neoplasms, pubmed-meshheading:12747975-Neoplasm Proteins, pubmed-meshheading:12747975-Precancerous Conditions, pubmed-meshheading:12747975-Prognosis, pubmed-meshheading:12747975-Prostaglandin-Endoperoxide Synthases, pubmed-meshheading:12747975-Risk Factors, pubmed-meshheading:12747975-Up-Regulation
pubmed:year
2003
pubmed:articleTitle
Cyclooxygenase-2 (COX-2) expression in high-risk premalignant oral lesions.
pubmed:affiliation
Department of Medical Oncology and Radiotherapy, The Norwegian Radium Hospital, Oslo 0310, Norway. jon.sudbo@rh.uio.no
pubmed:publicationType
Journal Article, Retracted Publication