Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2 Suppl 7
pubmed:dateCreated
2004-6-4
pubmed:abstractText
Cyclooxygenase-2 (COX-2) overexpression is seen in many malignancies including lung cancer. In non-small cell lung cancer (NSCLC), COX-2 is overexpressed in most adenocarcinomas and squamous cell carcinomas. Elevated tumor COX-2 prostaglandin E(2) (PGE(2)) levels have been implicated in angiogenesis, tumor invasion, resistance to apoptosis, and suppression of antitumor immunity. Preclinical animal model studies show tumor reduction when animals are treated with either nonspecific or specific inhibitors of COX-2. These studies suggest nonsteroidal anti-inflammatory drugs may act on multiple tumor-progression targets via both COX-2-dependent and-independent pathways. Consistent with these findings, epidemiologic evidence has shown a decreased incidence of lung cancer in patients who use nonsteroidal anti-inflammatory drugs. Based on these observations, celecoxib, a selective COX-2 inhibitor, has been evaluated in combination with chemotherapy for the management of metastatic NSCLC in patients who have failed prior chemotherapy. Several clinical trials are ongoing that evaluate celecoxib in combination with chemoradiation for unresectable, locally advanced NSCLC. Another trial evaluating celecoxib in a preoperative combination with paclitaxel and carboplatin has generated overall clinical response rates at least comparable to those reported in the Bimodality Lung Oncology Team trial. Ongoing clinical trials are also evaluating the combination of celecoxib with chemotherapy and/or radiation or celecoxib in combination with epidermal growth factor receptor inhibitors of NSCLC. This article reviews preclinical information on COX-2 inhibitors in lung cancer and presents updated data from several ongoing clinical trials that are evaluating celecoxib in NSCLC.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
http://linkedlifedata.com/resource/pubmed/chemical/Angiogenesis Inhibitors, http://linkedlifedata.com/resource/pubmed/chemical/Anticarcinogenic Agents, http://linkedlifedata.com/resource/pubmed/chemical/Cyclooxygenase 2, http://linkedlifedata.com/resource/pubmed/chemical/Cyclooxygenase 2 Inhibitors, http://linkedlifedata.com/resource/pubmed/chemical/Cyclooxygenase Inhibitors, http://linkedlifedata.com/resource/pubmed/chemical/Isoenzymes, http://linkedlifedata.com/resource/pubmed/chemical/Membrane Proteins, http://linkedlifedata.com/resource/pubmed/chemical/PTGS2 protein, human, http://linkedlifedata.com/resource/pubmed/chemical/Prostaglandin-Endoperoxide Synthases, http://linkedlifedata.com/resource/pubmed/chemical/Pyrazoles, http://linkedlifedata.com/resource/pubmed/chemical/Sulfonamides, http://linkedlifedata.com/resource/pubmed/chemical/celecoxib
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0093-7754
pubmed:author
pubmed:issnType
Print
pubmed:volume
31
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
45-52
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:15179623-Angiogenesis Inhibitors, pubmed-meshheading:15179623-Animals, pubmed-meshheading:15179623-Anticarcinogenic Agents, pubmed-meshheading:15179623-Apoptosis, pubmed-meshheading:15179623-Carcinoma, Non-Small-Cell Lung, pubmed-meshheading:15179623-Clinical Trials as Topic, pubmed-meshheading:15179623-Cyclooxygenase 2, pubmed-meshheading:15179623-Cyclooxygenase 2 Inhibitors, pubmed-meshheading:15179623-Cyclooxygenase Inhibitors, pubmed-meshheading:15179623-Drug Evaluation, Preclinical, pubmed-meshheading:15179623-Humans, pubmed-meshheading:15179623-Isoenzymes, pubmed-meshheading:15179623-Lung Neoplasms, pubmed-meshheading:15179623-Membrane Proteins, pubmed-meshheading:15179623-Prostaglandin-Endoperoxide Synthases, pubmed-meshheading:15179623-Pyrazoles, pubmed-meshheading:15179623-Sulfonamides
pubmed:year
2004
pubmed:articleTitle
COX-2 inhibition and lung cancer.
pubmed:affiliation
Division of Hematology/Oncology, Vanderbilt-Ingram Cancer Center, 777 Preston Research Building, Vanderbilt University of Medicine, Nashville, TN 37232-6307, USA.
pubmed:publicationType
Journal Article, Review, Research Support, Non-U.S. Gov't