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Vol. 302, Issue 3, 846-852, September 2002


Pharmacology of Celecoxib in Rat Brain after Kainate Administration

Paola Ciceri, Yan Zhang, Alex F. Shaffer, Kathleen M. Leahy, Mark B. Woerner, Walter G. Smith, Karen Seibert and Peter C. Isakson

Pharmacia Discovery Research, St. Louis, Missouri (P.C., Y.Z., A.F.S., K.M.L., M.B.W., W.G.S., K.S.); and Pharmacia Research and Development, Peapack, New Jersey (P.C.I.)

    Abstract
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Prostaglandin E2 (PGE2) is the major prostaglandin produced both centrally and in the periphery in models of acute and chronic inflammation, and its formation in both locations is blocked by cyclooxygenase-2 (COX-2) inhibitors such as celecoxib. In animal models of inflammation, PGE2 inhibition in the brain may occur secondarily to a peripheral action by inhibiting local PG formation that elicits increased firing of pain fibers and consequent activation of PG synthesis in the central nervous system (CNS). Celecoxib was studied in the kainate-induced seizure model in the rat, a model of direct central prostaglandin induction, to determine whether it can act directly in the CNS. In the kainate-treated rat brain there was increased PGE2, PGF2alpha , and PGD2 production, with COX activity and PGE2 formation increased about 7-fold over normal. We quantitated mRNA levels for enzymes involved in the prostaglandin biosynthetic pathways and found that both COX-2 and PGE synthase (PGEs) mRNA levels were increased in the brain; no changes were found for expression of COX-1 or PGD synthase mRNA. By Western blot analysis, COX-2 and PGEs were induced in total brain, hippocampus, and cortex, but not in the spinal cord. Immunohistological studies showed that COX-2 protein expression was enhanced in neurons. Dexamethasone treatment reduced the expression of both COX-2 and PGEs in kainate-treated animals. Celecoxib reduced the elevated PGE2 levels in brain of kainate-treated rats and inhibited induced COX activity, demonstrating the ability of this compound to act on COX-2 in CNS. Doses of celecoxib that inhibited brain COX-2 were lower than those needed for anti-inflammatory activity in adjuvant arthritis, demonstrating a potent direct central action of the compound.

    Introduction
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

The cyclooxygenases (COXs) catalyze the committed step in the conversion of arachidonic acid to prostaglandins (PGs) and thromboxane (Smith et al., 2000). Two distinct COX enzymes are known, COX-1, which is present in most tissues, and a second isoform, COX-2 (Kujubu et al., 1991; Xie et al., 1991), absent in most normal tissues but the expression of which can be induced by many stimuli. COX-2 appears to be the isoform responsible for prostaglandin formation at sites of inflammation (Masferrer et al., 1994; Seibert et al., 1994), and selective inhibitors of COX-2 such as celecoxib have been introduced into clinical practice for the treatment of osteoarthritis, rheumatoid arthritis and pain (Emery et al., 1999; Simon et al., 1999). Although the mechanism of the anti-inflammatory action of COX inhibitors is clear, the site of the analgesic effect is not known (Malmberg and Yaksh, 1992; Samad et al., 2001). Intrathecal administration of either a COX-2 inhibitor or nonsteroidal anti-inflammatory drug prevented hyperalgesia in a model of peripheral inflammatory pain, suggesting a role for central prostaglandins (Malmberg and Yaksh, 1992; Dirig et al., 1998). Prostaglandins are also produced in the brain after infection in response to pyrogenic cytokines, and are important in the febrile response (Elmquist et al., 1997). PGE2 is the major prostaglandin produced in animal models of acute and chronic inflammation, both at the site of inflammation (Anderson et al., 1996; Portanova et al., 1996) and in the cerebrospinal fluid (Smith et al., 1998).

Recently, a membrane-bound enzyme that catalyzes formation of PGE2 from PGH2 was cloned, called microsomal PGE synthase (PGEs), which colocalizes with COX (Jakobsson et al., 1999; Murakami et al., 2000). The expression of PGEs is induced by inflammatory stimuli, e.g., in a rat model of lipopolysaccharide-induced pyresis and in the arthritic paw (Mancini et al., 2001). Recent data demonstrated that in a model of pyresis, COX-2 and PGEs are both centrally up-regulated and colocalize in endothelial cells (Ek et al., 2001; Yamagata et al., 2001).

COX-2 is constitutively expressed in neurons within the brain, particularly in pyramidal neurons of the hippocampus and cortex, and in the amygdala (Yamagata et al., 1993; Breder et al., 1995), and localizes to dendritic spines (Kaufmann et al., 1996). COX-2 expression is markedly and transiently up-regulated in neurons in response to excitatory stimuli such as seizures and kainate (Yamagata et al., 1993; Chen et al., 1995; Tocco et al., 1997), and after cerebral ischemia (Collaco-Moraes et al., 1996; Sanz et al., 1997). Recent findings suggest that COX-2 activity may lead to neuronal cell death. Thus, administration of a selective COX-2 inhibitor protected hippocampal neurons from ischemia-induced cell death (Nogawa et al., 1997; Nakayama et al., 1998; Govoni et al., 2001) and from kainate-induced cell death (Kunz and Oliw, 2001). COX-2-deficient mice are less susceptible to brain injury caused by focal ischemia (Iadecola et al., 2001), whereas transgenic mice that over-express COX-2 in neurons are more susceptible to kainate-induced lethal seizures (Kelley et al., 1999). Conflicting results with COX-2 inhibitors have been obtained on kainate-induced seizures, with reports of enhancement and no effect or decreased seizures (Baran et al., 1994; Baik et al., 1999). Interestingly, transgenic mice that over-express COX-2 in neurons display age-related cognitive defects and increased neuronal apoptosis (Andreasson et al., 2001). Taken together, these data suggest that COX-2 may play a role in neuronal cell death initiated by a variety of stimuli.

Kainic acid (kainate; KA) is a minor amino acid found in Diginea simplex seaweed; subcutaneous injection in rats induces limbic seizures characterized by "wet dog" shakes, tremors, and salivation. KA treatment of rats results in delayed neuronal necrosis in hippocampus and limbic cortex (Sperk, 1994) and marked cortical COX-2 expression (Chen et al., 1995). KA has pleiotropic actions including increases in extracellular glutamate and expression of a family of immediate early genes, including COX-2. (Farooqui and Horrocks, 1991; Sanz et al., 1997; Hashimoto et al., 1998). The kainate-induced seizures in the rat provide a model of centrally mediated, high level COX-2 induction. In the present study we used this model to assess the profile of PGs produced in brain and spinal cord, the expression of enzymes responsible for CNS prostaglandin biosynthesis, and the central action of celecoxib, a COX-2 inhibitor.

    Materials and Methods
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Materials. Kainate, dexamethasone, methylcellulose, Protein G beads, IGEPAL CA-630, benzamidine HCl, Na3VO4, NaF, beta -glycerophosphate, and Tween 20 were purchased from Sigma-Aldrich (St. Louis, MO). ELISA reagents and COX-2 antibody were obtained from Cayman Chemical Co. (Ann Arbor, MI), peroxidase-conjugated anti-rabbit secondary antibody from Jackson ImmunoResearch Laboratories, Inc. (West Grove, PA), 8% and 10 to 20% SDS-polyacrylamide gel from Invitrogen (Carlsbad, CA), and an enhanced chemiluminescence detection kit from Amersham Biosciences UK, Ltd. (Little Chalfont, Buckinghamshire, UK). Complete protease inhibitor was obtained from Roche Diagnostics (Mannheim, Germany), Mycobacterium butyricum from Difco Laboratories Inc. (Detroit, MI), mineral oil from Mallinckrodt (Paris, KY), and a diaminobenzidine kit from DAKO (Carpinteria, CA). The selective COX-2 inhibitor celecoxib was synthesized by Pharmacia Chemistry.

Treatment with Kainate. Male Sprague-Dawley rats purchased from Charles River (250-300 g; Charles River Breeding Laboratories, Portage, MI) were housed and maintained in temperature- and humidity-controlled quarters with free access to water and food. Rats (five to eight per group) were fasted with free access to water >16 h before testing. KA was prepared in saline and at the dose of 10 mg/kg injected subcutaneously in a volume of 1 ml with a 25-gauge needle. KA-treated rats displayed a typical behavior syndrome (including wet-dog shakes, rearing, and tremor of the forepaws) for 30 min to 4 h after injection. KA-treated rats were studied for up to 24 h. All experiments were conducted under a protocol approved by the Institutional Animal Care and Use Committee.

Induction of Arthritis. Arthritis was induced in male Lewis rats (125-150 g; Harlan, Indianapolis, IN) by injection of 1 mg of M. butyricum in 50 µl of mineral oil into the right hind footpad (Billingham, 1983). Fourteen days after injection of adjuvant, the contralateral left footpad volume was measured with a water displacement plethysmometer. Animals with paw volumes 0.37 ml greater than normal were then randomized into treatment groups. Drug administration was begun on day 15 postadjuvant injection and continued until final assessment on day 25. During this period contralateral paw volume measurements were taken intermittently. The typical increase in contralateral paw volume measured on day 25 ranged from 1.4 to 1.9 ml. Experiments were conducted under a protocol approved by the Institutional Animal Care and Use Committee.

Compound Administration and Timing within Experiments. Compounds were orally administered in 1 ml of 0.5% methylcellulose + 0.025% Tween 20 either prophylactically 2 h before KA injection or therapeutically 20 h after KA injection. The amount of each compound dosed in each experiment is indicated in the figure legends.

Measurement of COX Activity and Prostaglandin Content in CSF and CNS Tissue. Whole brain was removed, weighed, and homogenized in different buffers. To measure the eicosanoid content, brain tissue was homogenized in 3 ml of 70% cold methanol in water. For COX activity assay, however, tissue was homogenized in 1.5 ml of Hanks' buffer with 30 µM arachidonic acid and left at room temperature for 5 min. Then, samples were brought to a concentration of 70% methanol by addition of 3.5 ml of 100% methanol and were centrifuged for 20 min at 15,000g. The supernatant was evaporated under a nitrogen gas stream and resuspended in enzyme immunoassay buffer for TxB2, PGE2, 6-keto-PGF1alpha , PGD2, and PGF2alpha assays using ELISA kits. Data were calculated as either nanograms per gram of tissue or nanograms per milliliter of CSF.

RNA Extraction and Design of Primers and Probes. Total RNA was extracted using RNeasy Mini Kit (QIAGEN, Valencia, CA) according to the manufacturer's instructions. The concentration of RNA was measured using a UV spectrophotometer. Reverse transcription was performed with approximately 50 ng of RNA. Oligonucleotide primers and TaqMan probes were designed using Primer Express, version 1.0 (Applied Biosystems, Foster City, CA). We conducted BLASTN searches to confirm the total gene specificity of the nucleotide sequences chosen for primers and probes. The sequences of primers and probe used were: for rat PGD synthase lipocalin-type primers, 5'-TGGTAGAAACCGACTACGATGAGTAC-3' (sense), 5'-GGTGGCCATGCGGAAGT-3' (antisense) and 6FAM-CGTTCCTGTTCAGCAAGGGCACCA-TAMRA probe designed on sequence J04488; for rat PGEs primers 5'- CTGCAGGAGTGACCCAGATG-3' (sense), 5'-GGTAGATCGTCTCCATGTCGTTG-3' (antisense) and 6FAM-AGCGCTGCCTCAGAGCCCACC-TAMRA probe designed on sequence AB041998; for rat COX-2 primers 5'-GCTTTCTCCAACCTCTCCTACTACA-3' (sense), 5'-CATGGGAGTTGGGCAGTCA-3' (antisense) and 6FAM-AGGGCCCTTCCTCCTGTGGCTG-TAMRA probe designed on sequence S67722; for rat COX-1 primers 5'-AACACAGCCTCACTGAGAAACTG-3' (sense) and 5'-CCCGTCATCTCCAGGGTAATC-3' (antisense), and 6FAM-CCTCAACACCAAGACCTGCCCTAGT-TAMRA probe designed on sequence S67721.

TaqMan PCR. All TaqMan PCR was performed using an ABI PRISM 7700 Sequence Detection System (Applied Biosystems). Each reaction mixture (25 µl) contained 5 µl of 5× TaqMan EZ buffer, 3 µl of Gene AmpErase, 0.75 µl of dATP, dUTP, dGTP, and dCTP, 1 µl of rTth DNA polymerase, 0.25 µl of AmpErase from TaqMan EZ RT-PCR core reagents (Roche Applied Science, Branchburg, NJ) and 500 nM primers, 100 nM TaqMan probe, 5 µl of cDNA sample and water. The thermal cycling conditions comprised the initial steps at 50°C for 2 min, a second step at 60°C for 30 min, and a third step at 95°C for 5 min, followed by 40 cycles at 94°C for 20 s and at 62°C for 1 min. Amplification of the target genes was normalized to simultaneous amplification of an internal housekeeping gene, cyclophilin, and calibrated to a low expressing, normalized, target sample.

Western Blot Analysis. Brain and spinal cord samples were homogenized in ice-cold homogenization buffer (25 ml of 50 mM Tris, pH 8, with 0.5% IGEPAL CA-630, 1 mM phenylmethanesulfonyl fluoride, 1 mM benzamidine HCl, 1 mM Na3VO4, 1 mM NaF, 10 mM beta -glycerophosphate, and 1 tablet of Complete protease inhibitor) and probe sonicated five times for 20 s, at 40% power. The samples were then centrifuged at 16,000g for 25 min at 4°C. For COX-2 detection, supernatant protein content was assessed using a Bio-Rad protein assay. For PGEs detection, the supernatant was centrifuged at 100,000g for 1 h at 4°C, the pellet was resuspended, and the protein concentration was measured. Immunoprecipitation was performed by incubation for 30 min under rotation at room temperature with 10 µl of anti-COX-2 or 25 µl of anti-PGEs antibody, reconstituted as recommended by the supplier. Then the protein-antibody complex was adsorbed on Protein G beads under rotation for 1 h at room temperature. Denatured samples were separated by electrophoresis on an SDS-polyacrylamide gel (8% for COX-2 and 10-20% for PGEs) and transferred to nitrocellulose membranes. The membranes were blocked for 30 min in 100 mM Tris, pH 8, 150 mM NaCl, and 0.05% Tween 20 containing 5% milk powder before overnight 4°C incubation with, respectively, 1:2000 or 1:100 COX-2 or PGEs primary (precipitating) antibody. The incubation with the primary antibody was followed by rinses and 1 h of incubation in peroxidase-conjugated secondary antibody. Protein bands were visualized using an enhanced chemiluminescence detection kit.

Immunohistochemistry Analysis. Animals were anesthetized with 65 mg/kg sodium pentobarbital in saline and perfused with 200 ml of ice-cold phosphate-buffered saline followed by 200 ml of 10% formaldehyde. Paraffin-embedded brain blocks were cut into 5-µm sections, mounted onto Superfrost Plus slides, dewaxed in xylene, rehydrated in alcohol, and blocked for endogenous peroxidase (3% H2O2 in methanol) and avidin/biotin. Sections were treated with Tris-buffered saline-blocking agent (Tris-buffered saline, pH 7.4, 0.5% blocking agent, 0.3% Triton X-100) with 10% serum of the host of the secondary antibody used, and incubated with COX-2- or COX-1-specific antibody, 1:500 and 1:400 dilution, respectively. Specificity of the antibody was determined by using control sections that were incubated with isotype-matched IgG. Immunoreactive complexes were detected using biotinylated secondary antibody followed by streptavidin-horseradish peroxidase and visualized with the peroxidase substrate diaminobenzidine. Slides were counterstained with hematoxylin.

Statistical Analysis. Results are expressed as mean ± S.E.M. for each groups of rats. The Student's t test was used to determine the significant differences between group means. A p value <0.05 was considered to be statistically significant.

    Results
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

PGE2 and Eicosanoid Formation in KA-Treated Brain. The content of PGE2, TxB2, 6-keto-PGF1alpha , PGF2alpha , and PGD2 in brain, spinal cord, and CSF of normal and 24-h KA-treated animals was determined. As shown in Fig. 1A, in brains from KA-treated rats there was a significant rise in the content of PGE2, PGF2alpha , and PGD2 of, respectively, 7-, 7-, and 3-fold over the levels in the normal brain. In contrast, the profile of eicosanoids in the spinal cord showed a KA-induced increase only in TxB2 and PGD2 (3.5- and 3-fold over the levels in the spinal cord from untreated rats) (Fig. 1B). In the CSF, there was a significant increase in PGF2alpha in KA-treated animals, but not the other eicosanoids (Fig. 1C). Since the tissue content of PGs may not reflect COX enzyme levels, COX activity was assessed by adding arachidonic acid to tissue homogenates and measuring PGE2 formation. As shown in Fig. 2, there was a slight increase in PGE2 biosynthesis in brains from rats treated for 6 h with KA compared with the normal brain, whereas at 24 h, PGE2 formation was significantly higher, demonstrating substantial increase in COX activity in brains from KA-treated animals. Pretreatment with dexamethasone (1 mg/kg) did not affect PGE2 brain production 6 h after KA treatment but did reduce PGE2 values to normal levels in the 24-h samples.


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Fig. 1.   Profile of eicosanoid content in normal versus kainate-treated brain, spinal cord, and CSF. Animals were injected with 10 mg/kg kainate subcutaneously, after 24-h tissues and CSF were harvested, and the different eicosanoid contents were measured by ELISA. A, total brain; B, spinal cord; C, CSF. Data are expressed as mean ± S.E.M.; n = 5; **, p < 0.01.


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Fig. 2.   Effect of dexamethasone administration on brain ex vivo PGE2 formation in kainate-treated brains. Dexamethasone (1 mg/kg) was dosed orally 1 h before and 8 h after 10 mg/kg kainate injection. At 6 or 24 h after kainate administration, brains were harvested, homogenized in Hanks' buffer with 30 µM arachidonic acid, and left at room temperature for 5 min. PGE2 formation was assayed by ELISA. Data are expressed as mean ± S.E.M.; n = 5; *, p < 0.05.

Induction of COX-2 and PGEs mRNA Expression in CNS after KA Treatment. The TaqMan technique was used for quantitative analysis of COX-2 and PGEs mRNA levels in normal and KA-treated rat brain, hippocampus, cortex, and spinal cord. Twenty-four hours after KA administration both COX-2 and PGEs, mRNA levels were increased in the total brain, cortex, and hippocampus, but not in the spinal cord (Fig. 3, A and B). The highest induction in PGEs mRNA was in the cortex, followed by total brain and hippocampus (10-, 6-, and 4-fold increase, respectively), whereas COX-2 was induced 5-fold in hippocampus and cortex and 4-fold in the total brain, showing a more homogeneous distribution. No changes were found either in COX-1 or PGD synthase mRNA in all the areas investigated (Fig. 3, C and D). Pretreatment of rats with dexamethasone (1 mg/kg) significantly inhibited induction of COX-2 and PGEs mRNA(-40 and -47%, respectively) (Fig. 4). Celecoxib administration had no effect on levels of COX-2 or PGEs mRNA (data not shown).


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Fig. 3.   COX-2, PGEs, COX-1, and PGDs mRNA levels in normal versus kainate-treated brain and spinal cord. Animals were injected with 10 mg/kg kainate and after 24 h, tissues were harvested. mRNA levels were measured by TaqMan PCR. A, COX-2; B, PGEs; C, COX-1; D, PGDs. Data are expressed as mean ± S.E.M.; n = 5; **, p < 0.01.


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Fig. 4.   Effect of dexamethasone administration on kainate-induced increase in COX-2 and PGEs mRNA levels in brain. Dexamethasone (1 mg/kg) was orally dosed 1 h before and 8 h after 10 mg/kg kainate injection. At 24 h after kainate administration, brains were harvested and RNA was extracted. mRNA levels were measured by TaqMan PCR. Data are shown as mean ± S.E.M.; n = 5; *, p < 0.05; **, p < 0.01.

COX-2 and PGEs Protein Expression in Different CNS Regions after KA Administration. Western blot analysis of COX-2 and PGEs proteins in different brain regions showed protein bands at 70 and 16 kDa, 24 h after KA injection (Fig. 5, A and B). COX-2 protein expression was weakly detectable in total brain, cortex, and hippocampus of normal rats, whereas no detectable expression was found in spinal cord; none of the regions studied from normal rats expressed detectable PGEs protein. KA treatment increased COX-2 and PGEs levels in total brain and in different brain regions compared with the expression in normal rat; the only exception was spinal cord, where KA administration did not result in COX-2 or PGEs expression. The KA-induced COX-2 protein levels were greater in hippocampus and cortex than in total brain, with a more intense band for hippocampus than for cortex. On the contrary, KA-induced PGEs expression in total brain, cortex, and hippocampus was almost identical, with a strong band in all three regions.


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Fig. 5.   Representative immunoblot analysis of COX-2 and PGEs protein in normal versus kainate-treated brain and spinal cord. Animals were injected with 10 mg/kg kainate and after 24 h, tissues were harvested and processed for the detection of protein levels by electrophoresis. A, COX-2; B, PGEs. Comparison between normal (N) and kainate-treated (KA) tissues.

KA-Induced COX-2 Immunoreactivity in the Brain. Immunocytochemical staining of normal cortex showed constitutive expression of COX-2 protein in neurons with faint immunoreactivity, whereas no immunoreactivity was evident in endothelial or glial cells (Fig. 6A). After 24 h of treatment of animals with KA, the cortex section showed increased COX-2 protein expression strictly localized in neurons (Fig. 6B), that was partially inhibited by pretreatment with dexamethasone (Fig. 6C). The increased KA-induced COX-2 expression and dexamethasone modulation could also be observed in hippocampus and almost all other brain areas (Fig. 6, D to F). The COX-2 immunoreactivity was present in the cytoplasmic area and not in the nucleus.


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Fig. 6.   Representative immunostaining of COX-2 in normal versus kainate-treated cortex (A-C) and hippocampus (D-F). Animals were injected with 10 mg/kg kainate. When administered, dexamethasone (1 mg/kg) was orally dosed 1 h before and 8 h after kainate injection and after 24 h, tissues were harvested and processed for immunohistochemistry. A and D, normal; B and E, kainate; C and F, dexamethasone. Scale bar, 100 µm.

Effect of Treatment with Celecoxib on PGE2 Concentration in KA-Treated Brain and on Arthritis Paw Edema. Celecoxib dosed 20 h after KA administration dose dependently inhibited brain PGE2 content with an ED50 of 0.03 mg/kg (Fig. 7). The maximal inhibitory effect was achieved at 1 mg/kg, a dose that reduced PGE2 levels to the values present in brains of normal animals. Treatment of arthritic animals for 11 days with celecoxib resulted in dose-dependent inhibition of paw edema with an ED50 of 0.4 mg/kg with the curve of inhibition shifted to the right compared with the curve obtained in the brain. Celecoxib administration did not modify either COX-2 or PGEs mRNA levels in KA-treated rat brain, as expected (data not shown).


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Fig. 7.   Dose-response curve of celecoxib on brain PGE2 content in the kainate model and paw edema during arthritis. In the kainate model, celecoxib was orally dosed 20 h after kainate injection, and PGE2 content in the brain was measured by ELISA at 24 h. In the arthritis model celecoxib was orally dosed starting at day 15 after M. butyricum injection in the paw, and the final paw volume was measured in the contralateral paw at day 25. Data are expressed as the percentage of inhibition with respect to the value of the control group.

    Discussion
Top
Abstract
Introduction
Materials and Methods
Results
Discussion
References

Prostaglandins are recognized to contribute to the signs and symptoms of inflammation, with evidence supporting a central role for COX-2 and PGE2 production in this process. PGE2 is both proinflammatory and proalgesic, and is produced at the site of inflammation and in the CNS; for example, increases in PGE2 were detected in the CSF of animals with paw edema (Smith et al., 1998). The role of central production of PGE2 in pain is not well understood, however. Neutralization of PGE2 with a high affinity monoclonal antibody was effective in preventing paw edema and pain, and reversing pain once established (Portanova et al., 1996; Zhang et al., 1997). Nevertheless intrathecal administration of COX inhibitors was also effective in preventing hyperalgesia (Malmberg and Yaksh, 1992; Dirig et al., 1998). Together these results suggest that PGs may have both a peripheral and a central site of action in pain.

We previously showed that COX-2 inhibitors such as celecoxib efficiently inhibit both peripheral and CNS PGE2 formation elicited by peripheral inflammation (Zhang et al., 1997; Smith et al., 1998). Whether the reduction of CNS PGs observed was a direct effect of the inhibitor is not certain since the central effect could be due to a decrease in the stimulus that the CNS receives from the periphery. To better assess the central pharmacology of celecoxib and the enzymes responsible for PGE2 biosynthesis in the CNS, we studied a model of central COX-2 induction driven by kainate injection in the rat, the kainate-induced seizure model. Kainate produces a distinct profile of increased eicosanoid biosynthesis in the brain. Levels of PGE2 and PGF2alpha were markedly elevated above basal (7-fold), whereas PGD2 increased 3-fold; changes in TxB2 and 6-keto-PGF1alpha were minimal. Nevertheless, PGD2 levels were still 5- to 10-fold higher than other prostaglandins in both normal and kainate-induced brain. The increases in PGF2alpha levels were remarkable and confirm previous studies in this model (Simmet and Tippler, 1990). The parallel increases in PGE2 and PGF2alpha levels at the expense of other prostanoids suggest that specific synthases for PGE and PGF may be coordinately induced in neurons along with COX-2.

The kainate effect on eicosanoid biosynthesis in the spinal cord was not as marked as in brain tissue and showed a distinctly different pattern; substantial elevations in TxB2 and PGD2 were observed with no increases in PGE2 and PGF2alpha levels. The lack of homogeneity in the eicosanoid profiles after kainate treatment might be explained by either cell type or regional specificity of kainate action or by selective induction of the enzymes downstream of COX-2 in different areas of the CNS. Surprisingly, there was only a slight increase in eicosanoid content in the CSF after kainate treatment, with a profile of eicosanoids that did not resemble either the brain or spinal cord pattern. This suggests that the eicosanoids produced by neurons remain in the tissue or do not reach the point of CSF sampling. The former seems unlikely since PG levels fell in kainate-induced brain 4 h after dosing with celecoxib.

To assess the mechanism of increased prostaglandin content in the KA-treated brain, COX activity was directly assessed in homogenates of brain by direct addition of substrate arachidonic acid. The biosynthetic capacity of the tissue was clearly increased by kainate, and this enhanced enzyme activity was efficiently inhibited by pretreatment of rats with dexamethasone, an inhibitor of de novo COX-2 synthesis. Two inducible proteins are involved in the enzymatic synthesis of PGE2: COX-2 and PGEs. COX-2 and PGEs mRNA expression was assessed in total brain, cortex and hippocampus, and spinal cord. The areas most involved in KA toxicity, cortex and hippocampus, are sites of enhanced COX-2 expression; increases in PGEs mRNA expression generally paralleled that of COX-2, but were more marked in total brain and cortex than in hippocampus. As expected, expression of COX-2 and PGEs protein was generally consistent with mRNA expression. No changes in COX-1 mRNA levels were observed, suggesting that the enzymes responsible for the increased PGE2 biosynthesis in this model are the inducible proteins, COX-2 and PGEs. The hypothesis of coupling between COX-2 and PGEs is supported by the data of Murakami et al. (2000), who demonstrated that PGEs is colocalized at the microsomal level with both COX-1 and COX-2, and may be preferentially coupled with COX-2 rather than COX-1. Of interest, no changes in mRNA levels for PGD synthase were observed; thus, the increase of the PGD2 content must be due to COX-2 up-regulation. Unlike COX-2, PGEs was not detectable in the normal brain. Consistent with the mRNA data, COX-2 and PGEs proteins were not found in the spinal cord of KA animals; this could be due to insufficient assay sensitivity. Nevertheless, the absence of COX-2 in the spinal cord after kainate stimulation suggests that any increase in level is modest in this tissue.

In these studies, we found that celecoxib markedly reduced the increased PGE2 content in brain after kainate treatment, at doses below those needed for anti-inflammatory activity. This suggests that celecoxib can inhibit central COX-2 independent of any peripheral action. Reduction of PG levels to near baseline was observed 4 h after drug administration, indicating rapid clearance of centrally produced PGs and suggesting continual PG production in this model, similar to results obtained at a peripheral inflammatory site (Zhang et al., 1997).

In conclusion, this study indicates that a profound excitotoxic stimulus, kainate, elicits selective, high-level production of PGE2 and PGF2alpha in the brain that is accompanied by coordinate high level expression of COX-2 and PGE synthase, with little change in spinal cord enzyme expression. Despite markedly elevated tissue levels of PGs in this model, negligible increases in CSF PGs were observed. The high levels of COX-2 enzymatic activity and tissue PGs found in brains from kainate-treated rats provide a useful model for evaluating the pharmacologic activity of inhibitors of enzymes in the PG biosynthetic pathway.

    Footnotes

Accepted for publication March 8, 2002.

Received for publication October 22, 2001.

Address correspondence to: Peter C. Isakson, Pharmacia Corporation, 100 Route 206 North, Peapack, NJ 07977. E-mail: peter.c.isakson{at}pharmacia.com

    Abbreviations

COX, cyclooxygenase; PG, prostaglandin; PGE2, prostaglandin E2; PGEs, microsomal prostaglandin E synthase; KA, kainic acid (kainate); CNS, central nervous system; ELISA, enzyme-linked immunosorbent assay; CSF, cerebrospinal fluid; PGF2alpha , prostaglandin F2alpha ; TxB2, thromboxane B2; PGD, prostaglandin D; PGDs, lipocalin-type prostaglandin D synthase.

    References
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Abstract
Introduction
Materials and Methods
Results
Discussion
References


0022-3565/02/3023-0846-0852$07.00
THE JOURNAL OF PHARMACOLOGY AND EXPERIMENTAL THERAPEUTICS
Copyright © 2002 by The American Society for Pharmacology and Experimental Therapeutics



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Seizure-Induced Up-Regulation of P-Glycoprotein at the Blood-Brain Barrier through Glutamate and Cyclooxygenase-2 Signaling
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H. Moriuchi, N. Koda, E. Okuda-Ashitaka, H. Daiyasu, K. Ogasawara, H. Toh, S. Ito, D. F. Woodward, and K. Watanabe
Molecular Characterization of a Novel Type of Prostamide/Prostaglandin F Synthase, Belonging to the Thioredoxin-like Superfamily
J. Biol. Chem., January 11, 2008; 283(2): 792 - 801.
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J PsychopharmacolHome page
T. Ishida, T. Sato, M. Irifune, K.-i. Tanaka, N. Nakamura, and T. Nishikawa
Effect of acetaminophen, a cyclooxygenase inhibitor, on Morris water maze task performance in mice
J Psychopharmacol, September 1, 2007; 21(7): 757 - 767.
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J. Biol. Chem.Home page
K. Yoshikawa, Y. Kita, K. Kishimoto, and T. Shimizu
Profiling of Eicosanoid Production in the Rat Hippocampus during Kainic Acid-induced Seizure: DUAL PHASE REGULATION AND DIFFERENTIAL INVOLVEMENT OF COX-1 AND COX-2
J. Biol. Chem., May 26, 2006; 281(21): 14663 - 14669.
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J. Guay, K. Bateman, R. Gordon, J. Mancini, and D. Riendeau
Carrageenan-induced Paw Edema in Rat Elicits a Predominant Prostaglandin E2 (PGE2) Response in the Central Nervous System Associated with the Induction of Microsomal PGE2 Synthase-1
J. Biol. Chem., June 4, 2004; 279(23): 24866 - 24872.
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The Annals of PharmacotherapyHome page
D. H Papaioannides, P. G Korantzopoulos, and C. H Giotis
Aseptic meningitis possibly associated with celecoxib
Ann. Pharmacother., January 1, 2004; 38(1): 172 - 172.
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