Transcription-based COX-2 inhibition: a therapeutic strategy

Thromb Haemost. 2006 Oct;96(4):417-22.

Abstract

Potent selective cyclooxygenase-2 (COX-2) inhibitors are effective in controlling inflammatory disorders but are associated with cardiovascular complications. Their clinical use has been severely limited. We propose that transcription-based inhibition of COX-2 expression represents a therapeutic strategy that may circumvent the undesired complications of COX-2 inhibitors. Reported data from several laboratories including ours have identified C/EBPbeta as a key transactivator mediating COX-2 transcriptional activation induced by diverse pro-inflammatory mediators. Results from our recent work show that sodium salicylate at pharmacological concentrations inhibits C/EBPbeta binding to COX-2 promoter by direct inhibition of p90 ribosomal S6 kinase (RSK). RSK phosphorylates C/EBPbeta and stimulates its binding to enhancer elements. We propose that RSK1/2 is a potential target for screening drugs with novel anti-inflammatory and anti-neoplastic therapeutic potentials.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology
  • CCAAT-Enhancer-Binding Protein-beta / genetics
  • CCAAT-Enhancer-Binding Protein-beta / metabolism
  • Colonic Neoplasms / drug therapy
  • Colonic Neoplasms / genetics
  • Colonic Neoplasms / metabolism*
  • Cyclooxygenase 2 / genetics
  • Cyclooxygenase 2 / metabolism*
  • Gene Expression Regulation, Enzymologic / drug effects
  • Genetic Therapy / trends
  • Humans
  • Inflammation / drug therapy
  • Inflammation / genetics
  • Inflammation / metabolism*
  • Phosphorylation
  • Promoter Regions, Genetic / genetics
  • Protein Kinase Inhibitors / pharmacology*
  • Protein Kinase Inhibitors / therapeutic use
  • RNA Interference
  • RNA, Small Interfering / genetics
  • RNA, Small Interfering / metabolism
  • Ribosomal Protein S6 Kinases, 90-kDa / antagonists & inhibitors
  • Salicylates / pharmacology
  • Transcription, Genetic*
  • Transcriptional Activation

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • CCAAT-Enhancer-Binding Protein-beta
  • Protein Kinase Inhibitors
  • RNA, Small Interfering
  • Salicylates
  • Cyclooxygenase 2
  • Ribosomal Protein S6 Kinases, 90-kDa