COX-2 Inhibitors and Gastric Cancer

The evidence that cyclooxygenase-2 (COX-2) is upregulated and plays an important role in carcinogenesis of gastric cancer has triggered the topic of COX-2 inhibitors as chemopreventive agents for gastric cancer. Studies find that COX-2 inhibitors are associated not only with chemoprophylactic effect...

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Main Authors: Zhen Wang, Jun-qiang Chen, Jin-lu Liu
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/132320
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author Zhen Wang
Jun-qiang Chen
Jin-lu Liu
author_facet Zhen Wang
Jun-qiang Chen
Jin-lu Liu
author_sort Zhen Wang
collection DOAJ
description The evidence that cyclooxygenase-2 (COX-2) is upregulated and plays an important role in carcinogenesis of gastric cancer has triggered the topic of COX-2 inhibitors as chemopreventive agents for gastric cancer. Studies find that COX-2 inhibitors are associated not only with chemoprophylactic effects, but also with chemotherapeutic potentials in gastric cancer. Both COX-dependent and COX-independent pathways have a role in the anticancer efficiency of COX-2 inhibitors. However, enthusiasm is thwarted by the potential toxicity, that is, gastrointestinal toxicity of nonselective COX-2 inhibitors and cardiovascular risk of selective COX-2 inhibitors. Therefore, more studies are needed to develop new targeted antitumor agents (such as prostaglandin E receptor antagonist) and to define fundamental questions such as optimal treatment regimens, integration of cotherapy, and careful selection of candidates.
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series Gastroenterology Research and Practice
spelling doaj-art-7804ee9297394601b9f3c906e878bd8a2025-02-03T06:13:50ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/132320132320COX-2 Inhibitors and Gastric CancerZhen Wang0Jun-qiang Chen1Jin-lu Liu2Department of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi Zhuang Autonomous Region 530021, ChinaDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi Zhuang Autonomous Region 530021, ChinaDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi Zhuang Autonomous Region 530021, ChinaThe evidence that cyclooxygenase-2 (COX-2) is upregulated and plays an important role in carcinogenesis of gastric cancer has triggered the topic of COX-2 inhibitors as chemopreventive agents for gastric cancer. Studies find that COX-2 inhibitors are associated not only with chemoprophylactic effects, but also with chemotherapeutic potentials in gastric cancer. Both COX-dependent and COX-independent pathways have a role in the anticancer efficiency of COX-2 inhibitors. However, enthusiasm is thwarted by the potential toxicity, that is, gastrointestinal toxicity of nonselective COX-2 inhibitors and cardiovascular risk of selective COX-2 inhibitors. Therefore, more studies are needed to develop new targeted antitumor agents (such as prostaglandin E receptor antagonist) and to define fundamental questions such as optimal treatment regimens, integration of cotherapy, and careful selection of candidates.http://dx.doi.org/10.1155/2014/132320
spellingShingle Zhen Wang
Jun-qiang Chen
Jin-lu Liu
COX-2 Inhibitors and Gastric Cancer
Gastroenterology Research and Practice
title COX-2 Inhibitors and Gastric Cancer
title_full COX-2 Inhibitors and Gastric Cancer
title_fullStr COX-2 Inhibitors and Gastric Cancer
title_full_unstemmed COX-2 Inhibitors and Gastric Cancer
title_short COX-2 Inhibitors and Gastric Cancer
title_sort cox 2 inhibitors and gastric cancer
url http://dx.doi.org/10.1155/2014/132320
work_keys_str_mv AT zhenwang cox2inhibitorsandgastriccancer
AT junqiangchen cox2inhibitorsandgastriccancer
AT jinluliu cox2inhibitorsandgastriccancer