Elevated
tumor cyclooxygenase-2 (COX-2) expression is associated with
tumor invasion,
metastasis, and poor prognosis in
non-small cell lung cancer (NSCLC). Here, we report that COX-2-dependent pathways contribute to the modulation of
E-cadherin expression in NSCLC. First, whereas genetically modified COX-2-sense (COX-2-S) NSCLC cells expressed low
E-cadherin and showed diminished capacity for cellular aggregation, genetic or pharmacologic inhibition of
tumor COX-2 led to increased
E-cadherin expression and resulted in augmented homotypic cellular aggregation among NSCLC cells in vitro. An inverse relationship between COX-2 and
E-cadherin was shown in situ by double immunohistochemical staining of human
lung adenocarcinoma tissue sections. Second, treatment of NSCLC cells with exogenous
prostaglandin E(2) (
PGE(2)) significantly decreased the expression of
E-cadherin, whereas treatment of COX-2-S cells with
celecoxib (1 mumol/L) led to increased
E-cadherin expression. Third, the transcriptional suppressors of
E-cadherin, ZEB1 and Snail, were up-regulated in COX-2-S cells or PGE(2)-treated NSCLC cells but decreased in COX-2-antisense cells.
PGE(2) exposure led to enhanced ZEB1 and Snail binding at the
chromatin level as determined by
chromatin immunoprecipitation assays.
Small interfering RNA-mediated knockdown of ZEB1 or Snail interrupted the capacity of
PGE(2) to down-regulate
E-cadherin. Fourth, an inverse relationship between
E-cadherin and ZEB1 and a direct relationship between COX-2 and ZEB1 were shown by immunohistochemical staining of human
lung adenocarcinoma tissue sections. These findings indicate that
PGE(2), in autocrine or paracrine fashion, modulates transcriptional repressors of
E-cadherin and thereby regulates COX-2-dependent
E-cadherin expression in NSCLC. Thus, blocking
PGE(2) production or activity may contribute to both prevention and treatment of NSCLC.