In this study, we examined the relative contribution of
cyclooxygenase-2 (COX-2) and
5-lipoxygenase (5-LO), two major proinflammatory pathways up-regulated in
liver disease, to the progression of hepatic
inflammation and
fibrosis. Separate administration of 4-[5-(4-chlorophenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]
benzenesulfonamide (SC-236), a selective
COX-2 inhibitor, and
CJ-13,610, a 5-LO inhibitor, to
carbon tetrachloride-treated mice significantly reduced
fibrosis as revealed by the analysis of Sirius Red-stained liver sections without affecting necroinflammation. Conversely, combined administration of
SC-236 and 4-[3-[4-(2-methylimidazol-1-yl)-phenylthio]]phenyl-3,4,5,6-tetrahydro-2H-
pyran-4-carboxamide (CJ-13,610) reduced both necroinflammation and
fibrosis. These findings were confirmed in 5-LO-deficient mice receiving
SC-236, which also showed reduced hepatic
monocyte chemoattractant protein 1 expression. Interestingly,
SC-236 and
CJ-13,610 significantly increased the number of nonparenchymal liver cells with apoptotic nuclei (
terminal deoxynucleotidyl transferase dUTP nick-end labeling-positive). Additional pharmacological profiling of
SC-236 and
CJ-13,610 was performed in macrophages, the primary hepatic inflammatory cell type. In these cells,
SC-236 inhibited
prostaglandin (PG) E2 formation in a concentration-dependent manner, whereas
CJ-13,610 blocked
leukotriene B4 biosynthesis. Of note, the simultaneous addition of
SC-236 and
CJ-13,610 resulted in a higher inhibitory profile on
PGE2 biosynthesis than the dual COX/5-LO inhibitor
licofelone. These drugs differentially regulated
interleukin-6 mRNA expression in macrophages. Taken together, these findings indicate that both COX-2 and 5-LO pathways are contributing factors to hepatic
inflammation and
fibrosis and that these two pathways of the
arachidonic acid cascade represent potential targets for
therapy.