Elevated levels of
prostaglandin E(2) (
PGE(2)) are often found in
colorectal cancers. Thus, nonsteroidal anti-inflammatory drugs, including selective
cyclooxygenase-2 (COX-2) inhibitors, are among the most promising chemopreventive agents for
colorectal cancer. However, their long-term use is restricted by the occurrence of adverse events believed to be associated with a global reduction in
prostaglandin production. In the present study, we evaluated the chemopreventive efficacy of targeting the terminal synthase microsomal
PGE(2) synthase 1 (mPGES-1), which is responsible for generating
PGE(2), in two murine models of
intestinal cancer. We report for the first time that genetic deletion of mPGES-1 in Apc-mutant mice results in marked and persistent suppression of
intestinal cancer growth by 66%, whereas suppression of large
adenomas (>3 mm) was almost 95%. This effect occurred despite loss of Apc heterozygosity and
beta-catenin activation. However, we found that mPGES-1 deficiency was associated with a disorganized vascular pattern within primary
adenomas as determined by CD31 immunostaining. We also examined the effect of mPGES-1 deletion on
carcinogen-induced
colon cancer. The absence of mPGES-1 reduced the size and number of preneoplastic
aberrant crypt foci (ACF). Importantly, mPGES-1 deletion also blocked the nuclear accumulation of
beta-catenin in ACF, confirming that
beta-catenin is a critical target of
PGE(2) procarcinogenic signaling in the colon. Our data show the feasibility of targeting mPGES-1 for
cancer chemoprevention with the potential for improved tolerability over traditional nonsteroidal anti-inflammatory drugs and selective
COX-2 inhibitors.