We provide evidence that
cyclooxygenase (COX)-2-derived
prostaglandins contribute to
tumor growth by inducing newly formed blood vessels (neoangiogenesis) that sustain
tumor cell viability and growth. COX-2 is expressed within human
tumor neovasculature as well as in neoplastic cells present in human colon, breast, prostate, and
lung cancer biopsy tissue. COX-1 is broadly distributed in normal, as well as in neoplastic, tissues. The contribution of COX-2 to human
tumor growth was indicated by the ability of
celecoxib, an agent that inhibits the COX-2
enzyme, to suppress growth of lung and colon
tumors implanted into recipient mice. Mechanistically,
celecoxib demonstrated a potent antiangiogenic activity. In a rat model of angiogenesis, we observe that corneal blood vessel formation is suppressed by
celecoxib, but not by a COX-1 inhibitor. These and other data indicate that COX-2 and COX-2-derived
prostaglandins may play a major role in development of
cancer through numerous biochemical mechanisms, including stimulation of
tumor cell growth and neovascularization. The ability of
celecoxib to block angiogenesis and suppress
tumor growth suggests a novel application of this anti-inflammatory drug in the treatment of human
cancer.