2010
DOI: 10.1186/1471-2407-10-626
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COX-2 activation is associated with Akt phosphorylation and poor survival in ER-negative, HER2-positive breast cancer

Abstract: BackgroundInducible cyclooxgenase-2 (COX-2) is commonly overexpressed in breast tumors and is a target for cancer therapy. Here, we studied the association of COX-2 with breast cancer survival and how this association is influenced by tumor estrogen and HER2 receptor status and Akt pathway activation.MethodsTumor COX-2, HER2 and estrogen receptor α (ER) expression and phosphorylation of Akt, BAD, and caspase-9 were analyzed immunohistochemically in 248 cases of breast cancer. Spearman's correlation and multiva… Show more

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Cited by 65 publications
(95 citation statements)
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“…It is thought that in ER positive cancers, COX-2 induces aromatase production leading to estrogen availability to drive cancer growth through the ER [75]. In ER negative cancers, COX-2 may drive cancer growth via AKT pathway activation [76]. Thus despite the differences in signaling pathways responsible for COX-2 expression, this expression appears to be a constant feature in breast cancer of increasing stage, and as mentioned earlier, a predictor of poor survival.…”
Section: Cox-2 and The Ermentioning
confidence: 93%
See 1 more Smart Citation
“…It is thought that in ER positive cancers, COX-2 induces aromatase production leading to estrogen availability to drive cancer growth through the ER [75]. In ER negative cancers, COX-2 may drive cancer growth via AKT pathway activation [76]. Thus despite the differences in signaling pathways responsible for COX-2 expression, this expression appears to be a constant feature in breast cancer of increasing stage, and as mentioned earlier, a predictor of poor survival.…”
Section: Cox-2 and The Ermentioning
confidence: 93%
“…Additionally, HIF1-α can induce COX-2 directly [144] and thus may 'take over' from c-Myb. In the absence of the ER, COX-2 may continue to drive tumor growth via Akt pathway activation [76]. Given that COX-2 is implicated in an EMT featuring Snail1 and Zeb1, as outlined earlier, COX-2 and HIF1-α may work synergistically to amplify Snail1 and Zeb1 induction, resulting in robust EMT facilitating motility and invasion, and metastasis (Fig.…”
Section: Putative C-myb-cox2 Pathwaymentioning
confidence: 94%
“…Celecoxib or SC-560 treatment alone demonstrated a significantly prolonged mean survival time and MST in comparison with the control group in vivo. Recent clinical studies have provided convincing evidence of poor survival in patients who demonstrated high COX-2 expression in stage IIB cervical adenocarcinoma and breast cancer (16,17). Erkinheimo et al (18) suggested that elevated expression of COX-2 is associated with reduced survival in serous ovarian carcinomas.…”
Section: Discussionmentioning
confidence: 99%
“…Among the gene products involved in the induction of the inflammatory process, Cyclooxygenase 2 (COX-2) has been shown to have a close relationship with carcinogenesis (De Marzo et al 2007;Glynn et al 2010;Gupta et al 2007;Subbaramaiah and Dannenberg 2003;Wang and DuBois 2007;Yoshinaga et al 2011). The mechanisms that underlie the tumorigenic effects of COX-2 include the inhibition of apoptosis, an increased metastatic potential, and angiogenesis via VEGF upregulation.…”
Section: Introductionmentioning
confidence: 98%