Cyclooxygenase-2 (COX-2) expression and peroxisome proliferator-activated receptor-␥ (PPAR␥) inactivation are linked to increased risk of human breast cancer. The purpose of our study was to examine the relationship between COX-2 (with the resulting prostaglandins E 2 , PGE 2 ) and PPAR␥ (and its natural endogenous ligand 15-Deoxy-⌬ 12,14 -prostaglandin J 2 , 15d-PGJ 2 ) at various stages during the development of human breast cancer and its progression to metastasis. Human breast tissue specimens were collected from normal breasts or from individuals with fibrocystic disease and served as controls (n ؍ 22). Tissues were also collected from uninvolved (n ؍ 25), tumor (n ؍ 25) and lymph node metastasis (n ؍ 15) regions from breast cancer patients. COX-2 and PPAR␥ mRNA expression were increased and downregulated, respectively, in tissues from cancer patients compared to controls. Metastatic tissues tended to have higher alterations compared to non-metastatic tissues (p < 0.05). These altered expressions in COX-2 and PPAR␥ were paralleled by increases in the tissue levels of PGE 2 and decreases in 15d-PGJ 2 . A significant inverse correlation was found between PGE 2 and 15-d-PGJ 2 (r ؍ ؊0.51, p < 0.05). Significant correlations (p < 0.05) were also obtained between COX-2 and PPAR␥ mRNA (inverse, r ؍ ؊0.72) and between COX-2 and PGE 2 (direct, r ؍ 0.68). Increases in COX-2 mRNA expression and levels of PGE 2 and down-regulation of PPAR␥ mRNA expression and 15d-PGJ 2 levels were characterized as predictors of breast cancer risk (p < 0.05). Our results suggest that the altered expression of COX-2 and PPAR␥ and the subsequent modulation in the tissue levels of PGE 2 and 15-d-PGJ 2 may influence the development of human breast cancer and its progression to metastasis. © 2002 Wiley-Liss, Inc.
Key words: breast cancer; cyclooxygenases; peroxisome proliferatoractivated receptors; chemopreventionThe high prevalence of breast cancer 1 and the limited options for treatment provide a strong rationale for identifying new, selective molecular targets that can be nutritionally or pharmacologically modulated and, thereby, offer a potential for chemoprevention. Among the regulatory molecules that have been characterized as holding great promise for breast cancer prevention are cyclooxygenase-2 (COX-2) and peroxisome proliferator-activated receptor-␥ (PPAR␥). 2 Cyclooxygenase is the rate-limiting enzyme in prostaglandin (PG) synthesis, of which 2 isoforms were identified: the constitutive COX-1 and the inducible COX-2. PGs produced by COX-1 mediate various physiological responses, whereas PGs produced by COX-2, predominantly PGE 2 , induce inflammation and are potent mediators of a number of signal transduction pathways that modulate cell adhesion and growth and are implicated in cancer development. 3 COX-1 and COX-2 are the primary targets of non-steroidal anti-inflammatory drugs (NSAIDs), which inhibit the activity of these enzymes as a major mode of their anti-tumorigenic action. 4 Recent findings, however, suggest ...