HUGO ID Detailed Result 9605


HUGO ID 9605
Symbol PTGS2
Name prostaglandin-endoperoxide synthase 2 (prostaglandin G/H synthase and cyclooxygenase)
#Occurrence 1448
#Paper 26

 


PMID Match String Actual String Score Flanking text Edited by Edit
11220737COX-2Cox-21.8of the disease the expression of cyclooxygenase type 2 (Cox-2), Cox-2 a key enzyme in the synthesis of prostanoids which are 
11220737COX-2Cox-21.8in the anterior horn of the spinal cord exhibit robust Cox-2 immunoreactivity 
11220737COX-2Cox-21.8Cox-2 mRNA and protein levels and catalytic activity are also significantly 
11220737COX-2Cox-21.8The time course of the spinal cord Cox-2 upregulation parallels that of motor neuronal loss in transgenic mSOD1 
11220737COX-2Cox-21.8We also show that Cox-2 activity is dramatically increased in postmortem spinal cord samples from 
11220737COX-2Cox-21.8We speculate that Cox-2 upregulation through its pivotal role in inflammation is instrumental in 
11220737COX-2Cox-21.8inflammation is instrumental in the ALS neurodegenerative process and that Cox-2 inhibition may be a valuable therapeutic avenue for the treatment 
12362410COX-2COX-21.0and a sharp upregulation of the enzyme cyclooxygenase 2 (COX-2) COX-2 
12362410COX-2COX-21.0COX-2 is a particularly attractive target because of its marked increase 
14511332COXCOX2.2are produced by two different isoforms of the cyclooxygenase (COX) COX enzyme namely COX-1 and COX-2Junguk Hur
14511332COX-2COX-213.4two different isoforms of the cyclooxygenase (COX) COX enzyme namely COX-1 and COX-2 
14511332COX-2COX-213.4isoforms of the cyclooxygenase (COX) COX enzyme namely COX-1 and COX-2 
14511332COX-2COX-213.4In particular COX-2 was demonstrated to be crucial for PG-synthesis in inflammation 
14511332COX-2COX-213.4Recently inhibition of COX-2 was shown to prevent the loss of motor neurons in 
14511332COX-2COX-213.4Furthermore spinal COX-2 expression was shown to be increased in transgenic mice that 
14511332COX-2COX-213.4Therefore we investigated the expression of COX-1 and COX-2 in the spinal cord of seven human sporadic 
14511332COX-2COX-213.4Therefore we investigated the expression of COX-1 and COX-2 in the spinal cord of seven human sporadic ALS patients 
14511332COX-2COX-213.4COX-2 expression was dramatically increased in the spinal cord of patients 
14511332COX-2COX-213.4Statistical analysis showed a significantly higher expression of COX-2 in ALS for both neurons and glia 
14511332COXCOX2.2prostaglandin E2 (PG PG E 2 as a marker for COX activity in the cerebrospinal fluid of nine patients diagnosed forJunguk Hur
14511332COX-2COX-213.4The results of our study corroborate a potential role for COX-2 in the pathogenesis of motor neuron death in ALS 
14511332COX-2COX-213.4Selective COX-2 inhibition might therefore offer a new possibility in the treatment 
14511332COX-2COX-213.4However to determine the exact role of COX-2 in human ALS will require further research 
14511332COX-2COX-213.4Very recently the proinflammatory enzyme cyclooxygenase-2 (COX-2) COX-2 was reported to be highly expressed in the spinal cord 
14511332COXCOX2.2Currently two COX isoforms are known namely COX-1 and COX-2 ( Vane etJunguk Hur
14511332COX-2COX-213.4Currently two COX isoforms are known namely COX-1 and COX-2 ( Vane et al . 1998 
14511332COX-2COX-213.4Currently two COX isoforms are known namely COX-1 and COX-2 ( Vane et al . 1998 
14511332COX-2COX-213.4Whereas COX-1 mainly subserves _amp_#8216 house-keeping_amp_#8217 functions COX-2 is the product of an _amp_#8216 immediate-early gene_amp_#8217 that is 
14511332COX-2COX-213.4Under normal conditions COX-2 expression is highly restricted to distinct organ systems including the 
14511332COX-2COX-213.4and the eye ( Maihofner et al . 2001 but COX-2 expression can be dramatically increased in various tissues following the 
14511332COXCOX2.2Recently one of us demonstrated the constitutive expression of both COX isoforms in the spinal cord of rodents and a dramaticJunguk Hur
14511332COX-2COX-213.4spinal cord of rodents and a dramatic induction of spinal COX-2 protein following peripheral nociceptive stimulation ( Maihofner et al . 
14511332COX-2COX-213.4Very recently inhibition of COX-2 was protective in a glutamate-mediated in vitro model of sALS 
14511332COX-2COX-213.4et al . (2001 2001 described the immunohistochemical distribution of COX-2 in the spinal cord of mSOD1 mice over the progression 
14511332COX-2COX-213.4post mortem samples of ALS cases as a marker for COX-2 activity 
14511332COXCOX2.2However the cellular localization and expression of both COX isoforms in human sALS remains unclearJunguk Hur
14511332COX-2COX-213.4Therefore we compared the spinal expression of COX-1 and COX-2 in sALS and control patients by means of 
14511332COX-2COX-213.4Therefore we compared the spinal expression of COX-1 and COX-2 in sALS and control patients by means of immunohistochemistry 
14511332COX-2COX-213.4We here demonstrate a high expression of COX-2 protein in spinal cord specimens of human sALS cases 
14511332COX-2COX-213.4The increased expression of COX-2 was corroborated by a significantly higher concentration of PG E 
14511332COX-2COX-213.4Briefly goat polyclonal antisera raised against human COX-1 and COX-2 protein (Santa Santa Cruz Biotechnology Santa Cruz CA 
14511332COX-2COX-213.4Briefly goat polyclonal antisera raised against human COX-1 and COX-2 protein (Santa Santa Cruz Biotechnology Santa Cruz CA were employed 
14511332COX-2COX-213.4To further differentiate the cellular distributions of COX-1 and COX-2 proteins a double staining procedure using a mouse 
14511332COX-2COX-213.4To further differentiate the cellular distributions of COX-1 and COX-2 proteins a double staining procedure using a mouse monoclonal antihuman 
14511332COX-2COX-213.4Specimens were coded and assessed observer-blinded for presence of COX-1 and COX-2 immunoreactivity (IR) IR 
14511332COX-2COX-213.4were coded and assessed observer-blinded for presence of COX-1 and COX-2 immunoreactivity (IR) IR 
14511332COX-2COX-213.4Membranes were probed with polyclonal goat antihuman COX-1 or COX-2 serum (diluted diluted 1 1000 followed by a horseradish peroxidase 
14511332COX-2COX-213.4immunohistochemistry we performed Western blotting experiments for the detection of COX-1 and COX-2 protein with spinal protein extracts from human donors 
14511332COX-2COX-213.4performed Western blotting experiments for the detection of COX-1 and COX-2 protein with spinal protein extracts from human donors with no 
14511332COX-2COX-213.4the results of a similar experiment for the detection of COX-2 protein 
14511332COX-2COX-213.4lane from human spinal cords were separated alongside purified sheep COX-2 protein (right right lane by SDS-PAGE blotted onto nitrocellulose membranes 
14511332COX-2COX-213.4SDS-PAGE blotted onto nitrocellulose membranes and incubated with the same COX-2 antibody as that used for immunohistochemistry 
14511332COX-2COX-213.4Unpurified COX-2 proteins derived from either cell lysates or tissues typically produce 
14511332COX-2COX-213.4single band at 75 kDa was detected for the purified COX-2 protein 
14511332COXCOX2.2To exclude potential crossreactions between the antibodies for the two COX isoforms we determined the specifity with purified COX-1 and COX-2Junguk Hur
14511332COX-2COX-213.4the two COX isoforms we determined the specifity with purified COX-1 and COX-2 protein by Western blotting 
14511332COX-2COX-213.4COX isoforms we determined the specifity with purified COX-1 and COX-2 protein by Western blotting 
14511332COX-2COX-213.4antihuman polyclonal COX-1 antibody exclusively detected COX-1 protein and not COX-2 protein 
14511332COX-2COX-213.4from a similar experiment in which the goat antihuman polyclonal COX-2 antibody detected only COX-2 protein and not COX-1 protein 
14511332COX-2COX-213.4in which the goat antihuman polyclonal COX-2 antibody detected only COX-2 protein and not COX-1 protein 
14511332COXCOX-immunoreactivity0.0COX-immunoreactivityJunguk Hur
14511332COX-2COX-213.4only a few motor neurons and interneurons were immunoreactive for COX-2 protein ( Fig 2B 
14511332COXCOX-2-positive0.0number of neurons with COX-2-IR was counted the percentage of COX-2-positive motor neurons and interneurons was found to be significantly increasedJunguk Hur
14511332COX-2COX-213.4Furthermore expression of COX-2 was found to be enhanced in sALS cases compared to 
14511332COX-2COX-213.4As demonstrated by the coexpression with GFAP glial COX-2 expression was predominantly found in astrocytes ( Fig 2H 
14511332COX-2COX-213.4Overall the glial expression of COX-2 was significantly increased in sALS cases (0.71 0.71 _amp_plusmn 0.5 
14511332COX-2COX-213.4reduction of neurons in the spinal cord the percentage of COX-2 expressing motor neurons and interneurons was increased in sALS 
14511332COX-2COX-213.4Secondly glial expression of COX-2 was enhanced in sALS 
14511332COX-2COX-213.4COX-2 overexpression in sALS 
14511332COX-2COX-213.4Expression of COX-2 in human diseases is a topic of considerable interest with 
14511332COX-2COX-213.4of considerable interest with regard to the recent development of COX-2 selective inhibitors ( Hawkey 1999 
14511332COX-2COX-213.4( Drachman _amp_ Rothstein 2000 demonstrated a beneficial effect of COX-2 inhibition in an in vitro model while Almer et al 
14511332COX-2COX-213.4(2001 2001 demonstrated a role for COX-2 in mutant SOD1 mice and Yasojima et al 
14511332COX-2COX-213.4(2001 2001 showed up-regulation of COX-2 mRNA in spinal cord specimens of sALS cases 
14511332COX-2COX-213.4Recently two animal studies demonstrated a beneficial effect of selective COX-2 inhibition in mouse models of ALS ( Drachman et al 
14511332COX-2COX-213.4However the cellular origin of COX-2 up-regulation in human sALS has so far not been delineated 
14511332COX-2COX-213.4we provide immunohistochemical evidence for a dramatic increase in spinal COX-2 expression in motor neurons interneurons and glial cells in sALS 
14511332COX-2COX-213.4COX-2 was also observed in motor neurons of control specimens the 
14511332COX-2COX-213.4This agrees with reports on the constitutive expression of COX-2 in the spinal cord of rodents and the localization of 
14511332COX-2COX-213.4in the spinal cord of rodents and the localization of COX-2 protein determined electron microscopically ( Maihofner et al . 2000b 
14511332COX-2COX-213.4In normal conditions COX-2 derived PGs are assumed to play homeostatic functions ( Beiche 
14511332COX-2COX-213.4Nevertheless the reason for the dramatic COX-2 overexpression in sALS is unknown 
14511332COX-2COX-213.4In pain models COX-2 protein was induced following glutamatergic stimulation ( Maihofner et al 
14511332COX-2COX-213.4NF-kappa B NF-kappa B in particular is crucial for COX-2 induction in several cell types ( Vane et al . 
14511332COX-2COX-213.4Cytokines could also contribute to high expression of COX-2 in sALS particularly IL-1beta and IL-6 
14511332COX-2COX-213.4Both are known inducers of COX-2 expression and their concentrations are elevated in the CSF of 
14511332COX-2COX-213.4Consistently we demonstrated a significantly higher expression of COX-2 in glial cells 
14511332COX-2COX-213.4in transgenic mSOD1 mice ( Almer et al . 2001 COX-2 was found to be predominantly expressed in astrocytes and not 
14511332COX-2COX-213.4might be explained by the capability of IL-1beta to induce COX-2 in astrocytes but not in microglia cells ( Vane et 
14511332COX-2COX-213.4COX-2 expression in the astroglia of rodents has been shown previously 
14511332COX-2COX-213.4reduction in the number of interneurons in our sALS cases COX-2 expression was also found to be increased in this cell 
14511332COXCOX2.2match those of a previous study investigating the expression of COX proteins in mSOD1 miceJunguk Hur
14511332COX-2COX-213.4(2001 2001 also found that COX-2 was present in motor neurons and predominantly in astroglia although 
14511332COX-2COX-213.4that misclassification of neurons led to the high expression of COX-2 protein in sALS presented here 
14511332COX-2COX-213.4. 2003 and were shown to be specific for the COX-1 and COX-2 protein respectively 
14511332COX-2COX-213.4and were shown to be specific for the COX-1 and COX-2 protein respectively 
14511332COXCOX2.2of the antibodies and their capability to detect the respective COX isoforms in human spinal cord extracts by Western blottingJunguk Hur
14511332COX-2COX-213.4have intentionally focused on the in situ expression of both COX-1 and COX-2 proteins in human ALS spinal cords 
14511332COX-2COX-213.4focused on the in situ expression of both COX-1 and COX-2 proteins in human ALS spinal cords 
14511332COXCOX2.2Therefore this study provides necessary data regarding the expression of COX isoforms in human ALSJunguk Hur
14511332COXCOX-activity0.0Therefore measurement of PG-E 2 as a marker for COX-activity may serve as an additional independent methodJunguk Hur
14511332COX-2COX-213.4with the results of two recent animal studies where selective COX-2 inhibition was found to be protective against motor neuron death 
14511332COX-2COX-213.4A role for COX-2 in the pathogenesis of sALS 
14511332COX-2COX-213.4What is the significance of COX-2 overexpression in ALS 
14511332COX-2COX-213.4There are several lines of evidence that COX-2 might play a role in the pathogenesis of ALS 
14511332COX-2COX-213.4Firstly application of a selective COX-2 inhibitor in an in vitro organotypic model of ALS protected 
14511332COX-2COX-213.4in two in vivo studies where application of a selective COX-2 inhibitor protected against motor neuron degeneration and prolonged survival in 
14511332COX-2COX-213.4Thirdly based on the action of PGs COX-2 could promote inflammatory processes in ALS 
14511332COX-2COX-213.4Therefore COX-2 derived PGs could play a role in glutamate excitotoxicity which 
14511332COX-2COX-213.4potentiation of kainic acid induced excitotoxicity in transgenic mice overexpressing COX-2 protein 
14511332COX-2COX-213.4Fourthly COX-2 may also be involved in the production of reactive oxygen 
14511332COXCOX2.2COX enzymes are bifunctional proteinsJunguk Hur
14511332COXCOX2.2The peroxidase activity of COX is nonspecific and can reduce several different hydroperoxides while co-oxidizingJunguk Hur
14511332COX-2COX-213.4Finally COX-2 appears to be involved in neuronal cell cycle regulation 
14511332COX-2COX-213.4kinase (INK) INK p18INK4 is a downstream target of neuronal COX-2 expression p18INK4 inhibits CDK 4 6 which is in turn 
14511332COX-2COX-213.4Therefore COX-2 inhibition might attenuate apoptotic damage in neurodegenerative diseases 
14511332COX-2COX-213.4However the specifity of COX-2 expression for ALS has to be questioned 
14511332COX-2COX-213.4Increased COX-2 levels were also shown for Alzheimer's disease Parkinson's disease epilepsy 
14511332COX-2COX-213.4Therefore we would explicitly like to state that COX-2 expression seems to be a common endpoint in neurodegeneration rather 
14511332COX-2COX-213.4Furthermore there is the possibility that COX-2 expression might be protective and antiapoptotic 
14511332COX-2COX-213.4of us was able to show that the expression of COX-2 in CRC parallels the expression of IL-1 beta and IL-6 
14511332COX-2COX-213.4In this context COX-2 is thought to be actively involved in carcinogenesis and antiapoptosis 
14511332COX-2COX-213.4by the immunohistochemical results presented here the exact role of COX-2 in the pathogenesis of human ALS still remains to be 
14511332COX-2COX-213.4North-east ALS consortium to test a potential benefit of selective COX-2 inhibition in human ALS 
14511332COX-2COX-213.4In contrast to the COX-2 protein COX-1 expression was predominantly found in microglia cells and 
14511332COX-2COX-213.4Alzheimer disease ( Pasinetti _amp_ Aisen 1998 where COX-2 was found to be the pivotal isoform involved in the 
14511332COXCOX2.2for the first time the in situ expression of both COX proteins in the spinal cords of human sALS specimensJunguk Hur
14511332COX-2COX-213.4Expression of COX-2 protein was markedly increased in the motoneurons interneurons and glial 
14511332COX-2COX-213.4Based on the beneficial effects of selective COX-2 inhibition in models of ALS the results of this and 
14511332COX-2COX-213.4rationale for clinical investigations on potential positive effects of selective COX-2 inhibitors in human sALS 
14511332COXCOX2.2ALS amyotrophic lateral sclerosis COX cyclooxygenase CSF cerebrospinal fluid GFAP glial fibrillary acidic protein IRJunguk Hur
14720207COX-2COX-21.3We investigated the therapeutic effects of cyclooxygenase 2 (COX-2) COX-2 inhibitors both alone and in combination with creatine in the 
14720207COX-2COX-21.3The administration of COX-2 inhibitors significantly reduced prostaglandin E2 levels at 110 days of 
14720207COX-2COX-21.3The combination of creatine with COX-2 inhibitors produced additive neuroprotective effects and extended survival by approximately 
14720207COX-2COX-21.3The COX-2 inhibitors significantly protected against depletion of anterior horn motor neurons 
14720207COX-2COX-21.3against depletion of anterior horn motor neurons and creatine with COX-2 inhibitors showed greater protection than COX-2 inhibitors alone 
14720207COX-2COX-21.3neurons and creatine with COX-2 inhibitors showed greater protection than COX-2 inhibitors alone 
15081582COXCOX0.3Inflammatory pathways involving the cyclooxygenase (COX) COX enzymes and subsequent generation of prostaglandins are potential target sitesJunguk Hur
15081582COXCOX0.3In the CNS COX enzymes are localized to neurons astrocytes and microglia and canJunguk Hur
15081582COXCOX0.3to be a dual role for the prostaglandin products of COX enzymes in the nervous systemJunguk Hur
15081582COXCOX0.3In this review the pathways of COX activity and prostaglandin production form the center of the debateJunguk Hur
15081582COXCOX0.3many aspects to neuroinflammation the pathways involving the cyclooxygenase (COX) COX enzyme and subsequent generation of prostaglandins clearly play a roleJunguk Hur
15081582COXCOX0.3In this review the COX and prostaglandin pathways are used to frame the debate regardingJunguk Hur
15081582COXCOX0.3The significance of the COX pathway having both positive and negative outcomes in neurodegenerative diseaseJunguk Hur
15081582COXCOX0.3COX prostaglandins and neuroinflammationJunguk Hur
15081582COXCOX0.3Cyclooxygenase (COX) COX is the rate-limiting step in the production of prostaglandinsJunguk Hur
15081582COXCOX0.3Arachidonic acid is the principal substrate for COX ( O'Banion 1999Junguk Hur
15081582COXCOX0.3There are two distinct COX isoenzymes known as COX-1 and COX-2 that are 65% homologousJunguk Hur
15081582COX-2COX-23.8There are two distinct COX isoenzymes known as COX-1 and COX-2 that are 65% homologous 
15081582COX-2COX-23.8There are two distinct COX isoenzymes known as COX-1 and COX-2 that are 65% homologous 
15081582COX-2COX-23.8Conversely COX-2 was initially characterized as an inducible enzyme that is expressed 
15081582COX-2COX-23.8COX-2 is now known to be constitutively expressed in the kidney 
15081582COX-2COX-23.8Many cellular factors induce COX-2 expression including multiple growth factors cytokines interleukin (IL)-1_amp_#x3b2; IL -1_amp_#x3b2 
15081582COX-2COX-23.8One transcription factor that influences COX-2 expression following exposure to these cellular factors is NF-_amp_#x3ba B 
15081582COX-2COX-23.8COX-2 has an NF-_amp_#x3ba B binding site in its promoter region 
15081582COX-2COX-23.8Specific inhibition of COX-2 upregulation can be achieved by factors that inhibit NF-_amp_#x3ba B 
15081582COXCOX0.3The COX enzymes (COX-1 COX-1 and COX-2 are more completely termed prostaglandinJunguk Hur
15081582COX-2COX-23.8The COX enzymes (COX-1 COX-1 and COX-2 are more completely termed prostaglandin G/H G H 
15081582COX-2COX-23.8The COX enzymes (COX-1 COX-1 and COX-2 are more completely termed prostaglandin G/H G H synthases (1 
15081582COXCOX0.3Next the peroxidase action of the COX enzyme rapidly converts PGG 2 to prostaglandin H (PGH PGHJunguk Hur
15081582COX-2COX-23.8The second peroxidase step of the COX-2 reaction produces the free radical superoxide which may cause damage 
15081582COX-2COX-23.8Although it is unlikely that upregulation of COX-2 activity alone produces enough free radicals to account for the 
15081582COXCOX0.3Both COX isoforms are detectable in various cell types in the CNSJunguk Hur
15081582COXCOX0.3Identification of the patterns of COX enzyme expression will permit us to form a hypothesis regardingJunguk Hur
15081582COX-2COX-23.8permit us to form a hypothesis regarding the roles of COX-1 and -2 under normal conditions and during disease 
15081582COXCOX0.3Analysis of the expression of COX isoforms in ALS models is expected to not only determineJunguk Hur
15081582COXCOX0.3we will better understand the pathogenic and protective implications of COX activity in ALSJunguk Hur
15081582COXCOX0.3COX and neuronsJunguk Hur
15081582COX-2COX-23.8Immunoreactivity for COX-2 is present in the dendritic spines of cortical neurons and 
15081582COX-2COX-23.8display a distinct alteration in the laminar pattern of cortical COX-2 immunoreactivity ( Kaufmann et al. 1996 
15081582COX-2COX-23.8COX-2 immunoreactivity also is observed in the soma and throughout the 
15081582COX-2COX-23.8Constitutive COX-2 is in the spinal dorsal and ventral horns as well 
15081582COXCOX0.3Indeed the antihyperalgesic activity of COX inhibitors is associated with regulation of constitutive COX-2 in theJunguk Hur
15081582COX-2COX-23.8activity of COX inhibitors is associated with regulation of constitutive COX-2 in the spinal cord ( Svensson and Yaksh 2002 
15081582COX-2COX-23.8Although a role for COX-2 in healthy cells is not clear under pathological conditions the 
15081582COX-2COX-23.8cells is not clear under pathological conditions the induction of COX-2 in neurons has been well demonstrated 
15081582COX-2COX-23.8COX-2 was originally localized in neurons using in situ hybridization 
15081582COX-2COX-23.8Following a single maximal electroconvulsive seizure COX-2 is rapidly induced in hippocampal and cortical neurons peaking between 
15081582COX-2COX-23.8the N -methyl--aspartic acid (NMDA) NMDA receptor completely inhibits the COX-2 induction implying that NMDA receptor activation is involved in the 
15081582COX-2COX-23.8that NMDA receptor activation is involved in the upregulation of COX-2 in these neurons 
15081582COX-2COX-23.8In addition administration of the glucocorticoid dexamethasone markedly decreases COX-2 induction but only in the neocortex ( Yamagata et al. 
15081582COX-2COX-23.8This study suggests that COX-2 upregulation in neurons is dependent upon glutamatergic activity at the 
15081582COX-2COX-23.8basalis can induce seizures in a rat and subsequently upregulate COX-2 
15081582COX-2COX-23.8(1997) 1997 showed that COX-2 induction overlaps with the development of neuronal apoptosis 8 h 
15081582COX-2COX-23.8that precede neuronal death and correlates with the induction of COX-2 mRNA 
15081582COX-2COX-23.8prostaglandin production and subsequent cell death is attenuated by a COX-2 inhibitor but not with a COX-1 selective inhibitor ( Hewett 
15081582COX-2COX-23.8In addition genetic studies show that transgenic mice overexpressing COX-2 specifically in neurons are more susceptible to excitotoxicity ( Kelley 
15081582COX-2COX-23.8In contrast COX-2 knockout mice experience reduced neuronal death compared to wild-type mice 
15081582COX-2COX-23.8COX-2 is induced in models of cerebral ischemia 
15081582COX-2COX-23.8but especially the penumbra region show a significant increase in COX-2 mRNA in the ischemic area ipsilateral to the occlusion 4 
15081582COX-2COX-23.8There is a direct correlation between the extent of COX-2 mRNA induction at 4 h and the severity of subsequent 
15081582COX-2COX-23.8the glutamate antagonist agent MK-801 significantly prevents the induction of COX-2 in the penumbra region ( Collaco-Moraes et al. 1996 
15081582COX-2COX-23.8studies provide evidence of a linkage between glutamate activity subsequent COX-2 induction and finally apoptotic death in neurons 
15081582COX-2COX-23.8Although increased extracellular glutamate regardless of its source can induce COX-2 in neurons the full consequences of this induction in neurons 
15081582COX-2COX-23.8COX-2 activity correlates with apoptosis in certain models however from studies 
15081582COX-2COX-23.8conducted thus far it is not clear which products of COX-2 induction are contributing to neuronal death which are helping neurons 
15081582COXCOX0.3COX and astrocytesJunguk Hur
15081582COX-2COX-23.8In the nervous system COX-2 induction following cell activation or injury is not restricted to 
15081582COX-2COX-23.8injury is not restricted to neurons since astrocytes also upregulate COX-2 
15081582COX-2COX-23.8IL-1_amp_#x3b2 causes a rapid induction of COX-2 peaking at 2 h and returning to baseline by 24 
15081582COX-2COX-23.8Dexamethasone can attenuate IL-1_amp_#x3b2 -mediated PGE 2 secretion and COX-2 expression ( O'Banion et al. 1996 
15081582COX-2COX-23.8Astrocytic COX-2 is also induced by LPS TNF basic fibroblast growth factor 
15081582COX-2COX-23.8Although there is strong evidence for the induction of COX-2 in astrocytes in vitro there are few studies that confirm 
15081582COX-2COX-23.8COX-2 immunoreactive astrocytes have been observed in the hippocampus at 1_amp_#x2013 
15081582COX-2COX-23.8the cortex in Alzheimer's disease in situ hybridization with a COX-2 riboprobe revealed signal in a small proportion of GFAP-positive astrocytes 
15081582COX-2COX-23.8In addition COX-2 colocalizes with GFAP in infarcted human brains ( Sairanen et 
15081582COX-2COX-23.8Most in vitro studies are short-term and demonstrate COX-2 induction in the order of hours after the insult 
15081582COX-2COX-23.8vitro models may skew attempts to ascertain the significance of COX-2 activity in neurodegenerative disease 
15081582COX-2COX-23.8In the context of neurodegenerative diseases the chronic induction of COX-2 will be more pathophysiologically relevant 
15081582COXCOX0.3COX and microgliaJunguk Hur
15081582COXCOX0.3The significance of the different isoform of COX expression in this cell type is not clearJunguk Hur
15081582COX-2COX-23.8mechanisms than macrophages fibroblasts and synovial cells that can induce COX-2 via the cytokines TNF IL-1_amp_#x3b2 and IL-6 
15081582COX-2COX-23.8None of these agents induce COX-2 or NF-_amp_#x3ba B expression in na_amp_#xef ve microglial cells 
15081582COX-2COX-23.8In cultured rat brain microglia LPS induces COX-2 expression that is prevented in the presence of inhibitors of 
15081582COX-2COX-23.8Thus NF-_amp_#x3ba B is involved in LPS-stimulated microglial COX-2 expression ( Bauer et al. 1997 
15081582COX-2COX-23.8injury paradigms there are little data indicating the expression of COX-2 in microglia in vivo 
15081582COX-2COX-23.8(1998) 1998 showed COX-2 immunostaining of cells with a microglial-like morphology in infarcted human 
15081582COXCOX0.3After examining the locations and activity of the COX enzymes throughout the CNS a discussion of the potential actionsJunguk Hur
15081582COX-2COX-23.8In a carrageenin-induced pleurisy model in rats COX-2 induction peaks at 2 h with maximal PGE 2 production 
15081582COX-2COX-23.8At a later time COX-2 increases again but this time with increased levels of PGD 
15081582COX-2COX-23.8different inflammatory responses are modulated by the addition of a COX-2 inhibitor that causes inhibition of the early inflammatory response but 
15081582COX-2COX-23.8to be a dual role for the products of the COX-2 enzyme in the nervous system 
15081582COX-2COX-23.8In these models inhibition of COX-2 can delay disease onset and progression 
15081582COX-2COX-23.8Thus prostaglandin products of COX-2 appear to play a critical role in the development of 
15081582COX-2COX-23.8Addition of COX-2 inhibitors prevents both PGE 2 production and kainic acid-induced neuronal 
15081582COX-2COX-23.8-induced glutamate may lead to further excitatory cell activation and COX-2 induction 
15081582COX-2COX-23.8This mechanism is highlighted in a model of COX-2 overexpression that displays acceleration of glutamate-mediated neuronal apoptosis ( Mirjany 
15081582COXCOX0.3of prostaglandins also are different depending upon the presence of COX inhibitorsJunguk Hur
15081582COX-2COX-23.8Independently these cells are protected from death by the COX-2 inhibitor APHS 
15081582COX-2COX-23.8on cell survival in the presence or absence of a COX-2 inhibitor may be because COX-2 activity results in the generation 
15081582COX-2COX-23.8presence or absence of a COX-2 inhibitor may be because COX-2 activity results in the generation of multiple prostaglandins with potentially 
15081582COX-2COX-23.8When COX-2 is inhibited both the pro- and anti-apoptotic products are lost 
15081582COX-2COX-23.8However when COX-2 is not inhibited multiple prostaglandins are present that can act 
15081582COX-2COX-23.82 all can suppress NF-_amp_#x3ba B activation and thus suppress COX-2 induction as well as other inflammatory mediators including inducible nitric 
15081582COX-2COX-23.8in which the significance of the differential expression of the COX-1 and COX-2 isoforms may arise 
15081582COX-2COX-23.8the significance of the differential expression of the COX-1 and COX-2 isoforms may arise 
15081582COX-2COX-23.8microglial origin can regulate the activity of NF-_amp_#x3ba B and COX-2 in adjacent neurons without the same feedback regulation affecting the 
15081582COXCOX0.3COX prostaglandins and ALSJunguk Hur
15081582COX-2COX-23.8COX-2 activity appears to play an important role in ALS 
15081582COX-2COX-23.8In many different models COX-2 upregulation occurs concurrently with ALS disease events 
15081582COX-2COX-23.8COX-2 and PGE 2 are significantly elevated upwards of sevenfold in 
15081582COX-2COX-23.8human SOD1-expressing (mSOD1) mSOD1 mice there is increased expression of COX-2 but not COX-1 mRNA 
15081582COX-2COX-23.8COX-2 mRNA and protein levels COX catalytic activity and PGE 2 
15081582COXCOX0.3COX-2 mRNA and protein levels COX catalytic activity and PGE 2 levels are all increased inJunguk Hur
15081582COX-2COX-23.8COX-2 levels in mSOD1 mice are increased in both early symptomatic 
15081582COX-2COX-23.8Selective inhibition of COX-2 with SC236 protects motor neurons in an organotypic cell culture 
15081582COXCOX0.3In addition several drugs that inhibit COX isoforms directly prevent the death of motor neurons in enrichedJunguk Hur
15081582COXCOX0.3This suggests that the motor neurons activate COX during an injury and the mechanisms of protection by COXJunguk Hur
15081582COXCOX0.3COX during an injury and the mechanisms of protection by COX inhibitors in mixed culture or in vivo is not mediatedJunguk Hur
15081582COXCOX0.3In the transgenic mSOD1 mouse the nonselective COX inhibitor acetylsalicylate delays the appearance of motor deficits ( BarneoudJunguk Hur
15081582COX-2COX-23.8This delayed onset is recapitulated when the selective COX-2 inhibitor nimesulide is administered prophylactically in these mice ( Pompl 
15081582COX-2COX-23.8Treatment with Celecoxib a different selective COX-2 inhibitor also prolongs survival in the mSOD1 mouse model of 
15081582COX-2COX-23.8It seems that neuroinflammation proceeds albeit more slowly in COX-2 inhibitor-treated animals possibly through the slower microglial COX-1 upregulation and 
15081582COX-2COX-23.8Experiments that demonstrate protective abilities of COX-2 inhibition imply that COX-2 activation contributes to neuronal vulnerability and 
15081582COX-2COX-23.8Experiments that demonstrate protective abilities of COX-2 inhibition imply that COX-2 activation contributes to neuronal vulnerability and apoptosis by an undefined 
15081582COXCOX-dependent0.0It may be that the COX-dependent production of reactive oxygen species during the peroxidase step ofJunguk Hur
15081582COXCOX0.3not known whether the amount of ROS produced by the COX enzyme is sufficient to cause neuronal deathJunguk Hur
15081582COX-2COX-23.8In addition some of the prostaglandin products of the COX-2 enzyme cause direct damage to neurons as well as act 
15081582COX-2COX-23.8It is clear that neuroinflammation particularly COX-2 upregulation and prostaglandin production plays a significant role in neurodegenerative 
15081582COX-2COX-23.8It seems likely that COX-2 inhibitors can delay the progression of symptoms and clinical studies 
15081582COX-2COX-23.8Although treatment of neurodegenerative diseases such as ALS with COX-2 inhibitors is likely to produce some symptomatic benefit it is 
15081582COX-2COX-23.8activate NF-_amp_#x3ba B leading to a paradoxical activation of the COX-2 enzyme that is clearly a problem for this therapeutic approach 
15081582COX-2COX-23.8prostaglandins that feedback on NF-_amp_#x3ba B to regulate transcription of COX-2 
15081582COX-2COX-23.8Certain downstream products of the COX-2 enzyme are pro-apoptotic while others are neuroprotective 
15081582COX-2COX-23.8Inhibiting COX-2 will block both the neurodegenerative and neuroprotective products of this 
15081582COX-2COX-23.8in the development of future therapies rather than broadly targeting COX-2 or even further upstream at the level of NF-_amp_#x3ba B 
15081582COX-2COX-23.8of NF-_amp_#x3ba B to target specific prostaglandin synthases downstream of COX-2 
15081582COXCOX0.3Thorough understanding of the individual roles of prostaglandins COX isoforms and neuroprotective mechanisms of COX inhibitors are essential toJunguk Hur
15081582COXCOX0.3individual roles of prostaglandins COX isoforms and neuroprotective mechanisms of COX inhibitors are essential to further these therapeutic developmentsJunguk Hur
15210305COX-2COX-22.0COX-2 and CD11B (a a specific marker of microglia activation have 
15210305COX-2COX-22.0The significant up-regulation of COX-2 in ALS spinal cord compared to control tissues including patients 
15210305COX-2COX-22.0COX-2 mRNA up-regulation was restricted to pathologically affected tissue and this 
15210305COX-2COX-22.0to pathologically affected tissue and this was accompanied by increased COX-2 protein levels 
15453089COXCOX0.6Cyclooxygenase (COX) COX catalyses the first committed step in the synthesis of prostanoidsJunguk Hur
15453089COXCOX0.6COX exists as constitutive and inducible isoformsJunguk Hur
15453089COX-2COX-24.4COX-2 is the inducible isoform rapidly expressed in several cell types 
15453089COX-2COX-24.4Since its discovery in the early 1990s COX-2 has emerged as a major player in inflammatory reactions in 
15453089COX-2COX-24.4By extension COX-2 expression in brain has been associated with pro-inflammatory activities thought 
15453089COX-2COX-24.4First in the central nervous system COX-2 is expressed under normal conditions and contributes to fundamental brain 
15453089COX-2COX-24.4the last decade the evidence of a direct role of COX-2 in neurodegenerative events is still controversial 
15453089COX-2COX-24.4Furthermore the emerging role of COX-2 in behavioral and cognitive functions will be discussed 
15453089COXCOX0.6Cyclooxygenase (COX), COX also known as prostaglandin (PG) PG H synthase catalyses theJunguk Hur
15453089COXCOX0.6COX has become a very popular enzyme since 1971 when itJunguk Hur
15453089COXCOX0.6(NSAIDs) NSAIDs exert their anti-inflammatory properties through the inhibition of COX enzymatic activity thus preventing PG synthesis ( 1Junguk Hur
15453089COXCOX0.6class of drugs affects many other important cellular targets nonetheless COX remains central to the development of anti-inflammatory treatments of aJunguk Hur
15453089COXCOX0.6COX is a unique enzymeJunguk Hur
15453089COXCOX0.6production of free radicals which are in part utilized by COX itself ( Fig 1Junguk Hur
15453089COXCOX0.6two enzymatic activities occur at distinct interacting sites on the COX molecule and external factors can affect each of them independentlyJunguk Hur
15453089COXCOX0.6Second during the cyclooxygenase activity COX undergoes a conformational rearrangement leading to an unstable intermediate whichJunguk Hur
15453089COXCOX0.6COX is an integral membrane glycoprotein consisting of a homodimer withJunguk Hur
15453089COX-2COX-24.4to mediate physiological responses a second and inducible isoform termed COX-2 was identified in the early 1990s ( 4 
15453089COX-2COX-24.4COX-2 is rapidly expressed in several cell types in response to 
15453089COX-2COX-24.4COX-1 and COX-2 are coded by 2 distinct genes located on 
15453089COX-2COX-24.4COX-1 and COX-2 are coded by 2 distinct genes located on human chromosome 
15453089COX-2COX-24.4The COX-2 gene is characterized by the presence of a TATA box 
15453089COX-2COX-24.4its promoter region which account for the complex regulation of COX-2 expression 
15453089COX-2COX-24.4determinant or as translation inhibitory element suggesting post-transcriptional control of COX-2 expression 
15453089COX-2COX-24.42 isoenzymes which could account for the different sensitivities of COX-1 and COX-2 to specific inhibitors ( 5 
15453089COX-2COX-24.4which could account for the different sensitivities of COX-1 and COX-2 to specific inhibitors ( 5 
15453089COX-2COX-24.4the 2 isoforms is the 18-amino acid insert near the COX-2 C-terminus which is not present in COX-1 and has allowed 
15453089COXCOX0.6The distribution of the 2 COX isoforms has been extensively studied in rat and human tissuesJunguk Hur
15453089COX-2COX-24.4However in brain testes and kidney macula densa cells both COX-1 and COX-2 are expressed under physiological conditions ( 2 
15453089COX-2COX-24.4brain testes and kidney macula densa cells both COX-1 and COX-2 are expressed under physiological conditions ( 2 
15453089COX-2COX-24.4In rat brain COX-1 and COX-2 immunoreactivities are present in discrete neuronal populations distributed 
15453089COX-2COX-24.4In rat brain COX-1 and COX-2 immunoreactivities are present in discrete neuronal populations distributed in distinct 
15453089COX-2COX-24.4Similarly mRNAs for both COX-1 and COX-2 are present in several regions of human brain 
15453089COX-2COX-24.4Similarly mRNAs for both COX-1 and COX-2 are present in several regions of human brain although COX-2 
15453089COX-2COX-24.4COX-2 are present in several regions of human brain although COX-2 is the prominent isoform particularly in the hippocampus ( 8 
15453089COX-2COX-24.4The relative contribution of COX-1 and COX-2 activity to brain pathology and physiology has been 
15453089COX-2COX-24.4The relative contribution of COX-1 and COX-2 activity to brain pathology and physiology has been recently questioned 
15453089COX-2COX-24.4been overlooked on the other side mandatory evidence suggests that COX-2 plays a special role in normal neuronal function and in 
15453089COX-2COX-24.4the popular paradigm by which COX-1 serves physiological functions and COX-2 is responsible for _amp_#147 pathological_amp_#148 PGs cannot explain an increasing 
15453089COXCOX0.6Recently a third variant of COX named COX-3 and 2 partial COX-1 proteins (PCOX-1 PCOX-1 proteinsJunguk Hur
15453089COX2COX21.8Recently a third variant of COX named COX-3 and 2 partial COX-1 proteins (PCOX-1 PCOX-1 proteins have been 
15453089COXCOX0.6Thus COX-3 could represent the brain-specific COX isoform the existence of which was hypothesized a few decadesJunguk Hur
15453089COXCOX0.6of paracetamol in spite of its poor ability to inhibit COX from peripheral tissues ( 12Junguk Hur
15453089COXCOX0.6The potential role of COX isoforms and PGs in brain diseases has been extensively reviewedJunguk Hur
15453089COX-2COX-24.4Over-expression of COX-2 has been associated with neurotoxicity in acute conditions such as 
15453089COX-2COX-24.4However the beneficial or detrimental role played by COX-2 in inflammatory and neurodegenerative brain pathologies is still controversial 
15453089COX-2COX-24.4First the emerging role of COX-2 in cognitive functions will be discussed since understanding the role 
15453089COX-2COX-24.4cognitive functions will be discussed since understanding the role of COX-2 in brain function is an important prerequisite to fully understanding 
15453089COX-2COX-24.4to fully understanding how to exploit the potential benefits of COX-2 inhibition in disabling neurological diseases 
15453089COX-2COX-24.4In mammalian brain COX-2 is constitutively expressed in specific neuronal populations under normal physiological 
15453089COX-2COX-24.4In rat brain COX-2 mRNA and immunoreactivity were detected in dentate gyrus granule cells 
15453089COX-2COX-24.4This _amp_#147 constitutive_amp_#148 neuronal COX-2 expression should be more correctly regarded as _amp_#147 dynamically_amp_#148 regulated 
15453089COX-2COX-24.4The dependence of COX-2 expression on natural excitatory synaptic activity is supported by the 
15453089COX-2COX-24.4natural excitatory synaptic activity is supported by the presence of COX-2 immunoreactivity in distal dendrites and dendritic spines which are involved 
15453089COX-2COX-24.4distribution within a neuronal population is compatible with induction of COX-2 in subsets of neurons in response to natural excitatory synaptic 
15453089COX-2COX-24.4The involvement of COX-2 in synaptic activity is further supported by the developmental profile 
15453089COX-2COX-24.4synaptic activity is further supported by the developmental profile of COX-2 expression 
15453089COX-2COX-24.4In rat brain COX-2 expression follows developmental gradients and coincides with the critical period 
15453089COX-2COX-24.4and abnormalities of dendritic branching_amp_#151 the laminar pattern of cortical COX-2 immunoreactivity is disrupted in that COX-2-positive neurons are decreased in 
15453089COXCOX-2-positive0.0laminar pattern of cortical COX-2 immunoreactivity is disrupted in that COX-2-positive neurons are decreased in number and randomly distributed ( 18Junguk Hur
15453089COX-2COX-24.4neurons during the first post-natal week showed decreased levels of COX-2 but not COX-1 in the hippocampus at adulthood 
15453089COX-2COX-24.4of hippocampal cholinergic input may impact on the expression of COX-2 in hippocampal neurons and on the functional role of PGs 
15453089COX-2COX-24.4Indirect evidence of COX-2 involvement in synaptic plasticity has been obtained in the recent 
15453089COXCOX0.6plasticity has been obtained in the recent years by using COX inhibitors in in vivo and in vitro models of synapticJunguk Hur
15453089COX-2COX-24.4COX-2 inhibitors but not COX-1 selective inhibitors administered systemically shortly after 
15453089COXCOX0.6Similarly intracerebral injection of COX inhibitors in chicks attenuated memory of a passive avoidance responseJunguk Hur
15453089COX-2COX-2-specific1.8In addition pre-training infusion of a COX-2-specific inhibitor (celecoxib) celecoxib in the hippocampus of adult rats impaired 
15453089COX-2COX-24.4acquisition of the Morris water maze suggesting that in rats COX-2 activity in the hippocampus is necessary for both memory and 
15453089COXCOX0.6keeping with these findings systemic administration of ibuprofen a non-selective COX inhibitor caused deficits in spatial learning in the water mazeJunguk Hur
15453089COXCOX0.6through an increase in BDNF levels supporting the hypothesis that COX activity plays a permissive role in synaptic plasticity and spatialJunguk Hur
15453089COXCOX-2-inhibitor0.0not PGD 2 reversed the suppression of LTP induced by COX-2-inhibitor in hippocampal dentate granule neurons in vitro ( 24Junguk Hur
15453089COX-2COX-24.42 which is preferentially formed during the enzymatic activity of COX-2 rather than of COX-1 could participate to synaptic plasticity through 
15453089COX-2COX-24.4neocortical blood flow in response to vibrissal stimulation by the COX-2 inhibitor NS398 
15453089COXCOX-2-derived0.0Moreover COX-2-derived PGs are involved in the coupling of synaptic plasticity withJunguk Hur
15453089COX-2COX-24.4hyperemic response was also impaired in mutant mice lacking of COX-2 ( 26 
15453089COX-2COX-24.4spite of the emerging evidence of a physiological role for COX-2 in brain development and function COX-2 knockout mice show no 
15453089COX-2COX-24.4a physiological role for COX-2 in brain development and function COX-2 knockout mice show no gross abnormalities of brain anatomy 
15453089COX-2COX-24.4In this light the expression of COX-2 and its contribution to the pathogenic events in MS have 
15453089COX-2COX-24.4COX-2 immunoreactivity has been found in experimental autoimmune encephalomyelitis (EAE), EAE 
15453089COX-2COX-24.4proteolipid protein revealed that during the acute phase of EAE COX-2 expression is confined within infiltrating macrophages and ramified microglia close 
15453089COX-2COX-24.4Very rare reactive astrocytes expressed COX-2 in this phase but their number significantly increased during relapse 
15453089COX-2COX-24.4but their number significantly increased during relapse phase suggesting that COX-2 induction in astrocytes could be due to soluble factors i.e 
15453089COX-2COX-24.4a peptide of another myelin protein the myelin basic protein COX-2 immunoreactivity was exclusively found associated with neurons and endothelial cells 
15453089COXCOX-2-positive0.0The number of COX-2-positive endothelial cells increased with the progression of the disease mostJunguk Hur
15453089COXCOX-2-positive0.0the number of COX-1-positive macrophages increased along with that of COX-2-positive cellsJunguk Hur
15453089COX-2COX-24.4brain parenchyma breakdown of BBB primary demyelination and axon damage COX-2 expression was restricted to major infiltrating hematogenous cell populations such 
15453089COX-2COX-24.4macrophages but the possibility that some endothelial cells also expressed COX-2 could not be ruled out 
15453089COX-2COX-24.4Neuronal COX-2 was not affected by the ongoing inflammation 
15453089COX-2COX-24.4broad area surrounding the inflammatory lesions there was no obvious COX-2 staining in these cells indicating that the upregulation of COX-2 
15453089COX-2COX-24.4COX-2 staining in these cells indicating that the upregulation of COX-2 expression in this model of chronic immune-mediated lesions is remarkably 
15453089COX-2COX-24.4A similar restricted COX-2 expression has been described in brain tissues from 7 MS 
15453089COX-2COX-24.4these specimens characterized by the presence of chronic active lesions COX-2 expression was studied by sophisticated confocal microscopy analysis 
15453089COXCOX-2-positive0.0COX-2-positive cells were present in all chronic active lesions examined andJunguk Hur
15453089COX-2COX-24.4COX-2 immunoreactivity was largely but not exclusively associated with cells expressing 
15453089COX-2COX-24.4However not all CD64-positive cells expressed COX-2 
15453089COX-2COX-24.4Expression of COX-2 was frequently associated with that of inducible NO synthase (iNOS), 
15453089COX-2COX-24.4The authors also propose that the colocalization of COX-2 and iNOS may be functionally linked to oligodendroglial excitotoxic death 
15453089COX-2COX-24.4Nonetheless a protective role of COX-2 in MS cannot be excluded 
15453089COXCOX-derived0.0co-administration of misoprostol a PGE 2 analog suggesting that distinct COX-derived products (i.e i.e ROS and PGs may have protective orJunguk Hur
15453089COX-2COX-24.4The well-established role of COX-2 in inflammation and in glutamate-dependent neurotoxicity has set the basis 
15453089COX-2COX-24.4glutamate-dependent neurotoxicity has set the basis for the hypothesis of COX-2 involvement in ALS pathogenesis 
15453089COX-2COX-24.4COX-2 mRNA and protein were increased in postmortem spinal cords of 
15453089COX-2COX-24.4of PGE 2 tissue levels paralleled the increased expression of COX-2 ( 43 
15453089COX-2COX-24.4The cell types expressing COX-2 have been identified in both animal and human specimens 
15453089COX-2COX-24.4Under normal conditions COX-2 is expressed in neurons in the spinal cord dorsal and 
15453089COX-2COX-24.4In postmortem spinal cord of ALS patients COX-2 expression was markedly increased and localized to both neurons and 
15453089COXCOX-2-positive0.0The number of COX-2-positive motor neurons and interneurons was significantly increased in spite ofJunguk Hur
15453089COX-2COX-24.4In addition COX-2 was associated with astrocytes and and to a much lesser 
15453089COX-2COX-24.4A similar pattern of COX-2 expression was reported for the mutated SOD1 transgenic mice ( 
15453089COX-2COX-24.4The role of COX-2 activity in ALS was examined by using selective COX-2 inhibitors 
15453089COX-2COX-24.4of COX-2 activity in ALS was examined by using selective COX-2 inhibitors 
15453089COX-2COX-24.4In the first study the COX-2 inhibitor SC236 significantly protected motor neurons in an organotypic spinal 
15453089COX-2COX-24.4These findings suggested that COX-2 could take part in the excitotoxic damage caused by elevated 
15453089COX-2COX-24.4same group showed that treatment of SOD1 transgenic mice with COX-2 inhibitor celecoxib significantly delayed the onset of disease prolonged the 
15453089COX-2COX-24.4These studies suggest that inhibition of COX-2 could have therapeutic benefits by altering the cascade of events 
15453089COX-2COX-24.4However in these studies mice received the COX-2 inhibitor treatment beginning several weeks before the onset of disease 
15453089COX-2COX-24.4Thus the efficacy of COX-2 inhibition in the presence of overt clinical signs of disease 
15453089COX-2COX-24.4Several mechanisms could be triggered by COX-2 overexpression 
15453089COX-2COX-24.4to the enhancing effect of PGE 2 on glutamate release COX-2 could contribute to oxidative stress-mediated damage by producing oxidizing reactive 
15453089COX-2COX-24.4In transgenic mutated SOD1 mice COX-2 and iNOS are induced with a similar temporal pattern and 
15453089COX-2COX-24.4COX-2 could also contribute to ALS by promoting inflammatory processes 
15453089COXCOX0.6been related to free radical scavenging effects rather then to COX inhibition or attenuation of inflammation ( 51 52Junguk Hur
15453089COXCOX0.6Two studies have investigated the expression of COX isoforms in postmortem PD specimens or in PD experimental modelsJunguk Hur
15453089COX-2COX-24.4The first study reported an increased expression of COX-2 in ameboid or activated microglial cells in the substantia nigra 
15453089COX-2COX-24.4nigra from 11 idiopathic PD patients whereas neuronal and astroglial COX-2 expression was not different in the control and PD groups 
15453089COX-2COX-24.4that the greater potential for PG synthesis is associated to COX-2 and microglial cells ( 53 
15453089COX-2COX-24.4the second and more recent study ( 52 showed that COX-2 is specifically induced in substantia nigra dopaminergic neurons in postmortem 
15453089COX-2COX-24.4The involvement of COX-2 in PD neurodegeneration was further suggested by the observation that 
15453089COX-2COX-24.4suggested by the observation that MPTP neurodegeneration was mitigated in COX-2 but not in COX-1 knock out mice 
15453089COX-2COX-24.4PGE 2 levels was associated with a strong induction of COX-2 expression which increased with the progression of disease and was 
15453089COX-2COX-24.4sporadic CJD ( 57 suggesting that the selective upregulation of COX-2 in microglial cells is not characteristic of a specific prion 
15453089COX-2COX-24.4results were reported in a recent study in which both COX-1 and COX-2 were increased in sporadic CJD cortex ( 58 
15453089COX-2COX-24.4reported in a recent study in which both COX-1 and COX-2 were increased in sporadic CJD cortex ( 58 
15453089COX-2COX-24.4COX-1 immunoreactivity was present in macrophages/microglial macrophages microglial cells whereas COX-2 was predominantly in neurons mRNAs and proteins of both isoforms 
15453089COXCOX0.6Increased COX activity in prion diseases was confirmed by 2 studies (Junguk Hur
15453089COX-2COX-24.4the CSF of CJD patients and the high expression of COX-2 in microglial cells in experimental prion diseases suggest that PGE 
15453089COX-2COX-24.4cells with apoptotic neurons has been reported to selectively promote COX-2 expression and PGE 2 synthesis ( 61 
15453089COXCOX0.6By contrast the non-selective COX inhibitor indomethacin had no significant effect on onset of clinicalJunguk Hur
15453089COXCOX0.6The concept of a pathogenic role of COX in AD is deeply rooted in epidemiological studies reporting anJunguk Hur
15453089COX-2COX-24.4Over the last 10 years several analyses of COX-1 and COX-2 expressions have been carried out in animal models 
15453089COX-2COX-24.4Over the last 10 years several analyses of COX-1 and COX-2 expressions have been carried out in animal models and postmortem 
15453089COX-2COX-24.4still controversial body of evidence pointing to the involvement of COX-2 in the cascade of events leading to neurodegeneration in AD 
15453089COX-2COX-24.4COX-2 mRNA levels in AD brains were reported as either decreased 
15453089COX-2COX-24.49 65 66 possibly because of the short half-life of COX-2 transcripts or individual variability of inflammatory-related processes ( 67 
15453089COX-2COX-24.4Several studies reported increased neuronal COX-2 immunoreactivity compared to control brain tissues ( 9 68 
15453089COX-2COX-24.4However in other studies in which COX-2 expression was related to specific hallmarks of the disease such 
15453089COXCOX-2-positive0.0dementia rating and Braak stage of disease the number of COX-2-positive neurons decreased with the severity of dementiaJunguk Hur
15453089COXCOX-2-positive0.0In end stage AD COX-2-positive neurons were significantly fewer than in non-demented controls ( 68Junguk Hur
15453089COX-2COX-24.4more recent study ( 70 the number of neurons expressing COX-2 negatively correlated with the Braak score for amyloid deposits although 
15453089COX-2COX-24.4Braak score for amyloid deposits although a moderate albeit non-significant COX-2 increase was found at Braak stage A corresponding to the 
15453089COX-2COX-24.4COX-2 immunoreactivity did not correlate with Braak staging for neurofibrillary changes 
15453089COX-2COX-24.4These recent studies suggest that COX-2 expression varies with the disease stage and this may explain 
15453089COX-2COX-24.4also reported a colocalization and a significant correlation of neuronal COX-2 expression with cell cycle regulators involved in controlling the G 
15453089COX-2COX-24.4Although there are some indications that COX-2 might regulate cell cycle progression ( 70 the functional link 
15453089COX-2COX-24.4regulate cell cycle progression ( 70 the functional link between COX-2 and cell cycle alteration remains elusive 
15453089COX-2COX-24.4Nonetheless it can be suggested that COX-2 and cell cycle proteins are involved in early steps leading 
15453089COX-2COX-24.4In contrast to COX-2 the levels of COX-1 mRNA and protein were not significantly 
15453089COXCOX-2-positive0.0is consistent with the slight increase in the number of COX-2-positive neurons at Braak stage A as well as with theJunguk Hur
15453089COXCOX-2-positive0.0Braak stage A as well as with the reduction in COX-2-positive neurons reported in patients with severe dementia and Braak end-stageJunguk Hur
15453089COX-2COX-24.4The moderate increase in COX-2 expression and activity at very early stages of AD could 
15453089COX-2COX-24.4Upregulation of neuronal COX-2 is associated with ischemia and excitotoxicity suggesting that COX-2 is 
15453089COX-2COX-24.4neuronal COX-2 is associated with ischemia and excitotoxicity suggesting that COX-2 is involved in neurotoxic mechanisms 
15453089COX-2COX-24.4Increased susceptibility to excitotoxicity in COX-2 over-expressing neurons and neuroprotection by COX-2 inhibition has been shown 
15453089COX-2COX-24.4susceptibility to excitotoxicity in COX-2 over-expressing neurons and neuroprotection by COX-2 inhibition has been shown in several experimental models ( 64 
15453089COX-2COX-24.4Nonetheless increased COX-2 expression could be an adaptive reaction to pathological events such 
15453089COX-2COX-24.4Taking into account the positive and negative effects of increased COX-2 activity and the emerging role of COX-2-derived PGs in brain 
15453089COX-2COX-24.4is difficult to predict the final outcome of long-term therapeutic COX-2 inhibition 
15453089COXCOX-2-derived0.0effects of increased COX-2 activity and the emerging role of COX-2-derived PGs in brain function it is difficult to predict theJunguk Hur
15453089COX-2COX-24.4At present clinical trials of selective COX-2 inhibitors have not been as convincing as expected but these 
15453089COX-2COX-24.4the peroxisome proliferator-activated receptor- gamma suggesting that selective inhibition of COX-2 may not be the optimal therapeutic strategy ( 64 
15453089COX-2COX-24.4Since its discovery in early 1990s COX-2 has emerged as a major player in inflammatory reactions in 
15453089COX-2COX-24.4Evidence from several laboratories indicates that COX-2 is induced in various inflammatory settings is the main source 
15453089COX-2COX-24.4By extension COX-2 expression in brain has been associated with pro-inflammatory activities thought 
15453089COX-2COX-24.4should be borne in mind when considering the significance of COX-2 activity in brain diseases 
15453089COX-2COX-24.4First COX-2 is expressed under normal conditions and contributes to fundamental brain 
15453089COX-2COX-24.4the last decade the evidence of a direct role of COX-2 in neurodegenerative events is still controversial and further experimental and 
15453089COX-2COX-24.4are required to improve our knowledge of how and when COX-2 inhibition may have beneficial effects for patients suffering from inflammatory 
15453089COX-2COX-24.4neurons glia endothelial cells and infiltrating blood cells can express COX-2 in brain 
15453089COX-2COX-24.4Over-expression of COX-2 in each of these cells may have different functional consequences 
15453089COX-2COX-24.4outcome is likely to depend on the prevailing product of COX-2 activity including PGs with different functions and free radicals 
15453089COX-2COX-24.4particularly susceptible to damage caused by free radicals generated through COX-2 peroxidase activity whereas glial cells are more resistant 
15453089COX-2COX-24.4Specific signals seem responsible for COX-2 induction and/or and or over-expression in particular cell types such 
15453089COX-2COX-24.4The beneficial effects of specific and non-specific COX-2 inhibitors in several experimental models and epidemiological studies are an 
15453089COX-2COX-24.4studies are an indirect proof of the causative role of COX-2 in neurodegeneration as COX-independent mechanisms cannot be excluded 
15453089COXCOX-independent0.0proof of the causative role of COX-2 in neurodegeneration as COX-independent mechanisms cannot be excludedJunguk Hur
15572176COX-2COX-21.0forms of nitric oxide synthase (iNOS) iNOS and cyclooxygenase (COX-2), COX-2 display nitrotyrosine immunoreactivity and downregulate the glutamate transporter EAAT2 
15572176COX-2COX-21.0binding protein S100_amp_#x3b2 85 and express inflammatory makers such as COX-2 81 iNOS and neuronal NOS 5 and 115 
15572176COX-2COX-21.0For example reactive astrocytes in ALS express COX-2 an enzyme that catalyzes the synthesis of the inflammatory prostaglandin 
15572176COX-2COX-21.0Treatment of ALS mice with the COX-2 inhibitor Celecoxib delayed the onset of the disease and increased 
15572176COX-2COX-21.0Interestingly cytokine signaling can induce iNOS COX-2 and NMDA receptor subunit phosphorylation with different consequences in glial 
15572176COX-2COX-21.0tumour necrosis factor-alpha (TNF-_amp_#x3b1;), TNF-_amp_#x3b1 IL-1_amp_#x3b2 and IFN_amp_#x3b3 induces IL-6 COX-2 and iNOS and makes the cells vulnerable to undergo apoptosis 
15691215COX-2COX-21.0transfer of VEGF or glial cell-line derived neurotrophic factor anti-inflammatory COX-2 inhibitors and minocycline have had particularly promising results in mice 
15799549COX-2COX-21.8in ALS spinal cord showed strong expression of cyclooxygenase-2 (COX-2) COX-2 (one one log greater than control tissues and inducible nitric 
15799549COXCOX-2-negative0.0hemispheric cerebral infarction macrophage infiltration of the white matter was COX-2-negative and restricted to lateral and anterior corticospinal tractsJunguk Hur
15804265COX-2COX-21.0Inhibition of a key mediator of inflammation cyclooxygenase 2 (COX-2), COX-2 represents a promising therapeutic approach in ALS 
15804265COX-2COX-21.0Here we tested the in vivo effects of a specific COX-2 inhibitor Rofecoxib administered by intraperitoneal injection in the SOD1(G93A SOD1 
15974901COXCOX0.0are reports suggesting that NSAIDs act independently of cyclooxygenase (COX) COX inhibition but only at higher dosesJunguk Hur
16101543COX-2COX-21.3by two isoforms of the cyclooxygenase (COX) COX enzyme namely COX-1 and COX-2 
16101543COX-2COX-21.3isoforms of the cyclooxygenase (COX) COX enzyme namely COX-1 and COX-2 
16101543COXCOX0.0acid (AA) AA by two isoforms of the cyclooxygenase (COX) COX enzyme namely COX-1 and COX-2Junguk Hur
16101543COX-2COX-21.3In particular the action of COX-2 and PGs in CNS inflammation has gained much attention recently 
16101543COXCOX0.0However accumulating evidence also shows that COX inhibitors alleviate various types of brain damage via suppressing inflammatoryJunguk Hur
16101543COXCOX0.0Accordingly the roles of two COX enzymes in mediating inflammation and anti-inflammation have recently been debatedJunguk Hur
16101543COXCOX0.0findings indicating that the reciprocal interaction of glial cell activation COX enzymes and PGs mediates neurodegeneration and neuroprotection during brain inflammationJunguk Hur
16120782COX-2COX-22.0astrocytes as well as the expression of cyclooxygenase 2 (COX-2) COX-2 and nitric oxide synthase (iNOS) iNOS in the spinal cord 
16120782COX-2COX-22.0For the analysis of iNOS and COX-2 100 microg of protein samples was separated in 10% SDS 
16120782COX-2COX-22.0murine iNOS Santa Cruz Biotechology Heidelberg Germany or a polyclonal COX-2 antibody at a 1 600 dilution (rabbit rabbit polyclonal antibody 
16120782COX-2COX-22.0dilution (rabbit rabbit polyclonal antibody to synthetic peptide from murine COX-2 Cayman Ann Arbor MI 
16120782COX-2COX-22.0The specificities of the iNOS and COX-2 antibodies have been confirmed by positive controls containing iNOS or 
16120782COX-2COX-22.0antibodies have been confirmed by positive controls containing iNOS or COX-2 protein (data data not shown 
16120782COX-2COX-22.0Coinduction of COX-2 and iNOS were described in several neurodegenerative disorders including ALS 
16120782COX-2COX-22.0analysis of lumbar spinal cord lysates from 90-d-old mice confirmed COX-2 expression in wild-type mice ( n = 4 and revealed 
16120782COX-2COX-22.0revealed that SOD1-G93A mice ( n = 4 showed elevated COX-2 levels ( Fig 3 b 
16120782COX-2COX-22.0In both cases Pio treatment significantly decreased COX-2 and iNOS expression in SOD1-G93A mice ( n = 4 
16120782COX-2COX-22.0wt-Pio n = 5 for SOD1 and SOD1-Pio and of COX-2 and iNOS Western blots ( n = 4 for all 
16120782COX-2COX-22.0We found a marked reduction in the expression of COX-2 and iNOS two major proinflammatory enzymes after Pio treatment 
16120782COX-2COX-22.0by similar or identical stimulators (O'Banion, O'Banion 1999 because the COX-2 and iNOS promoters share several binding sites for signal transduction 
16120782COXCOX-2-generated0.0from the detrimental action of either iNOS-derived excess NO or COX-2-generated proinflammatory prostanoids the dual inhibition of both enzymes observed inJunguk Hur
16120782COX-2COX-22.0Thus NO may increase the catalytic activity of COX-2 thereby increasing the production of proinflammatory prostanoids (Nogawa Nogawa et 
16120782COX-2COX-22.0signal transduction pathway is also involved in the iNOS and COX-2 gene regulation after inflammatory stimulation 
16120782COX-2COX-22.0JAK-STAT pathway contributes to the observed suppression of iNOS and COX-2 expression 
16380619COX-2COX-21.0mediator and a major downstream product of cyclooxygenase 2 (COX-2) COX-2 
16380619COX-2COX-21.0Increased levels of PGE-2 and COX-2 were described in patients with ALS 
16380619COX-2COX-21.0PGE-2 and COX-2 presented both angiogenic properties and reciprocal interactions between COX-2/PGE-2 COX-2 
16380619COX-2COX-21.0COX-2 presented both angiogenic properties and reciprocal interactions between COX-2/PGE-2 COX-2 PGE-2 and VEGF are described 
16380619COX-2COX-21.0findings suggest that increased levels of IL-6 TNF-alpha PGE-2 and COX-2 observed in patients with ALS parallel motor neuronal loss and 
16380619COX-2COX-21.0We hypothesize that COX-2 inhibitors may even be harmful in patients with ALS because 
16624536COX-2COX-21.5An increased expression of pro-inflammatory cytokines COX-2 29 30 and 31 and of microglia-mediated protein oxidative pathology 
16624536COX-2COX-21.5This process is associated with an increased level of COX-2 mRNA and protein and an increase in PGE 2 content 
16624536COX-2COX-21.5excitotoxicity in organotypic spinal cord cultures can be suppressed by COX-2 inhibition 52 
16624536COX-2COX-21.5as well as decreased mRNA expression of inflammatory products including COX-2 iNOS and I_amp_#x3ba B (an an inhibitor of NF-_amp_#x3ba B 
16624536COX-2COX-21.5Like microglia reactive astrocytes express inflammatory markers including iNOS and COX-2 114 and can produce proinflammatory mediators including prostaglandins 115 IL-6 
16624536COX-2COX-21.5Celecoxib (Celebrex) Celebrex and rofecoxib are inhibitors of COX-2 
16624536COX-2COX-21.5Treatment with these COX-2 inhibitors combined with creatine increased survival by up to 30% 
16624536COXCOX0.6mice 139 140 and 141 while treatment with a non-specific COX inhibitor (sulindac) sulindac extended survival by roughly 10% 142Junguk Hur
16624536COXCOX0.6should be noted however that to date none of the COX inhibitors tested have shown efficacy in human ALS patientsJunguk Hur
16647138COXCOX2.9Thus cyclooxygenases (COX), COX lipoxygenases (LOX), LOX and epoxygenases (EPOX) EPOX metabolize AA toJunguk Hur
16647138COXCOX2.9In contrast COX and LOX metabolize DHA to resolvins docosatrienes and neuroprotectinsJunguk Hur
16647138COXCOX2.9and non-neural tissues express several different isoforms of PLA 2 COX and LOX under normal or stimulated situations ( Kis etJunguk Hur
16647138COXCOX2.9How the isoforms of PLA 2 COX and LOX enzymes interact with each other remains to beJunguk Hur
16647138COXCOX2.9Eicosanoid synthesis through COX and LOX enzymes may involve different AA substrate pools andJunguk Hur
16647138COXCOX2.9stimulation and modulation of PLA 2 PLC and PLD and COX activitiesJunguk Hur
16647138COXCOX2.9In addition to the abovementioned lipid mediators COX LOX and EPOX-catalyzed reactions also produce reactive oxygen species (ROS)Junguk Hur
16647138COXCOX2.9summarize studies on the multiplicity properties regulation and roles of COX LOX and EPOX in brain tissueJunguk Hur
16647138COXCOX2.9this discussion would initiate more studies on the importance of COX LOX EPOX and their lipid mediators in neurological disordersJunguk Hur
16647138COXCOX2.9The inhibition of COX LOX and EPOX activities may provide an attractive approach forJunguk Hur
16647138COXCOX2.9Cyclooxygenases (COX) COXJunguk Hur
16647138COXCOX2.9PGG 2 to generate a radical intermediate that begins the COX reaction ( Jiang et al. 2004Junguk Hur
16647138COXCOX2.9Three forms of COX enzymes designated as COX-1 COX-2 and COX-3 occur in mammalianJunguk Hur
16647138COX-2COX-216.2Three forms of COX enzymes designated as COX-1 COX-2 and COX-3 occur in mammalian tissues 
16647138COX-2COX-216.2such as cytokines growth factors and bacterial endotoxin rapidly induce COX-2 which is normally undetectable in healthy tissues 
16647138COX-2COX-216.2COX-2 is constitutively expressed in the kidney stomach and brain ( 
16647138COX-2COX-216.2COX-1 and COX-2 are homodimers 
16647138COX-2COX-216.2COX-1 and COX-2 are homodimers 
16647138COX-2COX-216.2COX-1 contains Val at the 434 and 523 positions whereas COX-2 has Ile at positions 434 and 523 
16647138COX-2COX-216.2larger and more flexible substrate and inhibitor binding sites in COX-2 than in COX-1 ( Kurumbail et al. 1996 
16647138COX-2COX-216.2The amino acid sequences of COX-1 and COX-2 also differ from each other at the N- 
16647138COX-2COX-216.2The amino acid sequences of COX-1 and COX-2 also differ from each other at the N- and C-termini 
16647138COX-2COX-216.2COX-2 lacks a 17 amino acid sequence at the N-terminus but 
16647138COX-2COX-216.2Thus the active site of COX-2 is larger and more accommodating than that of COX-1 and 
16647138COX-2COX-216.2This property may be responsible for greater eicosanoid production by COX-2 when the AA concentration is low ( Smith et al. 
16647138COX-2COX-216.2AA is the preferred substrate for COX-1 and COX-2 
16647138COX-2COX-216.2AA is the preferred substrate for COX-1 and COX-2 
16647138COXCOX2.9The action of COX enzymes on eicosapentaenoic acid generates the 3-series of prostaglandins andJunguk Hur
16647138COXCOX2.9All isoforms of COX enzymes have been cloned ( DeWitt and Smith 1988 andJunguk Hur
16647138COX-2COX-216.2The COX-2 gene is 8.3 kb whereas the COX-1 gene is much 
16647138COX-2COX-216.2COX-1 mRNA is approximately 2.8 kb while COX-2 mRNA is approximately 4.0 kb 
16647138COX-2COX-216.2Analysis of the 5_amp_#x2032 -flanking untranslated regions of COX-1 and COX-2 indicates that the COX-1 gene is associated with 
16647138COX-2COX-216.2Analysis of the 5_amp_#x2032 -flanking untranslated regions of COX-1 and COX-2 indicates that the COX-1 gene is associated with housekeeping activities 
16647138COX-2COX-216.2the COX-1 gene is associated with housekeeping activities whereas the COX-2 gene is involved in response-related activities 
16647138COX-2COX-216.2The 5_amp_#x2032 -flanking region of the COX-2 gene has a TATA box 30 base pairs upstream from 
16647138COX-2COX-216.2The COX-2 gene also contains a number of putative regulatory sites including 
16647138COX-2COX-216.2activity such as IL-4 IL-10 and IL-13 can specifically inhibit COX-2 upregulation 
16647138COX-2COX-216.2location of these sites differs considerably from those in the COX-2 gene 
16647138COX-2COX-216.2COX-1 does not respond to NF-_amp_#x3ba B as intensely as COX-2 
16647138COX-2COX-216.2In rat and ovine brain COX-1 and COX-2 immunoreactivities are present in discrete neuronal populations distributed 
16647138COX-2COX-216.2In rat and ovine brain COX-1 and COX-2 immunoreactivities are present in discrete neuronal populations distributed in distinct 
16647138COX-2COX-216.2midbrain pons and medulla ( Breder et al. 1995 whereas COX-2 immunoreactivity prevails in neurons and glial cells of hippocampus hypothalamus 
16647138COX-2COX-216.2In neurons astrocytes and microglial cells COX-2 immunoreactivity is localized to the perinuclear regions ( Tomimoto et 
16647138COX-2COX-216.2The expression of COX-2 is markedly increased in microglial cells after intraperitoneal administration of 
16647138COX-2COX-216.2cells after intraperitoneal administration of lipopolysaccharide (LPS), LPS whereas neuronal COX-2 remains unchanged ( Elmquist et al. 1997 
16647138COX-2COX-216.2In microglial cells COX-2 expression and ability to release PGE 2 TXA 2 and 
16647138COX-2COX-216.2COX-2 induction in microglia by proinflammatory stimuli is apparently similar to 
16647138COXCOX2.9COX-3 is a new acetaminophen-sensitive isoform of the COX familyJunguk Hur
16647138COX-2COX-216.2properties have been described for COX-3 compared with COX-1 or COX-2 enzymes many investigators consider it to be a splice variant 
16647138COX-2COX-216.2Comparison of canine COX-3 activity with murine COX-1 and COX-2 demonstrates that analgesic/antipyretic analgesic antipyretic drugs such as 
16647138COX-2COX-216.2Comparison of canine COX-3 activity with murine COX-1 and COX-2 demonstrates that analgesic/antipyretic analgesic antipyretic drugs such as acetaminophen phenacetin 
16647138COX-2COX-216.2a 127-amino-acid open reading frame with no sequence similarity with COX-2 ( Snipes et al. 2005 
16647138COXCOX2.9This is in contrast to the canine COX-3 which has COX activityJunguk Hur
16647138COXCOX2.9COX genes may produce a number of splice variants some withJunguk Hur
16647138COXCOX2.9number of splice variants some with and others without any COX activity ( Kis et al. 2005 Simmons et al. 2005Junguk Hur
16647138COX-2COX-216.2of affecting the cerebral circulation in a comparable manner to COX-1 and 2 pathways 
16647138COXCOX2.9In addition to the COX and LOX pathways the cytochrome P450 (CYP450) CYP450 pathways alsoJunguk Hur
16647138COX-2COX-216.2endothelial cells result in endothelial cell tube formation by stimulating COX-2 expression and prostacyclin production ( Michaelis et al. 2005 
16647138COXCOX2.9Roles of COX LOX and EPOX in brain tissueJunguk Hur
16647138COXCOX2.9COX LOX and EPOX are important enzymes involved in the generationJunguk Hur
16647138COXCOX2.9COX enzymes catalyze the conversion of AA into prostaglandins and thromboxanesJunguk Hur
16647138COXCOX2.9to release AA metabolites by reactions catalyzed by PLA 2 COX LOX and EPOX depends upon not only on neural cellJunguk Hur
16647138COX-2COX-216.2the generation of PGE 2 LTB 4 and PAF through COX-2 LOX and acetyl-CoA acetyltransferase reactions respectively 
16647138COX-2COX-216.2PLA 2 COX-2 and LOX inhibitors have been used to treat acute inflammation 
16647138COXCOX2.9Involvement of COX and LOX in neurodegenerationJunguk Hur
16647138COXCOX2.9to neuronal degeneration by the activation of caspases PLA 2 COX and LOX resulting in apoptotic cell deathJunguk Hur
16647138COXCOX2.9supported by the observation that inhibitors of caspases PLA 2 COX and LOX block apoptosis ( Farooqui et al. 2004 FarooquiJunguk Hur
16647138COXCOX2.9Collective evidence suggests that all isoforms of PLA 2 COX and LOX along with caspases are involved in apoptotic cellJunguk Hur
16647138COXCOX2.9The stimulation of COX and LOX isoforms and oxidation of arachidonic acid is harmfulJunguk Hur
16647138COXCOX2.9Involvement of COX and LOX in pain stateJunguk Hur
16647138COXCOX2.9The action of COX enzymes on AA generates these metabolitesJunguk Hur
16647138COX-2COX-216.2COX-1 and COX-2 play a central role in the induction of 
16647138COX-2COX-216.2COX-1 and COX-2 play a central role in the induction of nociception produced 
16647138COX-2COX-216.2An increase in the expression of COX-2 activity accompanies the induction of nociception ( Svensson and Yaksh 
16647138COX-2COX-216.2COX-2 expression and its activity in neuropathic pain are controversial 
16647138COX-2COX-216.2COX-2 levels in the dorsal spinal cord increase following a L5/L6 
16647138COX-2COX-216.2Zhao et al. 2000 and intrathecal or local injections of COX-2 inhibitors prevent the development of nociception 
16647138COX-2COX-216.2In contrast only a very small change in spinal cord COX-2 mRNA and protein expression follows the spared nerve injury model 
16647138COX-2COX-216.2model of partial nerve injury in the rat and selective COX-2 inhibition does not alter the nociception 
16647138COX-2COX-216.2This indicates that COX-2 does not play a role in the development and maintenance 
16647138COXCOX-2-generated0.3as well as peripheral nociceptive mechanisms and both mechanisms involve COX-2-generated metabolitesJunguk Hur
16647138COXCOX-isozyme-deficient0.3(hot-plate) hot-plate and slowly developing diffuse pain (writhing) writhing with COX-isozyme-deficient mice indicate that COX-3 plays an important role in chronicJunguk Hur
16647138COXCOX2.9Collective evidence suggests that all isoforms of COX enzymes are involved in pain transmission processes in brain andJunguk Hur
16647138COXCOX2.9Involvement of COX and LOX in synaptic plasticityJunguk Hur
16647138COX-2COX-216.2NMDA receptor-dependent synaptic activity dynamically regulates the expression of the COX-2 gene in brain 
16647138COX-2COX-216.2most abundant prostaglandins generated in the brain through COX-1/COX-2 COX-1 COX-2 pathways (PGE PGE 2 PGF 2a and PGD 2 are 
16647138COX-2COX-216.2The observation that COX-2 inhibitors block the induction of LTP in hippocampal dentate granules 
16647138COX-2COX-2-mediated2.3PGE 2 but not PGD 2 or PGF 2_amp_#x3b1 reverses COX-2-mediated suppression of LTP 
16647138COX-2COX-2-induced2.3These studies suggest that PGE 2 is the effector of COX-2-induced synaptic plasticity 
16647138COX-2COX-216.2The translocation of COX-2 to the nuclear envelope during neural cell stimulation generates eicosanoids 
16647138COXCOX-1.8In brain tissue COX- and LOX-generated metabolites of AA may modulate synaptic plasticity notJunguk Hur
16647138COX-2COX-216.2into the cell ( Kadoya et al. 2003 4-HNE induces COX-2 expression in macrophages 
16647138COX-2COX-216.2The expression of COX-2 plays an important role in the intensification of inflammatory responses 
16647138COXCOX2.9A nonenzymic mechanism analogous to the formation of prostaglandins by COX enzymes forms the isoprostanesJunguk Hur
16647138COX-2COX-216.2PAF also stimulates the inducible isoform of COX-2 ( Bazan et al. 1993 
16647138COX-2COX-216.2An immediate early gene encodes COX-2 which is responsible for prostaglandin synthesis in neuropathological processes 
16647138COX-2COX-216.250730 blocks stimulation of the immediate early gene responsible for COX-2 ( Bazan et al. 1997 
16647138COX-2COX-216.2The COX-2 inhibitor NS-398 was ineffective as were two cytochrome P450 antagonists 
16647138COX-2COX-216.2two cytochrome P450 antagonists (MS-PPOH MS-PPOH and miconazole suggesting that COX-2 and P450 metabolites do not play a significant role in 
16647138COX-2COX-216.2(2006) 2006 observed dense immunohistochemical staining for COX-1 but not COX-2 in the astrocytic endfeet that ensheath cortical arterioles as well 
16647138COX-2COX-216.2COX-2 expression and prostaglandin E2 production are enhanced in the spinal 
16647138COX-2COX-216.2Constitutive levels of COX-2 in the spinal cord are low but peripheral inflammation upregulates 
16647138COX-2COX-216.2In the brain synaptic activity regulates the basal expression of COX-2 
16647138COX-2COX-216.2Furthermore COX-2 is localized in neuronal dendritic spines where active synapses are 
16647138COX-2COX-216.2Kaufmann et al. 1996 implying that both constitutive and inducible COX-2 may participate in synaptic plasticity 
16647138COX-2COX-216.2Selective COX-2 inhibition significantly reduced postsynaptic excitability back-propagation of dendritic action-potential-associated Ca 
16647138COX-2COX-216.2consistent with a likely role of PGE 2 generated by COX-2 in the regulation of membrane excitability and long-term synaptic plasticity 
16647138COXCOX-2-synthesized0.3COX-2-synthesized PGE 2 may act on PG receptors within the sameJunguk Hur
16647138COX-2COX-216.2Administration of a selective COX-2 inhibitor to eliminate endogenous PGE 2 reduced somatic and dendritic 
16647138COX-2COX-216.2amplitude and temporal summation in slices previously treated with a COX-2 inhibitor ( Chen and Bazan 2005 
16647138COX-2COX-216.2is a profound difference between NSAIDs with different selectivities for COX-1 and COX-2 with regard to their effects on the synthesis 
16647138COX-2COX-216.2profound difference between NSAIDs with different selectivities for COX-1 and COX-2 with regard to their effects on the synthesis of endogenous 
16647138COX-2COX-216.2an inhibitory action on COX-1 increased brain KYNA formation whereas COX-2 selective inhibitors had the opposite effect 
16647138COXCOX2.9and lowering in brain KYNA levels following the administration of COX inhibitors suggesting that PGs tonically modulate KYNA metabolismJunguk Hur
16647138COXCOX2.9Gene deletion studies_amp_#x2014 COX and LOXJunguk Hur
16647138COXCOX2.9The development of COX deficient mice has allowed investigators to study the individual rolesJunguk Hur
16647138COX-2COX-216.2has allowed investigators to study the individual roles of the COX-1 and COX-2 isoforms 
16647138COX-2COX-216.2investigators to study the individual roles of the COX-1 and COX-2 isoforms 
16647138COXCOX-2-deficient0.3COX-2-deficient mice have poor survival rates reduced resolution of gastrointestinal ulcersJunguk Hur
16647138COX-2COX-216.2these lists and that for the maintenance of normal physiology COX-2 appears to play a more critical role 
16647138COXCOX2.9which there is evidence for a central role of both COX enzymes is hypophagia (a a reduction in feeding in miceJunguk Hur
16647138COX-2COX-216.2reduction in milk intake in comparison with wild-type mice whereas COX-2 mice responded more like wild-type animals 
16647138COX-2COX-216.2However at 90 to 120 min after IL-1_amp_#x3b2 administration COX-2 KO mice showed only small responses while COX-1 KO mice 
16647138COX-2COX-216.2is primarily involved in the early phase of milk intake COX-2 is more responsible for the later phase ( Swiergiel and 
16647138COX-2COX-2-2.3demonstrated reduced and increased susceptibility to ischemic brain injury in COX-2- and COX-1-deficient mice respectively 
16647138COXCOX-2-deficient0.3level of neuronal injury produced by transient global ischemia in COX-2-deficient mice in comparison with wild-type miceJunguk Hur
16647138COX-2COX-216.2Various lines of evidence implicate COX-2 in fever production 
16647138COX-2COX-216.2lipopolysaccharide (LPS) LPS or intravenous and intracerebral IL-1_amp_#x3b2 administration whereas COX-2 inhibitors suppress the fever induced by these pyrogens ( Cao 
16647138COXCOX-2-deficient0.3febrile response to injection of intraperitoneal LPS in COX-1 and COX-2-deficient miceJunguk Hur
16647138COX-2COX-216.2LPS with a 1_amp_#xb0 C rise in temperature whereas the COX-2 _amp_#x2212;/_amp_#x2212; _amp_#x2212 _amp_#x2212 mice displayed no increase in temperature indicating 
16647138COX-2COX-216.2_amp_#x2212 _amp_#x2212 mice displayed no increase in temperature indicating that COX-2 is necessary for LPS-induced fever production 
16647138COX-2COX-216.2Endocannabinoids and COX-2 
16647138COX-2COX-216.2these hydrolytic pathways endocannabinoids can be selectively oxygenated by a COX-2 pathway ( Kozak and Marnett 2002 and Yu et al. 
16647138COX-2COX-216.2Inhibition of COX-2 can potentiate the action of these endocannabinoids ( Kim and 
16647138COX-2COX-216.2Furthermore metabolites of AEA and 2-AG derived from COX-2 possess biological activity including the activation of protein kinase C 
16647138COX-2COX-216.2significantly more stable metabolically than free acid PGs suggesting that COX-2 action on endocannabinoids may provide oxygenated lipids with sufficiently long 
16647138COX-2COX-216.22 production induced by either AEA or MAEA a selective COX-2 inhibitor indicating induction of COX-2 
16647138COX-2COX-216.2AEA or MAEA a selective COX-2 inhibitor indicating induction of COX-2 
16647138COX-2COX-216.2AEA and MAEA increased the expression of COX-2 protein an action that AM-251 a selective cannabinoid receptor-1-agonist partially 
16647138COX-2COX-216.2Additionally AEA increased COX-2 promoter activity 
16647138COX-2COX-216.2(2005) 2005 suggested that AEA increases COX-2 expression at the transcriptional level through a cannabinoid-receptor-1-mediated mechanism in 
16647138COX-2COX-216.2(2005) 2005 concluded that oxidation of eCB by COX-2 decreases their level in the hippocampus thus enhancing LTP eCBs 
16647138COX-2COX-216.2Conversely inhibition of COX-2 prevented LTP in hippocampal dentate neurons ( Kim and Alger 
16647138COX-2COX-216.2( Kim and Alger 2004 leading to the conclusion that COX-2 regulates the formation of CB1 ligands that negatively regulate LTP 
16647138COXCOX2.9Early indications of an involvement of COX and LOX in traumatic brain injury arose from studies onJunguk Hur
16647138COX-2COX-216.2COX-2 is an important mediator of neuroinflammation ( Feng et al. 
16647138COX-2COX-216.2of the rat cerebral cortex caused a bilateral induction of COX-2 mRNA in the cortex and dentate gyrus 
16647138COX-2COX-216.2COX-2 activity was detectable in these areas and persisted in the 
16647138COX-2COX-216.2Upregulation of COX-2 mRNA has also been observed in the rat spinal cord 
16647138COX-2COX-216.2COX-2 immunoreactivity in this instance was observed only in endothelial cells 
16647138COX-2COX-216.2(1998) 1998 observed trauma-induced COX-2 mRNA expression in spinal cord neurons and around blood vessels 
16647138COX-2COX-216.2(2000) 2000 found COX-2 protein almost exclusively in neurons 
16647138COX-2COX-216.2The effects of COX-2 inhibition on recovery following traumatic brain injury (TBI) TBI in 
16647138COX-2COX-216.2worsening of motor but not cognitive performance and suggested that COX-2 induction following TBI may play a protective role 
16647138COX-2COX-216.2Studies on COX-1 and COX-2 gene deletion provided some information on the roles 
16647138COX-2COX-216.2Studies on COX-1 and COX-2 gene deletion provided some information on the roles of these 
16647138COXCOX-2-deficient0.3COX-2-deficient mice displayed a reduced susceptibility to ischemic brain injury andJunguk Hur
16647138COX-2COX-216.2Conversely mice with neuronal overexpression of COX-2 had increased levels of PGE 2 with significant increases in 
16647138COX-2COX-216.2Clinical trials have recently revealed that long-term therapy with COX-2 inhibitors increases the incidence of myocardial infarction and stroke which 
16647138COX-2COX-216.2PGE 2 may be responsible for the neurotoxic effects of COX-2 ( Manabe et al. 2004 
16647138COX-2COX-216.2COX-2 mRNA is upregulated in the ischemic rat cerebral hemisphere beginning 
16647138COX-2COX-216.2Neurons at the medial edge of the ischemic area had COX-2 immunoreactivity and the injured brain had elevated PGE 2 levels 
16647138COX-2COX-216.2These data would appear to implicate COX-2 in the mechanisms of delayed neuronal death 
16647138COX-2COX-216.2PLA 2 activation may be converted to prostaglandins by both COX-1 and COX-2 during the immediate response and predominantly by COX-2 
16647138COX-2COX-216.2activation may be converted to prostaglandins by both COX-1 and COX-2 during the immediate response and predominantly by COX-2 during the 
16647138COX-2COX-216.2COX-1 and COX-2 during the immediate response and predominantly by COX-2 during the delayed response ( Murakami et al. 2002 sPLA 
16647138COX-2COX-216.2delayed response ( Murakami et al. 2002 sPLA 2 upregulates COX-2 ( Bidgood et al. 2000 and is functionally coupled with 
16647138COX-2COX-216.2( Bidgood et al. 2000 and is functionally coupled with COX-2 but not with COX-1 ( Balsinde et al. 1998 
16647138COX-2COX-216.2Substantial increases in COX-2 mRNA and protein levels occur in the peri-infarct and focal 
16647138COX-2COX-216.2In the ischemic core significant increases in COX-2 mRNA followed 6 h of ischemia 
16647138COX-2COX-216.2ischemic core during ischemic periods did not show increases in COX-2 protein 
16647138COX-2COX-216.2in microglia but weakly in neurons in control brains whereas COX-2 was absent in control autopsied brains 
16647138COX-2COX-216.2However COX-2 was induced robustly in neurons during the acute phase of 
16647138COX-2COX-216.2COX-2 was also upregulated in microglia during focal ischemia ( Tomimoto 
16647138COXCOX2.9of inhibitors of PLA 2 as well as inhibitors of COX LOX and cytochrome P450 isozymes to reverse the depolarizationJunguk Hur
16647138COXCOX2.9Numerous studies have evaluated the effects of COX inhibitors on stroke injuryJunguk Hur
16647138COX-2COX-216.2Pretreatment with indomethacin an inhibitor of COX-1 and COX-2 reduced infarct size following focal ischemia with reperfusion 
16647138COX-2COX-216.2Pretreatment with indomethacin an inhibitor of COX-1 and COX-2 reduced infarct size following focal ischemia with reperfusion in rats 
16647138COX-2COX-216.2Ibuprofen which also inhibits both COX-1 and COX-2 reduced neuronal injury and improved cerebral blood flow 
16647138COX-2COX-216.2Ibuprofen which also inhibits both COX-1 and COX-2 reduced neuronal injury and improved cerebral blood flow and neurological 
16647138COXCOX2.9Two other non-selective COX inhibitors piroxicam and flurbiprofen significantly ameliorated delayed (7 7 daysJunguk Hur
16647138COX-2COX-216.2The recent development of selective COX-2 inhibitors has stimulated a number of studies of their efficacy 
16647138COX-2COX-216.2inducible nitric oxide synthase (NOS) NOS gene which suggests that COX-2 reaction products may be another mechanism by which iNOS-derived nitric 
16647138COX-2COX-216.2Another COX-2 inhibitor nimesulide effectively limited hippocampal damage following forebrain ischemia in 
16647138COXCOX-2-deficient0.3degree of hippocampal neuronal injury produced by global ischemia in COX-2-deficient mice was less than that in wild-type mice ( SasakiJunguk Hur
16647138COX-2COX-216.2Selective inhibition of COX-1 by valerylsalicylate or of COX-2 by rofecoxib was used to assess the relative contributions of 
16647138COXCOX2.9was initiated 6 h after ischemia providing evidence that both COX isoforms are involved in the progression of neuronal damage followingJunguk Hur
16647138COX-2COX-216.2The highly selective COX-2 inhibitor DFU was neuroprotective when administered several hours after transient 
16647138COX-2COX-216.2The selective COX-2 inhibitors SC58125 and SC58326 are neuroprotective in rat global and 
16647138COX-2COX-216.2(2004) 2004 examined whether the selective COX-2 inhibitor celecoxib reduces cerebral inflammation and edema after intracerebral hemorrhage 
16647138COX-2COX-216.2S-2474 a novel NSAID suppresses COX-2 at low nanomolar levels but does not affect COX-1 
16647138COXCOX2.9Two COX inhibitors indomethacin and ibuprofen were less effective on this preparationJunguk Hur
16647138COXCOX2.9neuronal death which LOX and CY450 inhibitors greatly reduced with COX inhibitors having less of an effectJunguk Hur
16647138COXCOX2.9Role of COX LOX and EPOX in excitotoxic injuryJunguk Hur
16647138COX-2COX-216.2These enzymes include PLA 2 COX-2 LOX and EPOX 
16647138COX-2COX-216.2Marked increases in COX-2 and 5-LOX mRNA and protein levels occur following kainate injections 
16647138COX-2COX-216.2This increase in COX-2 and 5-LOX can be prevented by not only glutamate receptor 
16647138COX-2COX-216.2al. 1999 and Pepicelli et al. 2002 but also by COX-2 and 5-LOX inhibitors ( Manev et al. 2000a and Pepicelli 
16647138COX-2COX-216.2The role of COX-2 and 5-LOX in excitotoxicity is also supported by microdialysis studies 
16647138COX-2COX-216.2blocked by the infusion of NMDA antagonists as well as COX-1 and COX-2 inhibitors indicating that both COX-1 and COX-2 contribute 
16647138COX-2COX-216.2the infusion of NMDA antagonists as well as COX-1 and COX-2 inhibitors indicating that both COX-1 and COX-2 contribute to the 
16647138COX-2COX-216.2as well as COX-1 and COX-2 inhibitors indicating that both COX-1 and COX-2 contribute to the prostaglandin synthesis and oxidative damage 
16647138COX-2COX-216.2as COX-1 and COX-2 inhibitors indicating that both COX-1 and COX-2 contribute to the prostaglandin synthesis and oxidative damage in excitotoxicity 
16647138COX-2COX-216.2it promotes neuronal injury that depends on the magnitude of COX-2 and 5-LOX expression ( Iadecola et al. 2001a Nakayama et 
16647138COX-2COX-216.2It is likely that increased COX-2 and 5-LOX activities and high levels of their reaction products 
16647138COX-2COX-216.2The neurochemical consequences of increased COX-2 and 5-LOX activities and high levels of their products include 
16647138COX-2COX-216.2Our emphasis on the interaction between glutamate receptors and COX-2 and 5-LOX activities and their reaction products does not rule 
16647138COX-2COX-2-2.3appropriate to apply the concept of synergism between glutamate and COX-2- and 5-LOX-generated products and their receptors to neural cell injury 
16647138COX-2COX-2-2.3The synergistic actions of glutamate and COX-2- and 5-LOX-generated products may be rapid whereas in neurodegenerative disorders 
16647138COX-2COX-2-2.3limited extent due to the availability of ATP glutamate and COX-2- and 5-LOX-product-mediated damage may take a longer time to develop 
16647138COX-2COX-216.2These studies suggest that COX-2 and 5-LOX-generated products along with free radical formation play critical 
16647138COX-2COX-216.2of cytosolic PLA 2 ( Kajiwara et al. 1996 and COX-2 ( Marcheselli and Bazan 1996 
16647138COX-2COX-216.2In rat brain COX-2 mRNA is preferentially expressed in neurons where it is developmentally 
16647138COX-2COX-216.2it is developmentally regulated ( Tocco et al. 1997 and COX-2 expression is induced by kainic-acid-induced seizures ( Chen et al. 
16647138COX-2COX-216.2rat cortico-hippocampal neurons is also associated with increased expression of COX-2 ( Tocco et al. 1997 
16647138COX-2COX-216.2Induction of COX-2 but not COX-1 gene expression has been demonstrated to precede 
16647138COXCOX2.9( Birkle and Bazan 1987 indicating the stimulation of both COX and LOX activityJunguk Hur
16647138COX-2COX-216.2another seizure model the genetically epilepsy-susceptible E1 mouse expression of COX-2 in the hippocampus was upregulated after an epileptic seizure and 
16647138COX-2COX-216.2hippocampus was upregulated after an epileptic seizure and indomethacin a COX-2 inhibitor shortened the duration from seizure onset to full recovery 
16647138COX-2COX-216.2rat hippocampal-kindling model enabled a study of the role of COX-2 in seizure activity 
16647138COX-2COX-216.2COX-2 encoded in an early-response gene increased in a synaptic-activity-dependent manner 
16647138COX-2COX-216.2When rats were rekindled 34 days later this spreading of COX-2 expression persisted 
16647138COX-2COX-216.2The COX-2 selective inhibitor nimesulide attenuated kindling development ( Tu and Bazan 
16647138COX-2COX-216.2attenuated kindling development ( Tu and Bazan 2003 thus neuronal COX-2 gene induction and cPLA 2 activation are key signaling events 
16647138COX-2COX-216.2(2003) 2003 examined the effects of COX-2 on the _amp_#x2018 rapid kindling_amp_#x2019 development in COX-2 knockout mice 
16647138COX-2COX-216.2effects of COX-2 on the _amp_#x2018 rapid kindling_amp_#x2019 development in COX-2 knockout mice and mice treated with nimesulide 
16647138COX-2COX-216.2They also measured COX-2 mRNA expression and PGE 2 concentrations 
16647138COX-2COX-216.2Kindling in hippocampal neurons of control mice markedly increased brain COX-2 mRNA levels with a significant increase in PGE 2 levels 
16647138COX-2COX-216.2Moreover conditions of COX-2 deficiency significantly decreased the incidence of after-discharges total after-discharge duration 
16647138COX-2COX-216.2total after-discharge duration and seizure behavior induction suggesting that inducible COX-2 facilitates the recurrence of hippocampal seizures 
16647138COX-2COX-216.2a transgenic mouse model with neuronal overexpression of the human COX-2 to further explore its role in excitotoxicity 
16647138COX-2hCOX-22.3Overexpression of hCOX-2 potentiated the intensity and lethality of kainic acid excitotoxicity thus 
16647138COX-2COX-216.2acid excitotoxicity thus demonstrating a cause_amp_#x2013 effect relationship between neuronal COX-2 expression and excitotoxicity 
16647138COXCOX2.9in rats gave further evidence of a neuroprotective effect of COXJunguk Hur
16647138COX-2COX-216.2The COX-2 selective inhibitor rofecoxib significantly reduced kainate-induced cell death in the 
16647138COX-2COX-216.2Another selective COX-2 inhibitor celecoxib was effective in reducing electroshock-induced convulsions in rats 
16647138COX-2COX-216.2(febrile)-induced febrile -induced seizures no reports on the effects of COX-2 inhibitors on epileptic seizures in humans have appeared 
16647138COXCOX2.9The involvement of COX and LOX pathways in AD has been extensively studied inJunguk Hur
16647138COX-2COX-216.2A marked increase of COX-1 and COX-2 expression and immunoreactivity in cerebral cortex and hippocampal 
16647138COX-2COX-216.2A marked increase of COX-1 and COX-2 expression and immunoreactivity in cerebral cortex and hippocampal regions of 
16647138COX-2COX-216.2The neuroprotective effects of COX-1 and COX-2 inhibitors (NSAID) NSAID strongly support the view that 
16647138COX-2COX-216.2The neuroprotective effects of COX-1 and COX-2 inhibitors (NSAID) NSAID strongly support the view that upregulation of 
16647138COX-2COX-216.2The molecular mechanism by which COX-1 and COX-2 promote amyloidogenic accumulation of _amp_#x3b2 -amyloid peptide is 
16647138COX-2COX-216.2The molecular mechanism by which COX-1 and COX-2 promote amyloidogenic accumulation of _amp_#x3b2 -amyloid peptide is not fully 
16647138COX-2COX-216.2COX-1 and COX-2 potentiate _amp_#x3b2 -amyloid peptide generation through mechanisms that 
16647138COX-2COX-216.2COX-1 and COX-2 potentiate _amp_#x3b2 -amyloid peptide generation through mechanisms that involve _amp_#x3b3 
16647138COX-2COX-216.2Furthermore COX-2 expression is also involved in regulation of cell cycle activity 
16647138COX-2COX-2-mediated2.3Re-entry into the cell cycle may underlie COX-2-mediated neuronal damage in AD ( Xiang et al. 2002 
16647138COXCOX2.9the EPOX inhibitors SKF25A and metyrapone but not by the COX inhibitors indomethacin and NS-398Junguk Hur
16647138COX-2COX-216.2disease is characterized by a prominent neuroinflammatory component upregulation of COX-2 mRNA and oxidative stress ( Yasojima et al. 2001 
16647138COX-2COX-216.2Upregulation of COX-2 mRNA also occurs in SOD1 transgenic mice at the onset 
16647138COX-2COX-216.2cell culture model of ALS the addition of a selective COX-2 inhibitor SC236 blocked the destruction of motor neurons ( Drachman 
16647138COX-2COX-216.2of motor neurons ( Drachman and Rothstein 2000 suggesting that COX-2 may play an important role in inflammatory processes in ALS 
16647138COX-2COX-216.2Similarly treatment with celecoxib another COX-2 inhibitor prolongs the survival of neurons in the SOD1 mouse 
16647138COX-2COX-216.2Although upregulation of COX-2 and PGE 2 levels may not be the root cause 
16647138COX-2COX-216.2At present nothing is known about the expression of COX-2 in patients with PD 
16647138COX-2COX-216.2However involvement of COX-2 in the pathogenesis of PD has been explored in an 
16647138COX-2COX-216.22 3 6 tetrahydropyridine (MPTP) MPTP as well as in COX-2 gene knockout mice ( Feng et al. 2003 and Teismann 
16647138COXCOX-2-deficient0.3mortality rate has been reported after MPTP injection in heterozygous COX-2-deficient mice than in the wild-type mice and inhibition of COX-2Junguk Hur
16647138COX-2COX-216.2COX-2-deficient mice than in the wild-type mice and inhibition of COX-2 protein expression decreases the lesions caused by MPTP and protects 
16647138COX-2COX-2-mediated2.3The molecular mechanism associated with COX-2-mediated neurodegeneration in animal models of PD remains unknown 
16647138COX-2COX-216.2However COX-2 inhibition may prevent the formation of the oxidant species of 
16647138COXCOX2.9Collective evidence suggests that changes in COX LOX and EPOX activities may not be the primary effectJunguk Hur
16647138COX-2COX-216.2Using RT-PCR and Western blotting both COX-1 and COX-2 are significantly increased in brains from CJD patients 
16647138COX-2COX-216.2Using RT-PCR and Western blotting both COX-1 and COX-2 are significantly increased in brains from CJD patients compared to 
16647138COX-2COX-216.2and in brain homogenates of scrapie-infected mice the upregulation of COX-1 and COX-2 is accompanied by a several-fold increase in concentrations 
16647138COX-2COX-216.2brain homogenates of scrapie-infected mice the upregulation of COX-1 and COX-2 is accompanied by a several-fold increase in concentrations of PGE 
16647138COX-2COX-216.2In contrast indomethacin a COX-1 and COX-2 inhibitor and baicalein a 12-LOX inhibitor do not 
16647138COX-2COX-216.2In contrast indomethacin a COX-1 and COX-2 inhibitor and baicalein a 12-LOX inhibitor do not affect PrP106_amp_#x2013 
16647138COXCOX2.9Future perspectives interactions among multiple forms of COX LOX and EPOX and their relationship to upstream PLA 2Junguk Hur
16647138COXCOX2.9Although transcripts activities and immunoreactive proteins for COX LOX and EPOX are widely expressed throughout the brain veryJunguk Hur
16647138COXCOX2.9The occurrence of isoforms of COX LOX and EPOX enzymes in cytoplasm and other subcellular organellesJunguk Hur
16647138COXCOX2.9The multiplicity of COX LOX and EPOX enzymes in brain tissue provides diversity inJunguk Hur
16647138COX-2COX-216.2In astrocytes TGF_amp_#x3b2 1 upregulates COX-1 expression and serum increases COX-2 expression 
16647138COX-2COX-216.2Neither TGF_amp_#x3b2 1 nor serum affects COX-1 and COX-2 expression in neurons 
16647138COX-2COX-216.2Neither TGF_amp_#x3b2 1 nor serum affects COX-1 and COX-2 expression in neurons 
16647138COX-2COX-216.2Furthermore COX-1 compensates for the loss of COX-2 in the COX-2 knockout (COX-2 COX-2 _amp_#x2212;/_amp_#x2212; _amp_#x2212 _amp_#x2212 mouse 
16647138COX-2COX-216.2Furthermore COX-1 compensates for the loss of COX-2 in the COX-2 knockout (COX-2 COX-2 _amp_#x2212;/_amp_#x2212; _amp_#x2212 _amp_#x2212 mouse brain 
16647138COX-2COX-216.2for the loss of COX-2 in the COX-2 knockout (COX-2 COX-2 _amp_#x2212;/_amp_#x2212; _amp_#x2212 _amp_#x2212 mouse brain 
16647138COX-2COX-216.2Thus COX-2 _amp_#x2212;/_amp_#x2212; _amp_#x2212 _amp_#x2212 shows a compensatory increase in brain COX-1 
16647138COXCOX2.9This behavior complicates the analysis of COX LOX and EPOX function at cellular and subcellular levelsJunguk Hur
16647138COXCOX2.9when one considers the coupling mechanisms of various isoforms of COX LOX and EPOX with different receptors at cellular and subcellularJunguk Hur
16647138COXCOX2.9Some isoforms of COX LOX and EPOX are constitutively expressed while others are inducibleJunguk Hur
16647138COXCOX2.9The isoforms of COX LOX and EPOX may not function interchangeably but act inJunguk Hur
16647138COXCOX2.9It is likely that various isoforms of COX LOX and EPOX act on different cellular pools of arachidonicJunguk Hur
16647138COXCOX2.9Thus the interactions among COX LOX and EPOX-generated metabolites at plasma membrane cytoplasmic and nuclearJunguk Hur
16647138COXCOX2.9tempting to speculate that coordinated cross talk not only among COX LOX and EPOX isozymes but also with upstream PLA 2Junguk Hur
16647138COXCOX2.9In the nuclear membrane and nucleus COX LOX and EPOX-mediated signaling has the advantage over plasma membraneJunguk Hur
16647138COXCOX2.9In brain tissue the activities of COX LOX and EPOX isoforms may depend not only on theJunguk Hur
16647138COXCOX2.9The ability of COX LOX and EPOX isoforms to orchestrate complex prostaglandin leukotriene HETEJunguk Hur
16647138COXCOX2.9The activation of COX LOX and EPOX isoforms at a subcellular level in neuralJunguk Hur
16647138COXCOX2.9Therefore a strict regulation of COX LOX and EPOX isozymes is very important for normal brainJunguk Hur
16647138COXCOX2.9As stated above the regulation of COX LOX and EPOX activities is complex and mediated by severalJunguk Hur
16647138COXCOX2.9To understand the contribution of isoforms of COX LOX and EPOX in physiological and disease processes a systematicJunguk Hur
16647138COXCOX2.9The enzymic mechanisms include three systems COX isozymes which synthesize prostaglandins LOX isozymes which generate hydroxyl derivativesJunguk Hur
16647138COXCOX2.9ischemia AD PD ALS and CJD stimulation and upregulation of COX LOX and EPOX isozyme activities and the generation of excessiveJunguk Hur
16647138COXCOX2.9These metabolites not only antagonize the effect of COX LOX and EPOX-generated products but also counteract leukocyte infiltration andJunguk Hur
16647138COXCOX2.9Elevated activities of isoforms of COX LOX and EPOX at cellular and subcellular levels in ischemiaJunguk Hur
16753239COX-2COX-21.0that TZDs block the production of iNOS TNF-_amp_#x3b1 IL-6 and COX-2 by primary rat microglia and astrocytes and protected cortical neurons 
16766086COX-2COX-21.0These agents suppressed cytokine as well as COX-2 expression 
16766086COX-2COX-21.0Expression of inflammatory genes such as iNOS cyclooxygenase-2 (COX-2), COX-2 proinflammatory cytokines and intercellular adhesion molecule are upregulated following stroke 
16766086COX-2COX-21.0associated with reduced expression of inflammatory mediators such as iNOS COX-2 and IL-1_amp_#x3b2 ( Fig 5 
16766086COX-2COX-21.0mRNA was reduced by approximately 25% for iNOS 30% for COX-2 and 50% for IL-1_amp_#x3b2 ( n = 4 for each 
17015226COX-2COX-21.0Cyclooxygenase-2 (COX-2), COX-2 produced in abundance by microglia and other inflammatory cells (but 
17015226COX-2COX-21.0a key role in stimulating production of proinflammatory cytokines and COX-2 expression is induced in spinal cords of ALS patients ( 
17015226COX-2COX-21.0In mice use of a COX-2 inhibitor (celecoxib) celecoxib prolonged survival by slowing disease onset ( 
17569578COX2COX22.5cytokine expression iNOS expression and NO production and inhibition of COX2 and subsequent generation of immunostimulated prostanoid synthesis 38 
17569578COX-2COX-22.8pioglitazone treated SOD1-G93A mice as were the protein levels of COX-2 and iNOS 
17569578COX2COX22.5expression as well as elevated expression of adhesion molecules iNOS COX2 and other inflammatory mediators which act to exacerbate the tissue 
17569578COX2COX22.5of peripheral leukocytes diminished microglial activation and reduction of iNOS COX2 and cytokine expression 
17574754COX-2COX-21.0Induction of cyclooxygenase-2 (COX-2) COX-2 with production of prostaglandins occurs in a wide spectrum of 
17574754COX-2COX-21.0Inhibition of the COX-2 pathway and downstream production of prostaglandins protect neurons in rodent 
17574754COX-2COX-21.0investigating the functions of selected prostaglandin receptor pathways in mediating COX-2 neurotoxicity have demonstrated both toxic and paradoxically neuroprotective effects of 
17574754COX-2COX-21.0The inducible isoform of cyclooxygenase COX-2 is rapidly upregulated in vivo in hippocampal and cerebral cortical 
17574754COX-2COX-21.0However in pathologic conditions caused by either excitotoxicity or inflammation COX-2 expression and activity are increased in neurons and glial cells 
17574754COX-2COX-21.0Thus increased COX-2 activity and prostaglandin production are hallmarks of a wide range 
17574754COX-2COX-21.0In humans increased COX-2 and prostaglandin production have been observed in AD ALS multiple 
17574754COX-2COX-21.0Thus COX-2 appears to function physiologically in promoting synaptic activity and pathologically 
17574754COX-2COX-21.0Because inhibition of COX-2 either genetically or pharmacologically decreases neuronal injury in rodent models 
17574754COX-2COX-21.0is considerable interest in defining the downstream mechanisms by which COX-2 exerts its neurotoxicity 
17574754COX-2COX-21.0has been the examination of prostaglandin signaling cascades downstream of COX-2 and the identification of neurotoxic prostaglandin receptors 4 
17574754COX-2COX-21.0the metabolism of arachidonic acid by COX-1 and the inducible COX-2 
17574754COX-2COX-21.0COX-2 neurotoxicity is presumed to be mediated by one or more 
17574754COX-2COX-21.0Induction of COX-2 activity and production of downstream prostaglandins is associated in a 
17574754COX-2COX-21.0COX-2 inhibition has been shown to be protective in this in 
17574754COX-2COX-21.0that the DP FP and IP receptors do not mediate COX-2 toxicity in this in vitro model and from our previous 
17574754COXCOX0.0A larger question is whether COX inhibition by non-steroidal anti-inflammatory drugs (NSAIDs), NSAIDs which should reduceJunguk Hur
17574754COX-2COX-21.0In models of in vitro and in vivo excitotoxicity COX-2 inhibition is clearly neuroprotective 
17901552COX-2COX-21.0Function of COX-2 and prostaglandins in neurological disease 
17901552COX-2COX-21.0Induction of COX-2 expression and enzymatic activity promotes neuronal injury in a number 
17901552COX-2COX-21.0Inhibition of COX-2 activity either genetically or pharmacologically has been shown to be 
17901552COXCOX0.0Inhibition of COX activity with nonsteroidal anti-inflammatory drugs (NSAIDs) NSAIDs reduces inflammation andJunguk Hur
17901552COXCOX-mediated0.0COX-mediated neuronal injury is presumed be due to downstream effects ofJunguk Hur
17901552COX-2COX-21.0that are paradoxically protective when taken in the context that COX-2 induces neuronal injury in the setting of excitotoxicity 
18040778COX-2COX-21.0Cyclooxygenase-2 (COX-2) COX-2 is an enzyme central to the production of prostaglandins a 
18040778COX-2COX-21.0COX-2 and prostaglandin E 2 are elevated in the CNS of 
18040778COX-2COX-21.0implicated in other neuroinflammatory/neurodegenerative neuroinflammatory neurodegenerative diseases and not surprisingly COX-2 has been considered a major therapeutic target 
18040778COX-2COX-21.0Hypothetically by inhibiting microglial cell cyclooxygenases (COX-1 COX-1 or COX-2 the metabolism of arachadonic acid is curtailed and production of 
18040778COXCOX0.0In addition to the suppression of prostaglandin production COX inhibitors may also decrease the formation of AB peptide (HirohataJunguk Hur
18040778COX-2COX-21.0Although preclinical and early clinical data suggested that COX-2 inhibitors may have a beneficial role in AD results of 
18040778COX-2COX-21.0subsequent studies and the development of unanticipated side effects of COX-2 inhibitors have dampened enthusiasm for the use of these agents 
18464922COX-2COX-21.0promoters including those encoding for inflammation (iNOS, iNOS NF-_amp_#x003ba B COX-2 oxidative stress and apoptosis 
18464922COX-2COX-21.0microglial activation as well as reduction in the expression of COX-2 and iNOS 39 
18464925COX2COX22.5as well as expression of the inducible enzymes iNOS and COX2 induced in LPS-stimulated astrocyte and microglial cultures 58 
18464925COX-2COX-23.0the natural ligand 15d-PGJ 2 prevented the IL-1 _amp_#x003b2 -induced COX-2 mRNA accumulation in human astrocytes through a PPAR _amp_#x003b3 -independent 
18464925COX-2COX-23.0the production of TNF-_amp_#x003b1 IL-1 _amp_#x003b2 and the expression of COX-2 in the same cell system while increasing the expression of 
18464925COX-2COX-2-specific2.5In this cell system COX-2-specific inhibitors failed to promote neuronal survival suggesting protective mechanisms independent 
18464925COX-2COX-23.0failed to promote neuronal survival suggesting protective mechanisms independent of COX-2 metabolism 
18464925COX-2COX-23.0of PGJ 2 by directly preventing the enzymatic activity of COX-2 rather than its expression as previously described in activated monocytic 
18464925COX-2COX-23.0The reduction of COX-2 enzymatic activity could be achieved through the modifications of key 
11220737cox 2cox 21.0consistent with this view the present study demonstrates that during the course of the disease the expression of cyclooxygenase type 2 cox 2 a key enzyme in the synthesis of prostanoids which are potent mediators of inflammation is dramatically increased.  
11220737cox 2cox 21.0in both early symptomatic and end stage transgenic msod1 mice neurons and to a lesser extent glial cells in the anterior horn of the spinal cord exhibit robust cox 2 immunoreactivity.  
11220737cox 2cox 21.0cox 2 mrna and protein levels and catalytic activity are also significantly increased in the spinal cord of the transgenic msod1 mice.  
11220737cox 2cox 21.0the time course of the spinal cord cox 2 upregulation parallels that of motor neuronal loss in transgenic msod1 mice.  
11220737cox 2cox 21.0we also show that cox 2 activity is dramatically increased in postmortem spinal cord samples from sporadic als patients.  
11220737cox 2cox 21.0we speculate that cox 2 upregulation through its pivotal role in inflammation is instrumental in the als neurodegenerative process and that cox 2 inhibition may be a valuable therapeutic avenue for the treatment of als.  
12362410cox 2cox 21.0nce of numerous molecules characteristic of free radical attack the occurrence of proteins associated with activation of the complement cascade and a sharp upregulation of the enzyme cyclooxygenase 2 cox 2 .  
12362410cox 2cox 21.0cox 2 is a particularly attractive target because of its marked increase in als spinal cord.  
14511332cox 2cox 21.0they are produced by two different isoforms of the cyclooxygenase cox enzyme namely cox 1 and cox 2.  
14511332cox 2cox 21.0in particular cox 2 was demonstrated to be crucial for pg synthesis in inflammation.  
14511332cox 2cox 21.0recently inhibition of cox 2 was shown to prevent the loss of motor neurons in a model of amyotrophic lateral sclerosis als .  
14511332cox 2cox 21.0furthermore spinal cox 2 expression was shown to be increased in transgenic mice that produce an als like syndrome.  
14511332cox 2cox 21.0therefore we investigated the expression of cox 1 and cox 2 in the spinal cord of seven human sporadic als patients by means of immunohistochemistry.  
14511332cox 2cox 21.0cox 2 expression was dramatically increased in the spinal cord of patients with als.  
14511332cox 2cox 21.0statistical analysis showed a significantly higher expression of cox 2 in als for both neurons and glia.  
14511332cox 2cox 21.0the results of our study corroborate a potential role for cox 2 in the pathogenesis of motor neuron death in als.  
14511332cox 2cox 21.0selective cox 2 inhibition might therefore offer a new possibility in the treatment of human als.  
14511332cox 2cox 21.0however to determine the exact role of cox 2 in human als will require further research.  
14511332cox 2cox 21.0very recently the proinflammatory enzyme cyclooxygenase 2 cox 2 was reported to be highly expressed in the spinal cord of msod1 mice almer et al . 2001 .  
14511332cox 2cox 21.0currently two cox isoforms are known namely cox 1 and cox 2 vane et al . 1998 .  
14511332cox 2cox 21.0whereas cox 1 mainly subserves _amp_#8216;house keeping_amp_#8217; functions cox 2 is the product of an _amp_#8216;immediate early gene_amp_#8217; that is rapidly inducible and tightly regulated vane et al . 1998 .  
14511332cox 2cox 21.0under normal conditions cox 2 expression is highly restricted to distinct organ systems including the kidney harris et al . 1994 and the eye maihofner et al . 2001 but cox 2 expression can be dramatically increased in various tissues following the initiation of transcription by activating factors including different proinflammatory cytokines arterial wall sheer forces or 
14511332cox 2cox 21.0recently one of us demonstrated the constitutive expression of both cox isoforms in the spinal cord of rodents and a dramatic induction of spinal cox 2 protein following peripheral nociceptive stimulation maihofner et al . 2000b .  
14511332cox 2cox 21.0very recently inhibition of cox 2 was protective in a glutamate mediated in vitro model of sals drachman _amp_ rothstein 2000 .  
14511332cox 2cox 21.0almer et al . 2001 described the immunohistochemical distribution of cox 2 in the spinal cord of msod1 mice over the progression of the disease.  
14511332cox 2cox 21.0furthermore they showed an increased prostaglandin e2 pg e 2 level in post mortem samples of als cases as a marker for cox 2 activity.  
14511332cox 2cox 21.0therefore we compared the spinal expression of cox 1 and cox 2 in sals and control patients by means of immunohistochemistry.  
14511332cox 2cox 21.0we here demonstrate a high expression of cox 2 protein in spinal cord specimens of human sals cases.  
14511332cox 2cox 21.0the increased expression of cox 2 was corroborated by a significantly higher concentration of pg e 2 in the cerebrospinal fluid of patients diagnosed with als.  
14511332cox 2cox 21.0briefly goat polyclonal antisera raised against human cox 1 and cox 2 protein santa cruz biotechnology santa cruz ca were employed.  
14511332cox 2cox 21.0to further differentiate the cellular distributions of cox 1 and cox 2 proteins a double staining procedure using a mouse monoclonal antihuman antibody to glial fibrillary acidic protein to label astrocytes gfap; dako glostrup denmark and a mouse monoclonal antihuman an 
14511332cox 2cox 21.0specimens were coded and assessed observer blinded for presence of cox 1 and cox 2 immunoreactivity ir .  
14511332cox 2cox 21.0membranes were probed with polyclonal goat antihuman cox 1 or cox 2 serum diluted 1 : 1000 followed by a horseradish peroxidase hrp linked donkey antigoat igg secondary antibody diluted 1 : 1000; santa cruz biotechnology .  
14511332cox 2cox 21.0the normal spinal cord and specifity of the antibodies to assess the specifity of the antibodies used for immunohistochemistry we performed western blotting experiments for the detection of cox 1 and cox 2 protein with spinal protein extracts from human donors with no known neurological diseases two males age 65 and 78 years .  
14511332cox 2cox 21.0figure 1b demonstrates the results of a similar experiment for the detection of cox 2 protein.  
14511332cox 2cox 21.0protein extracts left lane from human spinal cords were separated alongside purified sheep cox 2 protein right lane by sds page blotted onto nitrocellulose membranes and incubated with the same cox 2 antibody as that used for immunohistochemistry.  
14511332cox 2cox 21.0unpurified cox 2 proteins derived from either cell lysates or tissues typically produce a double or triple band in western blot analysis at 68 75 kda fig 1b left lane .  
14511332cox 2cox 21.0a single band at 75 kda was detected for the purified cox 2 protein.  
14511332cox 2cox 21.0to exclude potential crossreactions between the antibodies for the two cox isoforms we determined the specifity with purified cox 1 and cox 2 protein by western blotting.  
14511332cox 2cox 21.0figure 1c shows that the goat antihuman polyclonal cox 1 antibody exclusively detected cox 1 protein and not cox 2 protein.  
14511332cox 2cox 21.0figure 1d shows the results from a similar experiment in which the goat antihuman polyclonal cox 2 antibody detected only cox 2 protein and not cox 1 protein.  
14511332cox 2cox 21.0in control specimens only a few motor neurons and interneurons were immunoreactive for cox 2 protein fig 2b .  
14511332cox 2cox 21.0in most neurons cox 2 ir was absent fig 2c .  
14511332cox 2cox 21.0the immunoreactive product could be clearly distinguished from lipofuscin like inclusions which had a different staining pattern compared to the reddish cox 2 ir fig 2c .  
14511332cox 2cox 21.0when the number of neurons with cox 2 ir was counted the percentage of cox 2 positive motor neurons and interneurons was found to be significantly increased in sals patients compared to controls despite an overall reduction in the number of neurons 13.31 _amp_plusmn; 5 vs 37. 
14511332cox 2cox 21.0furthermore expression of cox 2 was found to be enhanced in sals cases compared to controls in cells that showed no neuronal morphology i.e. cells of presumed glial origin fig 2f and g .  
14511332cox 2cox 21.0as demonstrated by the coexpression with gfap glial cox 2 expression was predominantly found in astrocytes fig 2h .  
14511332cox 2cox 21.0however cox 2 ir was occasionally detected in smaller cells with the morphological characteristics of microglia as shown by its coexpression with the microglia marker mac 1 fig 2i .  
14511332cox 2cox 21.0overall the glial expression of cox 2 was significantly increased in sals cases 0.71 _amp_plusmn; 0.5 vs 2.3 _amp_plusmn; 0.5; wilcoxon signed ranked test p _lt_ 0.05; fig 5 .  
14511332cox 2cox 21.0firstly despite a significant reduction of neurons in the spinal cord the percentage of cox 2 expressing motor neurons and interneurons was increased in sals.  
14511332cox 2cox 21.0secondly glial expression of cox 2 was enhanced in sals.  
14511332cox 2cox 21.0cox 2 overexpression in sals  
14511332cox 2cox 21.0expression of cox 2 in human diseases is a topic of considerable interest with regard to the recent development of cox 2 selective inhibitors hawkey 1999 .  
14511332cox 2cox 21.0regarding als drachman and rothstein drachman _amp_ rothstein 2000 demonstrated a beneficial effect of cox 2 inhibition in an in vitro model while almer et al .  
14511332cox 2cox 21.0 2001 demonstrated a role for cox 2 in mutant sod1 mice and yasojima et al .  
14511332cox 2cox 21.0 2001 showed up regulation of cox 2 mrna in spinal cord specimens of sals cases.  
14511332cox 2cox 21.0recently two animal studies demonstrated a beneficial effect of selective cox 2 inhibition in mouse models of als drachman et al . 2002 ; pompl et al . 2003 .  
14511332cox 2cox 21.0however the cellular origin of cox 2 up regulation in human sals has so far not been delineated.  
14511332cox 2cox 21.0here we provide immunohistochemical evidence for a dramatic increase in spinal cox 2 expression in motor neurons interneurons and glial cells in sals despite an overall reduction in the number of neurons compared to controls.  
14511332cox 2cox 21.0cox 2 was also observed in motor neurons of control specimens the staining was accentuated in the perinuclear region.  
14511332cox 2cox 21.0this agrees with reports on the constitutive expression of cox 2 in the spinal cord of rodents and the localization of cox 2 protein determined electron microscopically maihofner et al . 2000b ; maihofner et al . 2001 .  
14511332cox 2cox 21.0in normal conditions cox 2 derived pgs are assumed to play homeostatic functions beiche et al . 1996 ; vane et al . 1998 ; maihofner et al . 2000b .  
14511332cox 2cox 21.0nevertheless the reason for the dramatic cox 2 overexpression in sals is unknown.  
14511332cox 2cox 21.0one potential explanation could be cox 2's interplay with glutamate levels of which are elevated in the csf of sals patients plaitakis et al . 1988 .  
14511332cox 2cox 21.0in pain models cox 2 protein was induced following glutamatergic stimulation maihofner et al . 2000b .  
14511332cox 2cox 21.0nf kappa b. nf kappa b in particular is crucial for cox 2 induction in several cell types vane et al . 1998 and its activation has also been linked to neurodegeneration grilli _amp_ memo 1999 .  
14511332cox 2cox 21.0cytokines could also contribute to high expression of cox 2 in sals particularly il 1beta and il 6.  
14511332cox 2cox 21.0both are known inducers of cox 2 expression and their concentrations are elevated in the csf of als cases sekizawa et al . 1998 ; vane et al . 1998 ; li et al . 2000 .  
14511332cox 2cox 21.0consistently we demonstrated a significantly higher expression of cox 2 in glial cells.  
14511332cox 2cox 21.0in agreement with a study in transgenic msod1 mice almer et al . 2001 cox 2 was found to be predominantly expressed in astrocytes and not microglia.  
14511332cox 2cox 21.0this might be explained by the capability of il 1beta to induce cox 2 in astrocytes but not in microglia cells vane et al . 1998 .  
14511332cox 2cox 21.0cox 2 expression in the astroglia of rodents has been shown previously beiche et al . 1996 ; maihofner et al . 2000b .  
14511332cox 2cox 21.0furthermore despite a significant reduction in the number of interneurons in our sals cases cox 2 expression was also found to be increased in this cell type.  
14511332cox 2cox 21.0 2001 also found that cox 2 was present in motor neurons and predominantly in astroglia although no apparent differences in cox 1 expression were seen between msod1 mice and controls.  
14511332cox 2cox 21.0therefore we do not think that misclassification of neurons led to the high expression of cox 2 protein in sals presented here.  
14511332cox 2cox 21.0been used in previous studies maihofner et al . 2000b ; damm et al . 2001 ; maihofner et al . 2001 ; charalambous et al . 2003 ; maihofner et al . 2003 and were shown to be specific for the cox 1 and cox 2 protein respectively.  
14511332cox 2cox 21.0we have intentionally focused on the in situ expression of both cox 1 and cox 2 proteins in human als spinal cords.  
14511332cox 2cox 21.0increased pg e 2 levels are also in agreement with the results of two recent animal studies where selective cox 2 inhibition was found to be protective against motor neuron death drachman et al . 2002 ; pompl et al . 2003 .  
14511332cox 2cox 21.0a role for cox 2 in the pathogenesis of sals?  
14511332cox 2cox 21.0what is the significance of cox 2 overexpression in als?  
14511332cox 2cox 21.0there are several lines of evidence that cox 2 might play a role in the pathogenesis of als.  
14511332cox 2cox 21.0firstly application of a selective cox 2 inhibitor in an in vitro organotypic model of als protected against the loss of motor neurons in this system drachman _amp_ rothstein 2000 .  
14511332cox 2cox 21.0secondly this finding was corroborated in two in vivo studies where application of a selective cox 2 inhibitor protected against motor neuron degeneration and prolonged survival in transgenic mouse models of als drachman et al . 2002 ; pompl et al . 2003 .  
14511332cox 2cox 21.0thirdly based on the action of pgs cox 2 could promote inflammatory processes in als.  
14511332cox 2cox 21.0therefore cox 2 derived pgs could play a role in glutamate excitotoxicity which is postulated to occur in als rowland _amp_ shneider 2001 .  
14511332cox 2cox 21.0this is also in line with the study of kelley and colleagues kelley et al . 1999 demonstrating a potentiation of kainic acid induced excitotoxicity in transgenic mice overexpressing cox 2 protein.  
14511332cox 2cox 21.0fourthly cox 2 may also be involved in the production of reactive oxygen species and oxidative stress vane et al . 1998 .  
14511332cox 2cox 21.0finally cox 2 appears to be involved in neuronal cell cycle regulation.  
14511332cox 2cox 21.0 2002 showed that the expression of the endogenous cell cycle dependent kinase cdk inhibitor inhibitor kinase ink p18ink4 is a downstream target of neuronal cox 2 expression. p18ink4 inhibits cdk 4 6 which is in turn a key player in the regulation of g1 progression zindy et al . 1997 .  
14511332cox 2cox 21.0therefore cox 2 inhibition might attenuate apoptotic damage in neurodegenerative diseases.  
14511332cox 2cox 21.0however the specifity of cox 2 expression for als has to be questioned.  
14511332cox 2cox 21.0increased cox 2 levels were also shown for alzheimer's disease parkinson's disease epilepsy and even cerebral infarction pasinetti _amp_ aisen 1998 ; vane et al . 1998 ; scali et al . 2000 ; kunz _amp_ oliw 2001 .  
14511332cox 2cox 21.0therefore we would explicitly like to state that cox 2 expression seems to be a common endpoint in neurodegeneration rather than the actual cause of als.  
14511332cox 2cox 21.0furthermore there is the possibility that cox 2 expression might be protective and antiapoptotic.  
14511332cox 2cox 21.0recently one of us was able to show that the expression of cox 2 in crc parallels the expression of il 1 beta and il 6 in crc maihofner et al . 2003 .  
14511332cox 2cox 21.0in this context cox 2 is thought to be actively involved in carcinogenesis and antiapoptosis.  
14511332cox 2cox 21.0therefore although the animal findings are corroborated by the immunohistochemical results presented here the exact role of cox 2 in the pathogenesis of human als still remains to be elucidated.  
14511332cox 2cox 21.0clinical trials are underway in the united states north east als consortium to test a potential benefit of selective cox 2 inhibition in human als.  
14511332cox 2cox 21.0in contrast to the cox 2 protein cox 1 expression was predominantly found in microglia cells and showed no significant difference between sals and controls.  
14511332cox 2cox 21.0alzheimer disease pasinetti _amp_ aisen 1998 where cox 2 was found to be the pivotal isoform involved in the pathology.  
14511332cox 2cox 21.0expression of cox 2 protein was markedly increased in the motoneurons interneurons and glial cells of sals cases compared to controls.  
14511332cox 2cox 21.0based on the beneficial effects of selective cox 2 inhibition in models of als the results of this and other studies might give a rationale for clinical investigations on potential positive effects of selective cox 2 inhibitors in human sals.  
14511332cox 2cox 21.0 inhibition in models of als the results of this and other studies might give a rationale for clinical investigations on potential positive effects of selective cox 2 inhibitors in human sals.  
14720207cox 2cox 21.0we investigated the therapeutic effects of cyclooxygenase 2 cox 2 inhibitors both alone and in combination with creatine in the g93a transgenic mouse model of als.  
14720207cox 2cox 21.0the administration of cox 2 inhibitors significantly reduced prostaglandin e2 levels at 110 days of age.  
14720207cox 2cox 21.0the combination of creatine with cox 2 inhibitors produced additive neuroprotective effects and extended survival by approximately 30%.  
14720207cox 2cox 21.0the cox 2 inhibitors significantly protected against depletion of anterior horn motor neurons and creatine with cox 2 inhibitors showed greater protection than cox 2 inhibitors alone.  
15081582cox 2cox 21.0there are two distinct cox isoenzymes known as cox 1 and cox 2 that are 65% homologous.  
15081582cox 2cox 21.0conversely cox 2 was initially characterized as an inducible enzyme that is expressed in response to inflammatory stimuli cytokines and mitogens o'banion 1999 .  
15081582cox 2cox 21.0cox 2 is now known to be constitutively expressed in the kidney stomach and central nervous system hoffmann 2000 .  
15081582cox 2cox 21.0many cellular factors induce cox 2 expression including multiple growth factors cytokines interleukin il 1_amp_#x3b2; tumor necrosis factor tnf lipopolysaccharide lps phorbol ester and elevated intracellular calcium concentration.  
15081582cox 2cox 21.0one transcription factor that influences cox 2 expression following exposure to these cellular factors is nf _amp_#x3ba;b.  
15081582cox 2cox 21.0cox 2 has an nf _amp_#x3ba;b binding site in its promoter region that is shared with other inflammatory mediators including icam 1 il 2 il 8 and complement baldwin 1996 and schmedtje et al. 1997 .  
15081582cox 2cox 21.0specific inhibition of cox 2 upregulation can be achieved by factors that inhibit nf _amp_#x3ba;b activity such as il 4 il 10 and il 13 and glucocorticoids o'banion 1999 see table 1 .  
15081582cox 2cox 21.0the cox enzymes cox 1 and cox 2 are more completely termed prostaglandin g/h synthases 1 and 2 .  
15081582cox 2cox 21.0the second peroxidase step of the cox 2 reaction produces the free radical superoxide which may cause damage to cells in als and other neurodegenerative diseases kaufmann et al. 1996 .  
15081582cox 2cox 21.0although it is unlikely that upregulation of cox 2 activity alone produces enough free radicals to account for the degree of oxidative damage associated with neurodegenerative diseases it may be one of several sources that together cause significant  
15081582cox 2cox 21.0immunoreactivity for cox 2 is present in the dendritic spines of cortical neurons and thus may be involved in synaptic signaling kaufmann et al. 1996 .  
15081582cox 2cox 21.0these rats display a distinct alteration in the laminar pattern of cortical cox 2 immunoreactivity kaufmann et al. 1996 .  
15081582cox 2cox 21.0cox 2 immunoreactivity also is observed in the soma and throughout the dendritic extent of many neurons kaufmann et al. 1996 .  
15081582cox 2cox 21.0constitutive cox 2 is in the spinal dorsal and ventral horns as well as in dorsal root ganglia yaksh et al. 2001 .  
15081582cox 2cox 21.0indeed the antihyperalgesic activity of cox inhibitors is associated with regulation of constitutive cox 2 in the spinal cord svensson and yaksh 2002 .  
15081582cox 2cox 21.0although a role for cox 2 in healthy cells is not clear under pathological conditions the induction of cox 2 in neurons has been well demonstrated.  
15081582cox 2cox 21.0cox 2 was originally localized in neurons using in situ hybridization.  
15081582cox 2cox 21.0following a single maximal electroconvulsive seizure cox 2 is rapidly induced in hippocampal and cortical neurons peaking between 1 and 2 h and falling to baseline by 24 h.  
15081582cox 2cox 21.0administration of mk 801 an antagonist of the n methyl aspartic acid nmda receptor completely inhibits the cox 2 induction implying that nmda receptor activation is involved in the upregulation of cox 2 in these neurons.  
15081582cox 2cox 21.0in addition administration of the glucocorticoid dexamethasone markedly decreases cox 2 induction but only in the neocortex yamagata et al. 1993 .  
15081582cox 2cox 21.0this study suggests that cox 2 upregulation in neurons is dependent upon glutamatergic activity at the synapse.  
15081582cox 2cox 21.0intraperitoneal administration of kainic acid and also its local injection into the nuclear basalis can induce seizures in a rat and subsequently upregulate cox 2.  
15081582cox 2cox 21.0 1997 showed that cox 2 induction overlaps with the development of neuronal apoptosis 8 h following seizure induction.  
15081582cox 2cox 21.0furthermore exposure of mixed cortical cells in vitro to nmda elicits a time dependent accumulation of prostaglandins that precede neuronal death and correlates with the induction of cox 2 mrna.  
15081582cox 2cox 21.0this nmda stimulated prostaglandin production and subsequent cell death is attenuated by a cox 2 inhibitor but not with a cox 1 selective inhibitor hewett et al. 2000 .  
15081582cox 2cox 21.0in addition genetic studies show that transgenic mice overexpressing cox 2 specifically in neurons are more susceptible to excitotoxicity kelley et al. 1999 .  
15081582cox 2cox 21.0in contrast cox 2 knockout mice experience reduced neuronal death compared to wild type mice when exposed to nmda or ischemia iadecola et al. 2001 .  
15081582cox 2cox 21.0cox 2 is induced in models of cerebral ischemia.  
15081582cox 2cox 21.0both regions but especially the penumbra region show a significant increase in cox 2 mrna in the ischemic area ipsilateral to the occlusion 4 and 24 h following the occlusion.  
15081582cox 2cox 21.0there is a direct correlation between the extent of cox 2 mrna induction at 4 h and the severity of subsequent tissue damage.  
15081582cox 2cox 21.0also the glutamate antagonist agent mk 801 significantly prevents the induction of cox 2 in the penumbra region collaco moraes et al. 1996 .  
15081582cox 2cox 21.0these studies provide evidence of a linkage between glutamate activity subsequent cox 2 induction and finally apoptotic death in neurons.  
15081582cox 2cox 21.0although increased extracellular glutamate regardless of its source can induce cox 2 in neurons the full consequences of this induction in neurons are still unclear.  
15081582cox 2cox 21.0cox 2 activity correlates with apoptosis in certain models; however from studies conducted thus far it is not clear which products of cox 2 induction are contributing to neuronal death which are helping neurons to escape death or which are unrelated to cell death.  
15081582cox 2cox 21.0in the nervous system cox 2 induction following cell activation or injury is not restricted to neurons since astrocytes also upregulate cox 2.  
15081582cox 2cox 21.0il 1_amp_#x3b2; causes a rapid induction of cox 2 peaking at 2 h and returning to baseline by 24 h.  
15081582cox 2cox 21.0dexamethasone can attenuate il 1_amp_#x3b2; mediated pge 2 secretion and cox 2 expression o'banion et al. 1996 .  
15081582cox 2cox 21.0astrocytic cox 2 is also induced by lps tnf basic fibroblast growth factor bfgf and phorbol ester o'banion 1999 .  
15081582cox 2cox 21.0although there is strong evidence for the induction of cox 2 in astrocytes in vitro there are few studies that confirm this finding in vivo.  
15081582cox 2cox 21.0cox 2 immunoreactive astrocytes have been observed in the hippocampus at 1_amp_#x2013;11 weeks but not 3 days following kainic acid seizure induction in rats sandhya et al. 1998 .  
15081582cox 2cox 21.0in the cortex in alzheimer's disease in situ hybridization with a cox 2 riboprobe revealed signal in a small proportion of gfap positive astrocytes chang et al. 1996 .  
15081582cox 2cox 21.0in addition cox 2 colocalizes with gfap in infarcted human brains sairanen et al. 1998 .  
15081582cox 2cox 21.0most in vitro studies are short term and demonstrate cox 2 induction in the order of hours after the insult.  
15081582cox 2cox 21.0thus the in vitro models may skew attempts to ascertain the significance of cox 2 activity in neurodegenerative disease.  
15081582cox 2cox 21.0in the context of neurodegenerative diseases the chronic induction of cox 2 will be more pathophysiologically relevant.  
15081582cox 2cox 21.0microglia have different regulatory mechanisms than macrophages fibroblasts and synovial cells that can induce cox 2 via the cytokines tnf il 1_amp_#x3b2; and il 6.  
15081582cox 2cox 21.0none of these agents induce cox 2 or nf _amp_#x3ba;b expression in na_amp_#xef;ve microglial cells.  
15081582cox 2cox 21.0in cultured rat brain microglia lps induces cox 2 expression that is prevented in the presence of inhibitors of nf kappab dexamethasone the antioxidant pyrrolidine dithiocarbamate and the protein c inhibitor go6976 .  
15081582cox 2cox 21.0thus nf _amp_#x3ba;b is involved in lps stimulated microglial cox 2 expression bauer et al. 1997 .  
15081582cox 2cox 21.0although increased cox 1 in microglia is observed injury paradigms there are little data indicating the expression of cox 2 in microglia in vivo.  
15081582cox 2cox 21.0 1998 showed cox 2 immunostaining of cells with a microglial like morphology in infarcted human brain but did not show colocalization with microglial markers.  
15081582cox 2cox 21.0in a carrageenin induced pleurisy model in rats cox 2 induction peaks at 2 h with maximal pge 2 production and an increasing inflammatory response.  
15081582cox 2cox 21.0at a later time cox 2 increases again but this time with increased levels of pgd 2 and pgj 2 and decreased inflammation.  
15081582cox 2cox 21.0these temporally different inflammatory responses are modulated by the addition of a cox 2 inhibitor that causes inhibition of the early inflammatory response but increased inflammation later gilroy et al. 1999 .  
15081582cox 2cox 21.0there also appears to be a dual role for the products of the cox 2 enzyme in the nervous system.  
15081582cox 2cox 21.0in these models inhibition of cox 2 can delay disease onset and progression.  
15081582cox 2cox 21.0thus prostaglandin products of cox 2 appear to play a critical role in the development of motor neuron degeneration almer et al. 2002 .  
15081582cox 2cox 21.0addition of cox 2 inhibitors prevents both pge 2 production and kainic acid induced neuronal death in these cells kim et al. 2002 .  
15081582cox 2cox 21.0the pge 2 stimulated glutamate release produces a feed forward cycle whereby pge 2 induced glutamate may lead to further excitatory cell activation and cox 2 induction.  
15081582cox 2cox 21.0this mechanism is highlighted in a model of cox 2 overexpression that displays acceleration of glutamate mediated neuronal apoptosis mirjany et al. 2002 .  
15081582cox 2cox 21.0independently these cells are protected from death by the cox 2 inhibitor aphs.  
15081582cox 2cox 21.0one possible reason why there are differential effects on cell survival in the presence or absence of a cox 2 inhibitor may be because cox 2 activity results in the generation of multiple prostaglandins with potentially different effects.  
15081582cox 2cox 21.0when cox 2 is inhibited both the pro and anti apoptotic products are lost so cellular responses are directly produced by any single prostaglandin added to culture media.  
15081582cox 2cox 21.0however when cox 2 is not inhibited multiple prostaglandins are present that can act in a synergistic or antagonistic manner.  
15081582cox 2cox 21.0prostaglandins pga 1 pga 2 and pgj 2 all can suppress nf _amp_#x3ba;b activation and thus suppress cox 2 induction as well as other inflammatory mediators including inducible nitric oxide synthase and certain cytokines.  
15081582cox 2cox 21.0interestingly this is one area in which the significance of the differential expression of the cox 1 and cox 2 isoforms may arise.  
15081582cox 2cox 21.0since cox 1 increases in activated microglia and is not regulated by nf _amp_#x3ba;b then prostaglandins of microglial origin can regulate the activity of nf _amp_#x3ba;b and cox 2 in adjacent neurons without the same feedback regulation affecting the microglia.  
15081582cox 2cox 21.0cox 2 activity appears to play an important role in als.  
15081582cox 2cox 21.0in many different models cox 2 upregulation occurs concurrently with als disease events.  
15081582cox 2cox 21.0cox 2 and pge 2 are significantly elevated upwards of sevenfold in postmortem spinal cords of patients with sporadic als almer et al. 2001 and yasojima et al. 2001 .  
15081582cox 2cox 21.0in the spinal cords of transgenic mutant human sod1 expressing msod1 mice there is increased expression of cox 2 but not cox 1 mrna.  
15081582cox 2cox 21.0cox 2 mrna and protein levels cox catalytic activity and pge 2 levels are all increased in the spinal cord but not the cerebellum of msod1 mice.  
15081582cox 2cox 21.0cox 2 levels in msod1 mice are increased in both early symptomatic and end stage disease in neurons and to a lesser extent in astrocytes in the anterior horn of the spinal cord.  
15081582cox 2cox 21.0selective inhibition of cox 2 with sc236 protects motor neurons in an organotypic cell culture model of als drachman and rothstein 2000 .  
15081582cox 2cox 21.0this delayed onset is recapitulated when the selective cox 2 inhibitor nimesulide is administered prophylactically in these mice pompl et al. 2003 .  
15081582cox 2cox 21.0treatment with celecoxib a different selective cox 2 inhibitor also prolongs survival in the msod1 mouse model of als drachman et al. 2002 .  
15081582cox 2cox 21.0it seems that neuroinflammation proceeds albeit more slowly in cox 2 inhibitor treated animals possibly through the slower microglial cox 1 upregulation and likely through multiple additional regulatory mechanisms.  
15081582cox 2cox 21.0experiments that demonstrate protective abilities of cox 2 inhibition imply that cox 2 activation contributes to neuronal vulnerability and apoptosis by an undefined mechanism or mechanisms.  
15081582cox 2cox 21.0in addition some of the prostaglandin products of the cox 2 enzyme cause direct damage to neurons as well as act in both an autocrine and paracrine manner to propagate inflammation.  
15081582cox 2cox 21.0it is clear that neuroinflammation particularly cox 2 upregulation and prostaglandin production plays a significant role in neurodegenerative disorders such as als.  
15081582cox 2cox 21.0it seems likely that cox 2 inhibitors can delay the progression of symptoms and clinical studies addressing this issue are both warranted and currently underway.  
15081582cox 2cox 21.0although treatment of neurodegenerative diseases such as als with cox 2 inhibitors is likely to produce some symptomatic benefit it is very unlikely that these drugs will revolutionize the treatment of neurodegenerative disease.  
15081582cox 2cox 21.0in fact it is reported that high doses of certain nsaids can activate nf _amp_#x3ba;b leading to a paradoxical activation of the cox 2 enzyme that is clearly a problem for this therapeutic approach niederberger et al. 2001 .  
15081582cox 2cox 21.0this finding is not surprising given that it is the level of prostaglandins that feedback on nf _amp_#x3ba;b to regulate transcription of cox 2.  
15081582cox 2cox 21.0certain downstream products of the cox 2 enzyme are pro apoptotic while others are neuroprotective.  
15081582cox 2cox 21.0inhibiting cox 2 will block both the neurodegenerative and neuroprotective products of this enzyme.  
15081582cox 2cox 21.0it may be more appropriate in the development of future therapies rather than broadly targeting cox 2 or even further upstream at the level of nf _amp_#x3ba;b to target specific prostaglandin synthases downstream of cox 2.  
15081582cox 2cox 21.0 or even further upstream at the level of nf _amp_#x3ba;b to target specific prostaglandin synthases downstream of cox 2.  
15210305cox 2cox 21.0cox 2 and cd11b a specific marker of microglia activation have been reported to be up regulated in als spinal cord tissue [ 113 ].  
15210305cox 2cox 21.0the significant up regulation of cox 2 in als spinal cord compared to control tissues including patients affected by parkinson's disease pd ad cerebrovascular accidents and other non neurological disorders adds further evidence to the obs 
15210305cox 2cox 21.0cox 2 mrna up regulation was restricted to pathologically affected tissue and this was accompanied by increased cox 2 protein levels.  
15453089cox 2cox 21.0cox 2 is the inducible isoform rapidly expressed in several cell types in response to growth factors cytokines and pro inflammatory molecules.  
15453089cox 2cox 21.0since its discovery in the early 1990s cox 2 has emerged as a major player in inflammatory reactions in peripheral tissues.  
15453089cox 2cox 21.0by extension cox 2 expression in brain has been associated with pro inflammatory activities thought to be instrumental in neurodegenerative processes of several acute and chronic diseases.  
15453089cox 2cox 21.0first in the central nervous system cox 2 is expressed under normal conditions and contributes to fundamental brain functions such as synaptic activity memory consolidation and functional hyperemia.  
15453089cox 2cox 21.0in spite of the intense research of the last decade the evidence of a direct role of cox 2 in neurodegenerative events is still controversial.  
15453089cox 2cox 21.0furthermore the emerging role of cox 2 in behavioral and cognitive functions will be discussed.  
15453089cox 2cox 21.0besides a constitutive isoform cox 1 which is widely distributed in virtually all cell types and is thought to mediate physiological responses a second and inducible isoform termed cox 2 was identified in the early 1990s 4 .  
15453089cox 2cox 21.0cox 2 is rapidly expressed in several cell types in response to growth factors cytokines and pro inflammatory molecules and has emerged as the isoform primarily responsible for prostanoid production in acu 
15453089cox 2cox 21.0cox 1 and cox 2 are coded by 2 distinct genes located on human chromosome 9 and 1 respectively.  
15453089cox 2cox 21.0the cox 2 gene is characterized by the presence of a tata box and a multitude of binding sites for transcription factors in its promoter region which account for the complex regulation of cox 2 expression.  
15453089cox 2cox 21.0n a long 3' untranslated region which has been found in many immediate early genes acts as mrna instability determinant or as translation inhibitory element suggesting post transcriptional control of cox 2 expression.  
15453089cox 2cox 21.0ites are conserved a few crucial substitutions cause important conformational variations in the active site pocket of the 2 isoenzymes which could account for the different sensitivities of cox 1 and cox 2 to specific inhibitors 5 .  
15453089cox 2cox 21.0one important difference between the 2 isoforms is the 18 amino acid insert near the cox 2 c terminus which is not present in cox 1 and has allowed the production of specific antibodies.  
15453089cox 2cox 21.0however in brain testes and kidney macula densa cells both cox 1 and cox 2 are expressed under physiological conditions 2 .  
15453089cox 2cox 21.0in rat brain cox 1 and cox 2 immunoreactivities are present in discrete neuronal populations distributed in distinct areas of cerebral cortex and hippocampus.  
15453089cox 2cox 21.0similarly mrnas for both cox 1 and cox 2 are present in several regions of human brain although cox 2 is the prominent isoform particularly in the hippocampus 8 9 .  
15453089cox 2cox 21.0the relative contribution of cox 1 and cox 2 activity to brain pathology and physiology has been recently questioned 10 11 .  
15453089cox 2cox 21.0on one side it has been argued that cox 1 activity in brain diseases has been overlooked; on the other side mandatory evidence suggests that cox 2 plays a special role in normal neuronal function and in neurotoxicity.  
15453089cox 2cox 21.0although this debate will be solved only by further clinical and experimental studies it is clear that the popular paradigm by which cox 1 serves physiological functions and cox 2 is responsible for _amp_#147;pathological_amp_#148; pgs cannot explain an increasing number of findings.  
15453089cox 2cox 21.0over expression of cox 2 has been associated with neurotoxicity in acute conditions such as hypoxia/ ischemia and seizures.  
15453089cox 2cox 21.0however the beneficial or detrimental role played by cox 2 in inflammatory and neurodegenerative brain pathologies is still controversial.  
15453089cox 2cox 21.0first the emerging role of cox 2 in cognitive functions will be discussed since understanding the role of cox 2 in brain function is an important prerequisite to fully understanding how to exploit the potential benefits of cox 2 inhibition in disabling neurological diseases.  
15453089cox 2cox 21.0 in brain function is an important prerequisite to fully understanding how to exploit the potential benefits of cox 2 inhibition in disabling neurological diseases.  
15453089cox 2cox 21.0in mammalian brain cox 2 is constitutively expressed in specific neuronal populations under normal physiological conditions.  
15453089cox 2cox 21.0in rat brain cox 2 mrna and immunoreactivity were detected in dentate gyrus granule cells pyramidal cell neurons in the hippocampus the piriform cortex superficial cell layers of neocortex the amygdala and at low level 
15453089cox 2cox 21.0this _amp_#147;constitutive_amp_#148; neuronal cox 2 expression should be more correctly regarded as _amp_#147;dynamically_amp_#148; regulated since it is dependent on normal synaptic activity is rapidly increased during seizures or ischemia and is dow 
15453089cox 2cox 21.0the dependence of cox 2 expression on natural excitatory synaptic activity is supported by the presence of cox 2 immunoreactivity in distal dendrites and dendritic spines which are involved in synaptic signaling and by its exclusive localization to excitatory glutamatergic neurons.  
15453089cox 2cox 21.0furthermore the heterogeneous distribution within a neuronal population is compatible with induction of cox 2 in subsets of neurons in response to natural excitatory synaptic stimulation as shown for other immediate early genes activated by excitatory stimulation 14 .  
15453089cox 2cox 21.0the involvement of cox 2 in synaptic activity is further supported by the developmental profile of cox 2 expression.  
15453089cox 2cox 21.0in rat brain cox 2 expression follows developmental gradients and coincides with the critical period of activity dependent cortical development 17 .  
15453089cox 2cox 21.0yndrome_amp_#151;a neurological disorder associated with mental retardation defective development of cortical neurons and abnormalities of dendritic branching_amp_#151;the laminar pattern of cortical cox 2 immunoreactivity is disrupted in that cox 2 positive neurons are decreased in number and randomly distributed 18 .  
15453089cox 2cox 21.0 immunoreactivity is disrupted in that cox 2 positive neurons are decreased in number and randomly distributed 18 .  
15453089cox 2cox 21.0rats subjected to selective destruction of basal forebrain cholinergic neurons during the first post natal week showed decreased levels of cox 2 but not cox 1 in the hippocampus at adulthood.  
15453089cox 2cox 21.0this effect was accompanied by impairment in social memory suggesting that the early loss of hippocampal cholinergic input may impact on the expression of cox 2 in hippocampal neurons and on the functional role of pgs in synaptic activity 19 .  
15453089cox 2cox 21.0indirect evidence of cox 2 involvement in synaptic plasticity has been obtained in the recent years by using cox inhibitors in in vivo and in vitro models of synaptic plasticity.  
15453089cox 2cox 21.0cox 2 inhibitors but not cox 1 selective inhibitors administered systemically shortly after training in the morris water maze a hippocampal dependent learning task have been shown to impair spatial memory  
15453089cox 2cox 21.0in addition pre training infusion of a cox 2 specific inhibitor celecoxib in the hippocampus of adult rats impaired acquisition of the morris water maze suggesting that in rats cox 2 activity in the hippocampus is necessary for both memory and learning of a spatial task 22 .  
15453089cox 2cox 21.0in agreement with this hypothesis pge 2 but not pgd 2 reversed the suppression of ltp induced by cox 2 inhibitor in hippocampal dentate granule neurons in vitro 24 .  
15453089cox 2cox 21.0pge 2 which is preferentially formed during the enzymatic activity of cox 2 rather than of cox 1 could participate to synaptic plasticity through several mechanisms including modulation of adrenergic noradrenergic and glutamatergic neurotransmission remodeling of actin in th 
15453089cox 2cox 21.0moreover cox 2 derived pgs are involved in the coupling of synaptic plasticity with cerebral blood flow as suggested by the attenuation of the increase in neocortical blood flow in response to vibrissal stimulation 
15453089cox 2cox 21.0 pgs are involved in the coupling of synaptic plasticity with cerebral blood flow as suggested by the attenuation of the increase in neocortical blood flow in response to vibrissal stimulation by the cox 2 inhibitor ns398.  
15453089cox 2cox 21.0the hyperemic response was also impaired in mutant mice lacking of cox 2 26 .  
15453089cox 2cox 21.0in spite of the emerging evidence of a physiological role for cox 2 in brain development and function cox 2 knockout mice show no gross abnormalities of brain anatomy.  
15453089cox 2cox 21.0in this light the expression of cox 2 and its contribution to the pathogenic events in ms have been explored in several animal models and in ms patients.  
15453089cox 2cox 21.0cox 2 immunoreactivity has been found in experimental autoimmune encephalomyelitis eae an extensively used animal model.  
15453089cox 2cox 21.0analysis of spinal cord of sjl mice immunized with a peptide of the myelin constituent proteolipid protein revealed that during the acute phase of eae cox 2 expression is confined within infiltrating macrophages and ramified microglia close to the inflammatory infiltrates.  
15453089cox 2cox 21.0very rare reactive astrocytes expressed cox 2 in this phase but their number significantly increased during relapse phase suggesting that cox 2 induction in astrocytes could be due to soluble factors i.e. cytokines produced during the protracted inflammatory insults 30 .  
15453089cox 2cox 21.0in a different eae model in which lewis rats were immunized with a peptide of another myelin protein the myelin basic protein cox 2 immunoreactivity was exclusively found associated with neurons and endothelial cells 31 .  
15453089cox 2cox 21.0the number of cox 2 positive endothelial cells increased with the progression of the disease most prominently in areas of cellular infiltration.  
15453089cox 2cox 21.0in eae the number of cox 1 positive macrophages increased along with that of cox 2 positive cells.  
15453089cox 2cox 21.0sensitivity response to heat killed bacillus calmette gu_amp_#233;rin which results in t cell and macrophage recruitment to the brain parenchyma breakdown of bbb primary demyelination and axon damage cox 2 expression was restricted to major infiltrating hematogenous cell populations such as neutrophils and mononuclear phagocytes and to perivascular cells of the blood vessels in the vicinity of the lesi 
15453089cox 2cox 21.0these perivascular cells were identified as macrophages but the possibility that some endothelial cells also expressed cox 2 could not be ruled out.  
15453089cox 2cox 21.0neuronal cox 2 was not affected by the ongoing inflammation.  
15453089cox 2cox 21.0in spite of the extensive astrocyte and microglial reaction occurring over a broad area surrounding the inflammatory lesions there was no obvious cox 2 staining in these cells indicating that the upregulation of cox 2 expression in this model of chronic immune mediated lesions is remarkably restricted to the lesion sites 32 .  
15453089cox 2cox 21.0 staining in these cells indicating that the upregulation of cox 2 expression in this model of chronic immune mediated lesions is remarkably restricted to the lesion sites 32 .  
15453089cox 2cox 21.0a similar restricted cox 2 expression has been described in brain tissues from 7 ms patients 33 .  
15453089cox 2cox 21.0in these specimens characterized by the presence of chronic active lesions cox 2 expression was studied by sophisticated confocal microscopy analysis.  
15453089cox 2cox 21.0cox 2 positive cells were present in all chronic active lesions examined and generally located on the border of myelinated regions.  
15453089cox 2cox 21.0cox 2 immunoreactivity was largely but not exclusively associated with cells expressing the macrophage/microglial marker cd64 the fc receptor typically associated with activated macrophages.  
15453089cox 2cox 21.0however not all cd64 positive cells expressed cox 2.  
15453089cox 2cox 21.0expression of cox 2 was frequently associated with that of inducible no synthase inos suggesting that both enzymes could contribute to the progression of ms through their ability to produce free radicals such as superox 
15453089cox 2cox 21.0the authors also propose that the colocalization of cox 2 and inos may be functionally linked to oligodendroglial excitotoxic death in ms. indeed both pge 2 and peroxinitrite could increase the local concentration of glutamate to toxic levels by inducing ca 
15453089cox 2cox 21.0nonetheless a protective role of cox 2 in ms cannot be excluded.  
15453089cox 2cox 21.0the well established role of cox 2 in inflammation and in glutamate dependent neurotoxicity has set the basis for the hypothesis of cox 2 involvement in als pathogenesis.  
15453089cox 2cox 21.0cox 2 mrna and protein were increased in postmortem spinal cords of als patients 42 and transgenic mutated sod1 mice 43 .  
15453089cox 2cox 21.0elevation of pge 2 tissue levels paralleled the increased expression of cox 2 43 .  
15453089cox 2cox 21.0the cell types expressing cox 2 have been identified in both animal and human specimens.  
15453089cox 2cox 21.0under normal conditions cox 2 is expressed in neurons in the spinal cord dorsal and ventral horns as well as in dorsal root ganglia.  
15453089cox 2cox 21.0in postmortem spinal cord of als patients cox 2 expression was markedly increased and localized to both neurons and glial cells.  
15453089cox 2cox 21.0the number of cox 2 positive motor neurons and interneurons was significantly increased in spite of the expected overall reduction in the total number of neurons.  
15453089cox 2cox 21.0in addition cox 2 was associated with astrocytes and and to a much lesser extent with microglial cells.  
15453089cox 2cox 21.0a similar pattern of cox 2 expression was reported for the mutated sod1 transgenic mice 43 .  
15453089cox 2cox 21.0the role of cox 2 activity in als was examined by using selective cox 2 inhibitors.  
15453089cox 2cox 21.0in the first study the cox 2 inhibitor sc236 significantly protected motor neurons in an organotypic spinal cord culture model in which neuronal death is induced by treo hydroaspartate an inhibitor of astrocytic glutamate re upt 
15453089cox 2cox 21.0these findings suggested that cox 2 could take part in the excitotoxic damage caused by elevated glutamate levels.  
15453089cox 2cox 21.0subsequently the same group showed that treatment of sod1 transgenic mice with cox 2 inhibitor celecoxib significantly delayed the onset of disease prolonged the survival and reduced the spinal neurodegeneration and glial activation 47 .  
15453089cox 2cox 21.0these studies suggest that inhibition of cox 2 could have therapeutic benefits by altering the cascade of events leading to the progressive neuronal death in als patients.  
15453089cox 2cox 21.0however in these studies mice received the cox 2 inhibitor treatment beginning several weeks before the onset of disease defined as a 30_amp_#37; decrease in motor performance.  
15453089cox 2cox 21.0thus the efficacy of cox 2 inhibition in the presence of overt clinical signs of disease remains to be investigated.  
15453089cox 2cox 21.0several mechanisms could be triggered by cox 2 overexpression.  
15453089cox 2cox 21.0in addition to the enhancing effect of pge 2 on glutamate release cox 2 could contribute to oxidative stress mediated damage by producing oxidizing reactive species during the peroxidase activity fig 1 .  
15453089cox 2cox 21.0in transgenic mutated sod1 mice cox 2 and inos are induced with a similar temporal pattern and co expression of the 2 enzymes as discussed in the previous section could lead to the formation of more reactive free radical species such as  
15453089cox 2cox 21.0cox 2 could also contribute to als by promoting inflammatory processes.  
15453089cox 2cox 21.0the first study reported an increased expression of cox 2 in ameboid or activated microglial cells in the substantia nigra from 11 idiopathic pd patients whereas neuronal and astroglial cox 2 expression was not different in the control and pd groups.  
15453089cox 2cox 21.0moderate cox 1 immunoreactivity was observed in some neuronal somata and processes and in few glial cells in both groups suggesting that the greater potential for pg synthesis is associated to cox 2 and microglial cells 53 .  
15453089cox 2cox 21.0by contrast the second and more recent study 52 showed that cox 2 is specifically induced in substantia nigra dopaminergic neurons in postmortem pd specimens and in the 1 methyl 4 phenyl 1 2 3 6 tetrahydropyridine mptp mouse model.  
15453089cox 2cox 21.0the involvement of cox 2 in pd neurodegeneration was further suggested by the observation that mptp neurodegeneration was mitigated in cox 2 but not in cox 1 knock out mice.  
15453089cox 2cox 21.0the increase in hippocampal pge 2 levels was associated with a strong induction of cox 2 expression which increased with the progression of disease and was specifically localized to microglial cells 56 .  
15453089cox 2cox 21.0 were then confirmed in a second murine model in which ch3 mice were infected with homogenates from 2 cases of genetic cjd and 3 cases of sporadic cjd 57 suggesting that the selective upregulation of cox 2 in microglial cells is not characteristic of a specific prion agent or mouse strain.  
15453089cox 2cox 21.0different results were reported in a recent study in which both cox 1 and cox 2 were increased in sporadic cjd cortex 58 .  
15453089cox 2cox 21.0cox 1 immunoreactivity was present in macrophages/microglial cells whereas cox 2 was predominantly in neurons. mrnas and proteins of both isoforms were higher in tissue from temporal lobe of 1 cjd patient when compared to 1 neuropathologically unaltered control case.  
15453089cox 2cox 21.0the increased levels of pge 2 in the csf of cjd patients and the high expression of cox 2 in microglial cells in experimental prion diseases suggest that pge 2 synthesis may be associated with the clearance of apoptotic neurons.  
15453089cox 2cox 21.0in cjd abundance of apoptotic neurons correlated well with microglial activation 60 and recently interaction of microglial cells with apoptotic neurons has been reported to selectively promote cox 2 expression and pge 2 synthesis 61 .  
15453089cox 2cox 21.0over the last 10 years several analyses of cox 1 and cox 2 expressions have been carried out in animal models and postmortem ad brain tissues providing a substantial but still controversial body of evidence pointing to the involvement of cox 2 in the cascade 
15453089cox 2cox 21.0 expressions have been carried out in animal models and postmortem ad brain tissues providing a substantial but still controversial body of evidence pointing to the involvement of cox 2 in the cascade of events leading to neurodegeneration in ad.  
15453089cox 2cox 21.0cox 2 mrna levels in ad brains were reported as either decreased or increased 9 65 66 possibly because of the short half life of cox 2 transcripts or individual variability of inflammatory related processes 67 .  
15453089cox 2cox 21.0several studies reported increased neuronal cox 2 immunoreactivity compared to control brain tissues 9 68 .  
15453089cox 2cox 21.0however in other studies in which cox 2 expression was related to specific hallmarks of the disease such as clinical dementia rating and braak stage of disease the number of cox 2 positive neurons decreased with the severity of dementia.  
15453089cox 2cox 21.0in end stage ad cox 2 positive neurons were significantly fewer than in non demented controls 68 69 .  
15453089cox 2cox 21.0in a more recent study 70 the number of neurons expressing cox 2 negatively correlated with the braak score for amyloid deposits although a moderate albeit non significant cox 2 increase was found at braak stage a corresponding to the mildest stage of disease when compared to non demented control cases.  
15453089cox 2cox 21.0cox 2 immunoreactivity did not correlate with braak staging for neurofibrillary changes.  
15453089cox 2cox 21.0these recent studies suggest that cox 2 expression varies with the disease stage and this may explain the controversial findings reported in the literature.  
15453089cox 2cox 21.0hoozemans et al also reported a colocalization and a significant correlation of neuronal cox 2 expression with cell cycle regulators involved in controlling the g 0 / g 1 phase such as cyclin d1 and e and the retinoblastoma protein 69 70 .  
15453089cox 2cox 21.0although there are some indications that cox 2 might regulate cell cycle progression 70 the functional link between cox 2 and cell cycle alteration remains elusive.  
15453089cox 2cox 21.0nonetheless it can be suggested that cox 2 and cell cycle proteins are involved in early steps leading to neurodegeneration.  
15453089cox 2cox 21.0in contrast to cox 2 the levels of cox 1 mrna and protein were not significantly altered in ad brains 9 72 .  
15453089cox 2cox 21.0this pattern is consistent with the slight increase in the number of cox 2 positive neurons at braak stage a as well as with the reduction in cox 2 positive neurons reported in patients with severe dementia and braak end stage disease as previously reported 68 70 .  
15453089cox 2cox 21.0the moderate increase in cox 2 expression and activity at very early stages of ad could explain the primary protective of nsaids by preventing early steps leading to neurodegeneration.  
15453089cox 2cox 21.0upregulation of neuronal cox 2 is associated with ischemia and excitotoxicity suggesting that cox 2 is involved in neurotoxic mechanisms.  
15453089cox 2cox 21.0increased susceptibility to excitotoxicity in cox 2 over expressing neurons and neuroprotection by cox 2 inhibition has been shown in several experimental models 64 .  
15453089cox 2cox 21.0nonetheless increased cox 2 expression could be an adaptive reaction to pathological events such as cerebrovascular dysfunction early inflammatory processes or oxidative stress in the attempt to restore lost physiological funct 
15453089cox 2cox 21.0taking into account the positive and negative effects of increased cox 2 activity and the emerging role of cox 2 derived pgs in brain function it is difficult to predict the final outcome of long term therapeutic cox 2 inhibition.  
15453089cox 2cox 21.0 derived pgs in brain function it is difficult to predict the final outcome of long term therapeutic cox 2 inhibition.  
15453089cox 2cox 21.0at present clinical trials of selective cox 2 inhibitors have not been as convincing as expected but these failures may be related to drug selection and dose duration of treatment and state of disease of selected patients 64 .  
15453089cox 2cox 21.0echanisms such as lowering of a[beta] peptide levels reduction in the plaque pathology and activation of the peroxisome proliferator activated receptor [gamma] suggesting that selective inhibition of cox 2 may not be the optimal therapeutic strategy 64 .  
15453089cox 2cox 21.0since its discovery in early 1990s cox 2 has emerged as a major player in inflammatory reactions in peripheral tissues.  
15453089cox 2cox 21.0evidence from several laboratories indicates that cox 2 is induced in various inflammatory settings is the main source of pgs responsible for clinical signs of inflammation and its inhibition leads to anti inflammatory effects.  
15453089cox 2cox 21.0by extension cox 2 expression in brain has been associated with pro inflammatory activities thought to be instrumental in neurodegenerative processes of several acute and chronic diseases.  
15453089cox 2cox 21.0however 2 major aspects should be borne in mind when considering the significance of cox 2 activity in brain diseases.  
15453089cox 2cox 21.0first cox 2 is expressed under normal conditions and contributes to fundamental brain functions such as synaptic activity memory consolidation and functional hyperemia.  
15453089cox 2cox 21.0in spite of the intense research of the last decade the evidence of a direct role of cox 2 in neurodegenerative events is still controversial and further experimental and clinical studies are required to improve our knowledge of how and when cox 2 inhibition may have beneficial effects for 
15453089cox 2cox 21.0 in neurodegenerative events is still controversial and further experimental and clinical studies are required to improve our knowledge of how and when cox 2 inhibition may have beneficial effects for patients suffering from inflammatory and degenerative neuropathologies.  
15453089cox 2cox 21.0several cell types including resident cells i.e neurons glia endothelial cells and infiltrating blood cells can express cox 2 in brain.  
15453089cox 2cox 21.0over expression of cox 2 in each of these cells may have different functional consequences and its final outcome is likely to depend on the prevailing product of cox 2 activity including pgs with different functions and free radicals.  
15453089cox 2cox 21.0neurons are particularly susceptible to damage caused by free radicals generated through cox 2 peroxidase activity whereas glial cells are more resistant.  
15453089cox 2cox 21.0specific signals seem responsible for cox 2 induction and/or over expression in particular cell types such as glutamate in neurons cytokines in astrocytes and apoptotic neurons in microglia.  
15453089cox 2cox 21.0the beneficial effects of specific and non specific cox 2 inhibitors in several experimental models and epidemiological studies are an indirect proof of the causative role of cox 2 in neurodegeneration as cox independent mechanisms cannot be excluded.  
15572176cox 2cox 21.0reactive astrocytes in als contain protein inclusions express inflammatory makers such as the inducible forms of nitric oxide synthase inos and cyclooxygenase cox 2 display nitrotyrosine immunoreactivity and downregulate the glutamate transporter eaat2.  
15572176cox 2cox 21.0reactive astrocytes in als show increased immunoreactivity for gfap and the calcium binding protein s100_amp_#x3b2; [ 85 ] and express inflammatory makers such as cox 2 [ 81 ] inos and neuronal nos [ 5 and 115 ].  
15572176cox 2cox 21.0for example reactive astrocytes in als express cox 2 an enzyme that catalyzes the synthesis of the inflammatory prostaglandin e2 which in turn stimulates glutamate release from astrocytes.  
15572176cox 2cox 21.0treatment of als mice with the cox 2 inhibitor celecoxib delayed the onset of the disease and increased the survival rates [ 30 ] further suggesting a link between inflammation and excitotoxicity. 4.2.  
15572176cox 2cox 21.0interestingly cytokine signaling can induce inos cox 2 and nmda receptor subunit phosphorylation with different consequences in glial and neuronal cells.  
15572176cox 2cox 21.0activation of murine astrocytes with tumour necrosis factor alpha tnf _amp_#x3b1; il 1_amp_#x3b2; and ifn_amp_#x3b3; induces il 6 cox 2 and inos and makes the cells vulnerable to undergo apoptosis in response to fas ligand fasl [ 39 ].  
15691215cox 2cox 21.0gene transfer of vegf or glial cell line derived neurotrophic factor anti inflammatory cox 2 inhibitors and minocycline have had particularly promising results in mice.  
15799549cox 2cox 21.0macrophages in als spinal cord showed strong expression of cyclooxygenase 2 cox 2 one log greater than control tissues and inducible nitric oxide synthase.  
15799549cox 2cox 21.0in control cases with corticospinal tract degeneration following hemispheric cerebral infarction macrophage infiltration of the white matter was cox 2 negative and restricted to lateral and anterior corticospinal tracts.  
15804265cox 2cox 21.0inhibition of a key mediator of inflammation cyclooxygenase 2 cox 2 represents a promising therapeutic approach in als.  
15804265cox 2cox 21.0here we tested the in vivo effects of a specific cox 2 inhibitor rofecoxib administered by intraperitoneal injection in the sod1 g93a g1h mouse model of the familial form of als fals .  
16101543cox 2cox 21.0these compounds are converted from arachnoidic acid aa by two isoforms of the cyclooxygenase cox enzyme namely cox 1 and cox 2.  
16101543cox 2cox 21.0in particular the action of cox 2 and pgs in cns inflammation has gained much attention recently.  
16120782cox 2cox 21.0 feature of als is the loss of motor neurons talbot 2002 which is accompanied by a robust glial response including activation of microglia and astrocytes as well as the expression of cyclooxygenase 2 cox 2 and nitric oxide synthase inos in the spinal cord phul et al. 2000 ; almer et al. 2001 ; yasojima et al. 2001 ; barbeito et al. 2004 .  
16120782cox 2cox 21.0for the analysis of inos and cox 2 100 microg of protein samples was separated in 10% sds gels transferred onto immobilon p polyvinylidene difluoride membranes and stained with a polyclonal inos antibody at 1:500 dilution rabbit polyc 
16120782cox 2cox 21.0 difluoride membranes and stained with a polyclonal inos antibody at 1:500 dilution rabbit polyclonal antibody to c terminus of murine inos; santa cruz biotechology heidelberg germany or a polyclonal cox 2 antibody at a 1:600 dilution rabbit polyclonal antibody to synthetic peptide from murine cox 2; cayman ann arbor mi .  
16120782cox 2cox 21.0 antibody at a 1:600 dilution rabbit polyclonal antibody to synthetic peptide from murine cox 2; cayman ann arbor mi .  
16120782cox 2cox 21.0the specificities of the inos and cox 2 antibodies have been confirmed by positive controls containing inos or cox 2 protein data not shown .  
16120782cox 2cox 21.0coinduction of cox 2 and inos were described in several neurodegenerative disorders including als as well as in the sod1 g93a model used in this study almer et al. 1999 2001 ; sasaki et al. 2001 .  
16120782cox 2cox 21.0western blot analysis of lumbar spinal cord lysates from 90 d old mice confirmed cox 2 expression in wild type mice n = 4 and revealed that sod1 g93a mice n = 4 showed elevated cox 2 levels fig 3 b .  
16120782cox 2cox 21.0in both cases pio treatment significantly decreased cox 2 and inos expression in sod1 g93a mice n = 4 .  
16120782cox 2cox 21.0quantification of microglia at day 90 of life bottom right; n = 4 for wt and wt pio; n = 5 for sod1 and sod1 pio and of cox 2 and inos western blots n = 4 for all groups from spinal cord samples derived from 90 d old mice b are shown. p _lt_ 0.01 and p _lt_ 0.001 compared with the respective nontreated group. c quantificati 
16120782cox 2cox 21.0we found a marked reduction in the expression of cox 2 and inos two major proinflammatory enzymes after pio treatment.  
16120782cox 2cox 21.0coinduction of both enzymes by several factors including glutamate release and secretion of proinflammatory cytokines may be caused by similar or identical stimulators o'banion 1999 because the cox 2 and inos promoters share several binding sites for signal transduction factors involved in inflammatory signal cascades xie et al. 1993 ; nathan and xie 1994 .  
16120782cox 2cox 21.0apart from the detrimental action of either inos derived excess no or cox 2 generated proinflammatory prostanoids the dual inhibition of both enzymes observed in response to pio treatment may be advantageous because both pathways mutually increase their pathogenicity.  
16120782cox 2cox 21.0thus no may increase the catalytic activity of cox 2 thereby increasing the production of proinflammatory prostanoids nogawa et al. 1998 .  
16120782cox 2cox 21.0the latter signal transduction pathway is also involved in the inos and cox 2 gene regulation after inflammatory stimulation.  
16120782cox 2cox 21.0nd socs 3 levels in response to pio treatment reflects one mechanism of the anti inflammatory effect observed and antagonizing the jak stat pathway contributes to the observed suppression of inos and cox 2 expression.  
16380619cox 2cox 21.0the same observation was made for prostaglandin e 2 pge 2 which is an inflammatory mediator and a major downstream product of cyclooxygenase 2 cox 2 .  
16380619cox 2cox 21.0increased levels of pge 2 and cox 2 were described in patients with als.  
16380619cox 2cox 21.0pge 2 and cox 2 presented both angiogenic properties and reciprocal interactions between cox 2/pge 2 and vegf are described.  
16380619cox 2cox 21.0our findings suggest that increased levels of il 6 tnf alpha pge 2. and cox 2 observed in patients with als parallel motor neuronal loss and could correspond to a natural response to hypoxemia.  
16380619cox 2cox 21.0we hypothesize that cox 2 inhibitors may even be harmful in patients with als because they can block the natural upregulation loop of vegf during hypoxemia.  
16624536cox 2cox 21.0an increased expression of pro inflammatory cytokines cox 2 [29] [30] and [31] and of microglia mediated protein oxidative pathology [32] is also observed in als.  
16624536cox 2cox 21.0this process is associated with an increased level of cox 2 mrna and protein and an increase in pge 2 content limited to the regions associated with motor neuron pathology further confirming a role for microglial activation [31] and [51] .  
16624536cox 2cox 21.0the latter observation is consistent with in vitro observations that the motor neuron death induced by chronic glutamate excitotoxicity in organotypic spinal cord cultures can be suppressed by cox 2 inhibition [52] .  
16624536cox 2cox 21.0this stimulation results in increased glutamate uptake and decreased no production as well as decreased mrna expression of inflammatory products including cox 2 inos and i_amp_#x3ba;b an inhibitor of nf _amp_#x3ba;b by microglia compared to lps treated microglia.  
16624536cox 2cox 21.0like microglia reactive astrocytes express inflammatory markers including inos and cox 2 [114] and can produce proinflammatory mediators including prostaglandins [115] il 6 [116] and tnf [114] .  
16624536cox 2cox 21.0celecoxib celebrex and rofecoxib are inhibitors of cox 2.  
16624536cox 2cox 21.0treatment with these cox 2 inhibitors combined with creatine increased survival by up to 30% in sod1 mutant mice [139] [140] and [141] while treatment with a non specific cox inhibitor sulindac extended survival by roughly 10% 
16647138cox 2cox 21.0three forms of cox enzymes designated as cox 1 cox 2 and cox 3 occur in mammalian tissues.  
16647138cox 2cox 21.0inflammatory mediators such as cytokines growth factors and bacterial endotoxin rapidly induce cox 2 which is normally undetectable in healthy tissues.  
16647138cox 2cox 21.0cox 2 is constitutively expressed in the kidney stomach and brain hoffmann 2000 .  
16647138cox 2cox 21.0cox 1 and cox 2 are homodimers.  
16647138cox 2cox 21.0cox 1 contains val at the 434 and 523 positions whereas cox 2 has ile at positions 434 and 523.  
16647138cox 2cox 21.0these differences in amino acid sequences may result in larger and more flexible substrate and inhibitor binding sites in cox 2 than in cox 1 kurumbail et al. 1996 .  
16647138cox 2cox 21.0the amino acid sequences of cox 1 and cox 2 also differ from each other at the n and c termini.  
16647138cox 2cox 21.0cox 2 lacks a 17 amino acid sequence at the n terminus but has an extra 18 amino acid sequence at the c terminus.  
16647138cox 2cox 21.0thus the active site of cox 2 is larger and more accommodating than that of cox 1 and cox 1 displays negative allosterism at low concentrations of aa.  
16647138cox 2cox 21.0this property may be responsible for greater eicosanoid production by cox 2 when the aa concentration is low smith et al. 2000 .  
16647138cox 2cox 21.0aa is the preferred substrate for cox 1 and cox 2.  
16647138cox 2cox 21.0the cox 2 gene is 8.3 kb whereas the cox 1 gene is much larger 22 kb vane et al. 1998 .  
16647138cox 2cox 21.0cox 1 mrna is approximately 2.8 kb while cox 2 mrna is approximately 4.0 kb.  
16647138cox 2cox 21.0analysis of the 5_amp_#x2032; flanking untranslated regions of cox 1 and cox 2 indicates that the cox 1 gene is associated with housekeeping activities whereas the cox 2 gene is involved in response related activities.  
16647138cox 2cox 21.0the 5_amp_#x2032; flanking region of the cox 2 gene has a tata box 30 base pairs upstream from the transcription start site tazawa et al. 1994 whereas the same region in the cox 1 gene has no canonic tata box wu 1995 .  
16647138cox 2cox 21.0the cox 2 gene also contains a number of putative regulatory sites including the cyclic amp response element il 6 response element ap 2 nuclear factor _amp_#x3ba;b nf _amp_#x3ba;b sp 1 pea 3 gata 1 and glucoco 
16647138cox 2cox 21.0thus factors that inhibit nf _amp_#x3ba;b activity such as il 4 il 10 and il 13 can specifically inhibit cox 2 upregulation.  
16647138cox 2cox 21.0the cox 1 gene also has some putative regulatory sites such as sp 1 ap 2 nf il 6 gata 1 and a shear stress response element but the location of these sites differs considerably from those in the cox 2 gene.  
16647138cox 2cox 21.0cox 1 does not respond to nf _amp_#x3ba;b as intensely as cox 2.  
16647138cox 2cox 21.0in rat and ovine brain cox 1 and cox 2 immunoreactivities are present in discrete neuronal populations distributed in distinct areas of cerebral cortex midbrain and hippocampus.  
16647138cox 2cox 21.0cox 1 immunoreactivity is enriched in midbrain pons and medulla breder et al. 1995 whereas cox 2 immunoreactivity prevails in neurons and glial cells of hippocampus hypothalamus and amygdala andreasson et al. 2001 and yamagata et al. 1993 .  
16647138cox 2cox 21.0in neurons astrocytes and microglial cells cox 2 immunoreactivity is localized to the perinuclear regions tomimoto et al. 2000 .  
16647138cox 2cox 21.0the expression of cox 2 is markedly increased in microglial cells after intraperitoneal administration of lipopolysaccharide lps whereas neuronal cox 2 remains unchanged elmquist et al. 1997 .  
16647138cox 2cox 21.0in microglial cells cox 2 expression and ability to release pge 2 txa 2 and txb 2 upon stimulation by lps are several times higher than in astrocytes but lower than in peripheral macrophages giulian et al. 1996 and minghetti  
16647138cox 2cox 21.0cox 2 induction in microglia by proinflammatory stimuli is apparently similar to peripheral macrophages and plays important roles in inflammatory and immune responses.  
16647138cox 2cox 21.0although different pharmacological properties have been described for cox 3 compared with cox 1 or cox 2 enzymes many investigators consider it to be a splice variant of cox 1 chandrasekharan et al. 2002 and davies et al. 2004 .  
16647138cox 2cox 21.0comparison of canine cox 3 activity with murine cox 1 and cox 2 demonstrates that analgesic/antipyretic drugs such as acetaminophen phenacetin antipyrine and dipyrone selectively inhibit cox 3 and some nonsteroidal anti inflammatory drugs potently inhibit cox 3.  
16647138cox 2cox 21.0ce analysis indicated that the 98 base pair intron 1 of cox 1 gene remains unprocessed in cox 3 inducing a frameshift mutation and a 127 amino acid open reading frame with no sequence similarity with cox 2 snipes et al. 2005 .  
16647138cox 2cox 21.0in addition adenovirus mediated cyp2c9 gene transfection and epox overexpression in endothelial cells result in endothelial cell tube formation by stimulating cox 2 expression and prostacyclin production michaelis et al. 2005 .  
16647138cox 2cox 21.0the first phase of arachidonic acid release involves the expression and stimulation of ipla 2 with the generation of pge 2 ltb 4 and paf through cox 2 lox and acetyl coa acetyltransferase reactions respectively.  
16647138cox 2cox 21.0pla 2 cox 2 and lox inhibitors have been used to treat acute inflammation and pain de gaetano et al. 2003 farooqui et al. in press and yeo et al. 2004 in various animal models of pain mediated by inflammation.  
16647138cox 2cox 21.0cox 1 and cox 2 play a central role in the induction of nociception produced by injections of complete freund's adjuvant or carrageenan into the paw hay et al. 1997 ichitani et al. 1997 and ito et al. 2001b .  
16647138cox 2cox 21.0an increase in the expression of cox 2 activity accompanies the induction of nociception svensson and yaksh 2002 .  
16647138cox 2cox 21.0cox 2 expression and its activity in neuropathic pain are controversial.  
16647138cox 2cox 21.0cox 2 levels in the dorsal spinal cord increase following a l5/l6 spinal nerve ligation zhao et al. 2000 and intrathecal or local injections of cox 2 inhibitors prevent the development of nociception.  
16647138cox 2cox 21.0in contrast only a very small change in spinal cord cox 2 mrna and protein expression follows the spared nerve injury model of partial nerve injury in the rat and selective cox 2 inhibition does not alter the nociception.  
16647138cox 2cox 21.0this indicates that cox 2 does not play a role in the development and maintenance of nociception broom et al. 2004 .  
16647138cox 2cox 21.0this suggests that nociception is modulated by interactions between central as well as peripheral nociceptive mechanisms and both mechanisms involve cox 2 generated metabolites.  
16647138cox 2cox 21.0nmda receptor dependent synaptic activity dynamically regulates the expression of the cox 2 gene in brain.  
16647138cox 2cox 21.0during ltp induction the most abundant prostaglandins generated in the brain through cox 1/cox 2 pathways pge 2 pgf 2a and pgd 2 are modulators of synaptic activity and efficacy by exerting their paracrine effect through pre and postsynaptic receptors and their autocrine effect through intraneur 
16647138cox 2cox 21.0the observation that cox 2 inhibitors block the induction of ltp in hippocampal dentate granules neurons supports this suggestion chen et al. 2002 .  
16647138cox 2cox 21.0the addition of pge 2 but not pgd 2 or pgf 2_amp_#x3b1; reverses cox 2 mediated suppression of ltp.  
16647138cox 2cox 21.0these studies suggest that pge 2 is the effector of cox 2 induced synaptic plasticity.  
16647138cox 2cox 21.0the translocation of cox 2 to the nuclear envelope during neural cell stimulation generates eicosanoids that are involved in gene expression morita et al. 1995 and vane et al. 1998 .  
16647138cox 2cox 21.0 by 4 hne can result in the depolarization of neuronal membranes leading to the opening of nmda receptor channels and the influx of additional calcium into the cell kadoya et al. 2003 . 4 hne induces cox 2 expression in macrophages.  
16647138cox 2cox 21.0the expression of cox 2 plays an important role in the intensification of inflammatory responses in brain tissue.  
16647138cox 2cox 21.0paf also stimulates the inducible isoform of cox 2 bazan et al. 1993 .  
16647138cox 2cox 21.0an immediate early gene encodes cox 2 which is responsible for prostaglandin synthesis in neuropathological processes.  
16647138cox 2cox 21.0preincubation of cells with paf antagonist bn 50730 blocks stimulation of the immediate early gene responsible for cox 2 bazan et al. 1997 .  
16647138cox 2cox 21.0the cox 2 inhibitor ns 398 was ineffective as were two cytochrome p450 antagonists ms ppoh and miconazole suggesting that cox 2 and p450 metabolites do not play a significant role in vasodilation as compared to cox 1 metabolites.  
16647138cox 2cox 21.0 2006 observed dense immunohistochemical staining for cox 1 but not cox 2 in the astrocytic endfeet that ensheath cortical arterioles as well as in small cells with a morphology typical of microglial cells.  
16647138cox 2cox 21.0cox 2 expression and prostaglandin e2 production are enhanced in the spinal cord after peripheral tissue injury and subsequent inflammation dirig and yaksh 1999 ichitani et al. 1997 nakayama et al. 2002 an 
16647138cox 2cox 21.0constitutive levels of cox 2 in the spinal cord are low but peripheral inflammation upregulates this enzyme beiche et al. 1996 .  
16647138cox 2cox 21.0in the brain synaptic activity regulates the basal expression of cox 2.  
16647138cox 2cox 21.0furthermore cox 2 is localized in neuronal dendritic spines where active synapses are located kaufmann et al. 1996 implying that both constitutive and inducible cox 2 may participate in synaptic plasticity.  
16647138cox 2cox 21.0selective cox 2 inhibition significantly reduced postsynaptic excitability back propagation of dendritic action potential associated ca 2+ influx and induction of long term potentiation in hippocampal dentate granul 
16647138cox 2cox 21.0these results are consistent with a likely role of pge 2 generated by cox 2 in the regulation of membrane excitability and long term synaptic plasticity in hippocampal perforant path_amp_#x2013;dentate gyrus synapses.  
16647138cox 2cox 21.0cox 2 synthesized pge 2 may act on pg receptors within the same neuron or in neighboring neurons.  
16647138cox 2cox 21.0administration of a selective cox 2 inhibitor to eliminate endogenous pge 2 reduced somatic and dendritic membrane excitability in hippocampal ca1 pyramidal neurons in brain slices.  
16647138cox 2cox 21.0as reversed by applications of pge 2 which produced significant increases in frequency of firing excitatory postsynaptic potential amplitude and temporal summation in slices previously treated with a cox 2 inhibitor chen and bazan 2005 .  
16647138cox 2cox 21.0an interesting new finding is that there is a profound difference between nsaids with different selectivities for cox 1 and cox 2 with regard to their effects on the synthesis of endogenous levels of rat brain kynurenic acid kyna schwieler et al. 2005 .  
16647138cox 2cox 21.0nsaids displaying an inhibitory action on cox 1 increased brain kyna formation whereas cox 2 selective inhibitors had the opposite effect.  
16647138cox 2cox 21.0the development of cox deficient mice has allowed investigators to study the individual roles of the cox 1 and cox 2 isoforms.  
16647138cox 2cox 21.0cox 2 deficient mice have poor survival rates reduced resolution of gastrointestinal ulcers progressive renal disease reduced ovulation fertilization implantation and decidualization normal uninduced pg le 
16647138cox 2cox 21.0it is noteworthy that central nervous system involvement does not appear in these lists and that for the maintenance of normal physiology cox 2 appears to play a more critical role.  
16647138cox 2cox 21.0at 30 to 40 min after il 1_amp_#x3b2; cox 1 ko mice showed a smaller reduction in milk intake in comparison with wild type mice whereas cox 2 mice responded more like wild type animals.  
16647138cox 2cox 21.0however at 90 to 120 min after il 1_amp_#x3b2; administration cox 2 ko mice showed only small responses while cox 1 ko mice responded normally.  
16647138cox 2cox 21.0this result suggests that while cox 1 is primarily involved in the early phase of milk intake cox 2 is more responsible for the later phase swiergiel and dunn 2002 .  
16647138cox 2cox 21.0iadecola et al. 2001a and iadecola et al. 2001b have demonstrated reduced and increased susceptibility to ischemic brain injury in cox 2 and cox 1 deficient mice respectively.  
16647138cox 2cox 21.0 2004 also observed a decreased level of neuronal injury produced by transient global ischemia in cox 2 deficient mice in comparison with wild type mice.  
16647138cox 2cox 21.0various lines of evidence implicate cox 2 in fever production.  
16647138cox 2cox 21.0its expression is enhanced in the brain after peripheral intraperitoneal lipopolysaccharide lps or intravenous and intracerebral il 1_amp_#x3b2; administration whereas cox 2 inhibitors suppress the fever induced by these pyrogens cao et al. 1996 cao et al. 1997 cao et al. 2001 ek et al. 2001 and minghetti et al. 1999 .  
16647138cox 2cox 21.0 1999 assessed the febrile response to injection of intraperitoneal lps in cox 1 and cox 2 deficient mice.  
16647138cox 2cox 21.0the wild type and cox 1 _amp_#x2212;/_amp_#x2212; mice responded to lps with a 1_amp_#xb0;c rise in temperature whereas the cox 2 _amp_#x2212;/_amp_#x2212; mice displayed no increase in temperature indicating that cox 2 is necessary for lps induced fever production.  
16647138cox 2cox 21.0 _amp_#x2212;/_amp_#x2212; mice displayed no increase in temperature indicating that cox 2 is necessary for lps induced fever production.  
16647138cox 2cox 21.0endocannabinoids and cox 2  
16647138cox 2cox 21.0in addition to these hydrolytic pathways endocannabinoids can be selectively oxygenated by a cox 2 pathway kozak and marnett 2002 and yu et al. 1997 .  
16647138cox 2cox 21.0inhibition of cox 2 can potentiate the action of these endocannabinoids kim and alger 2004 .  
16647138cox 2cox 21.0furthermore metabolites of aea and 2 ag derived from cox 2 possess biological activity including the activation of protein kinase c as well as having effects on the contractility of smooth muscle preparations nirodi et al. 2004 and ross et al. 2002 .  
16647138cox 2cox 21.0prostanoids derived from both aea and 2 ag are significantly more stable metabolically than free acid pgs suggesting that cox 2 action on endocannabinoids may provide oxygenated lipids with sufficiently long half lives to act as systemic mediators or pro drugs kozak et al. 2004 and patrignani et al. 2005 .  
16647138cox 2cox 21.0ns 398 completely inhibited the pge 2 production induced by either aea or maea a selective cox 2 inhibitor indicating induction of cox 2.  
16647138cox 2cox 21.0aea and maea increased the expression of cox 2 protein an action that am 251 a selective cannabinoid receptor 1 agonist partially inhibited.  
16647138cox 2cox 21.0additionally aea increased cox 2 promoter activity.  
16647138cox 2cox 21.0 2005 suggested that aea increases cox 2 expression at the transcriptional level through a cannabinoid receptor 1 mediated mechanism in the cerebral microvascular endothelium.  
16647138cox 2cox 21.0 2005 concluded that oxidation of ecb by cox 2 decreases their level in the hippocampus thus enhancing ltp. ecbs which are generated during robust stimulation of hippocampal slices stella et al. 1997 tonically decrease basal excitatory transmissi 
16647138cox 2cox 21.0conversely inhibition of cox 2 prevented ltp in hippocampal dentate neurons kim and alger 2004 leading to the conclusion that cox 2 regulates the formation of cb1 ligands that negatively regulate ltp.  
16647138cox 2cox 21.0cox 2 is an important mediator of neuroinflammation feng et al. 1993 .  
16647138cox 2cox 21.0concussive injury of the rat cerebral cortex caused a bilateral induction of cox 2 mrna in the cortex and dentate gyrus.  
16647138cox 2cox 21.0cox 2 activity was detectable in these areas and persisted in the ipsilateral cortex for at least 72 h kunz et al. 2002 .  
16647138cox 2cox 21.0upregulation of cox 2 mrna has also been observed in the rat spinal cord following a traumatic injury adachi et al. 2005 .  
16647138cox 2cox 21.0cox 2 immunoreactivity in this instance was observed only in endothelial cells of the blood vessels and not in neurons astrocytes monocytes macrophages or microglia at 6 h after injury.  
16647138cox 2cox 21.0 1998 observed trauma induced cox 2 mrna expression in spinal cord neurons and around blood vessels and dash et al.  
16647138cox 2cox 21.0 2000 found cox 2 protein almost exclusively in neurons.  
16647138cox 2cox 21.0the effects of cox 2 inhibition on recovery following traumatic brain injury tbi in rats have been contradictory.  
16647138cox 2cox 21.0 2000 using celecoxib observed a worsening of motor but not cognitive performance and suggested that cox 2 induction following tbi may play a protective role.  
16647138cox 2cox 21.0studies on cox 1 and cox 2 gene deletion provided some information on the roles of these enzymes in stroke injury.  
16647138cox 2cox 21.0cox 2 deficient mice displayed a reduced susceptibility to ischemic brain injury and nmda neurotoxicity iadecola et al. 2001a and sasaki et al. 2004 .  
16647138cox 2cox 21.0conversely mice with neuronal overexpression of cox 2 had increased levels of pge 2 with significant increases in infarct volume following middle cerebral artery occlusion dore et al. 2003 .  
16647138cox 2cox 21.0clinical trials have recently revealed that long term therapy with cox 2 inhibitors increases the incidence of myocardial infarction and stroke which has been attributed to blockade of the vasoprotective effects of cox 2 derived pgi 2 fitzgerald 2003 .  
16647138cox 2cox 21.0 inhibitors increases the incidence of myocardial infarction and stroke which has been attributed to blockade of the vasoprotective effects of cox 2 derived pgi 2 fitzgerald 2003 .  
16647138cox 2cox 21.0recent studies have demonstrated that pge 2 may be responsible for the neurotoxic effects of cox 2 manabe et al. 2004 .  
16647138cox 2cox 21.0prostaglandin ep1 receptors may be essential for the neurotoxic effects of cox 2 derived pge 2 .  
16647138cox 2cox 21.0cox 2 mrna is upregulated in the ischemic rat cerebral hemisphere beginning 6 h after ischemia and reaching a maximum after 12 h nogawa et al. 1997 .  
16647138cox 2cox 21.0neurons at the medial edge of the ischemic area had cox 2 immunoreactivity and the injured brain had elevated pge 2 levels.  
16647138cox 2cox 21.0these data would appear to implicate cox 2 in the mechanisms of delayed neuronal death.  
16647138cox 2cox 21.0arachidonic acid released during stroke ischemic or hemorrhagic by pla 2 activation may be converted to prostaglandins by both cox 1 and cox 2 during the immediate response and predominantly by cox 2 during the delayed response murakami et al. 2002 . spla 2 upregulates cox 2 bidgood et al. 2000 and is functionally coupled with cox 2 but not with cox 1 balsinde et al. 1998 .  
16647138cox 2cox 21.0 during the delayed response murakami et al. 2002 . spla 2 upregulates cox 2 bidgood et al. 2000 and is functionally coupled with cox 2 but not with cox 1 balsinde et al. 1998 .  
16647138cox 2cox 21.0substantial increases in cox 2 mrna and protein levels occur in the peri infarct and focal ischemic areas of permanent middle cerebral artery occlusion mcao at 3 to 12 h and 12 to 24 h respectively.  
16647138cox 2cox 21.0in the ischemic core significant increases in cox 2 mrna followed 6 h of ischemia.  
16647138cox 2cox 21.0the ischemic core during ischemic periods did not show increases in cox 2 protein.  
16647138cox 2cox 21.0in another human study cox 1 expressed intensely in microglia but weakly in neurons in control brains whereas cox 2 was absent in control autopsied brains.  
16647138cox 2cox 21.0however cox 2 was induced robustly in neurons during the acute phase of focal ischemia and subsided during the subacute phases.  
16647138cox 2cox 21.0cox 2 was also upregulated in microglia during focal ischemia tomimoto et al. 2002 .  
16647138cox 2cox 21.0pretreatment with indomethacin an inhibitor of cox 1 and cox 2 reduced infarct size following focal ischemia with reperfusion in rats buccellati et al. 1998 reduced ischemia evoked ca1 hippocampal injury in a gerbil model sasaki et al. 1988 and suppressed hypere 
16647138cox 2cox 21.0ibuprofen which also inhibits both cox 1 and cox 2 reduced neuronal injury and improved cerebral blood flow and neurological outcome in global ischemia grice et al. 1987 kuhn et al. 1986 park et al. 2005 and patel et al. 1993 with decreased infarct s 
16647138cox 2cox 21.0the recent development of selective cox 2 inhibitors has stimulated a number of studies of their efficacy as cerebroprotective agents.  
16647138cox 2cox 21.0the beneficial effects of ns 389 on ischemic brain injury were not apparent in mice with deletion of the inducible nitric oxide synthase nos gene which suggests that cox 2 reaction products may be another mechanism by which inos derived nitric oxide contributes to ischemic brain injury nagayama et al. 1999 .  
16647138cox 2cox 21.0another cox 2 inhibitor nimesulide effectively limited hippocampal damage following forebrain ischemia in the gerbil candelario jalil et al. 2002b and candelario jalil et al. 2003a and mouse sasaki et al. 2004 .  
16647138cox 2cox 21.0the degree of hippocampal neuronal injury produced by global ischemia in cox 2 deficient mice was less than that in wild type mice sasaki et al. 2004 further demonstrating involvement of this enzyme in ischemic injury to the brain.  
16647138cox 2cox 21.0selective inhibition of cox 1 by valerylsalicylate or of cox 2 by rofecoxib was used to assess the relative contributions of the two enzymes to ischemia induced oxidative damage in the gerbil brain candelario jalil et al. 2003b .  
16647138cox 2cox 21.0the highly selective cox 2 inhibitor dfu was neuroprotective when administered several hours after transient cerebral ischemia in gerbils candelario jalil et al. 2002a .  
16647138cox 2cox 21.0the selective cox 2 inhibitors sc58125 and sc58326 are neuroprotective in rat global and focal cerebral ischemia models respectively govoni et al. 2001 and nakayama et al. 1998 .  
16647138cox 2cox 21.0 2004 examined whether the selective cox 2 inhibitor celecoxib reduces cerebral inflammation and edema after intracerebral hemorrhage in rats.  
16647138cox 2cox 21.0s 2474 a novel nsaid suppresses cox 2 at low nanomolar levels but does not affect cox 1.  
16647138cox 2cox 21.0these enzymes include pla 2 cox 2 lox and epox.  
16647138cox 2cox 21.0marked increases in cox 2 and 5 lox mrna and protein levels occur following kainate injections in rat brain adams et al. 1996 manev et al. 1998 and sandhya et al. 1998 .  
16647138cox 2cox 21.0this increase in cox 2 and 5 lox can be prevented by not only glutamate receptor antagonists koistinaho et al. 1999 and pepicelli et al. 2002 but also by cox 2 and 5 lox inhibitors manev et al. 2000a and pepicelli et al. 2002 indicating that generation of prostaglandins thromboxanes and leukotrienes is a receptor mediated process.  
16647138cox 2cox 21.0the role of cox 2 and 5 lox in excitotoxicity is also supported by microdialysis studies in vivo in hippocampus of freely moving rats pepicelli et al. 2005 .  
16647138cox 2cox 21.0pge 2 and 8 epi pgf 2_amp_#x3b1; generation can be blocked by the infusion of nmda antagonists as well as cox 1 and cox 2 inhibitors indicating that both cox 1 and cox 2 contribute to the prostaglandin synthesis and oxidative damage in excitotoxicity pepicelli et al. 2005 .  
16647138cox 2cox 21.0his cross talk refines communication among glutamate prostaglandin leukotriene and thromboxane receptors but under pathological situations it promotes neuronal injury that depends on the magnitude of cox 2 and 5 lox expression iadecola et al. 2001a nakayama et al. 1998 and pepicelli et al. 2005 .  
16647138cox 2cox 21.0it is likely that increased cox 2 and 5 lox activities and high levels of their reaction products are involved in extending excitotoxicity and oxidative stress during neurodegeneration.  
16647138cox 2cox 21.0the neurochemical consequences of increased cox 2 and 5 lox activities and high levels of their products include not only the generation of highly reactive oxygen free radical species with their potent damaging effects on neural membrane phospholipi 
16647138cox 2cox 21.0our emphasis on the interaction between glutamate receptors and cox 2 and 5 lox activities and their reaction products does not rule out the participation of other mechanisms involved in neural cell injury.  
16647138cox 2cox 21.0however it is timely and appropriate to apply the concept of synergism between glutamate and cox 2 and 5 lox generated products and their receptors to neural cell injury.  
16647138cox 2cox 21.0the synergistic actions of glutamate and cox 2 and 5 lox generated products may be rapid whereas in neurodegenerative disorders in which oxygen and nutrients are available to the nerve cell and ionic gradients are maintained to a limited extent d 
16647138cox 2cox 21.0hereas in neurodegenerative disorders in which oxygen and nutrients are available to the nerve cell and ionic gradients are maintained to a limited extent due to the availability of atp glutamate and cox 2 and 5 lox product mediated damage may take a longer time to develop.  
16647138cox 2cox 21.0these studies suggest that cox 2 and 5 lox generated products along with free radical formation play critical roles in brain damage mediated by the excitotoxicity.  
16647138cox 2cox 21.0seizures activate cytosolic pla 2 visioli et al. 1994 and induce the expression of cytosolic pla 2 kajiwara et al. 1996 and cox 2 marcheselli and bazan 1996 .  
16647138cox 2cox 21.0in rat brain cox 2 mrna is preferentially expressed in neurons where it is developmentally regulated tocco et al. 1997 and cox 2 expression is induced by kainic acid induced seizures chen et al. 1995 and tocco et al. 1997 .  
16647138cox 2cox 21.0glutamate excitotoxicity in primary cultures of rat cortico hippocampal neurons is also associated with increased expression of cox 2 tocco et al. 1997 .  
16647138cox 2cox 21.0induction of cox 2 but not cox 1 gene expression has been demonstrated to precede apoptosis in the granule cell layer of the dentate gyrus ho et al. 1998 and may contribute to the mechanisms leading to apoptosis.  
16647138cox 2cox 21.0in another seizure model the genetically epilepsy susceptible e1 mouse expression of cox 2 in the hippocampus was upregulated after an epileptic seizure and indomethacin a cox 2 inhibitor shortened the duration from seizure onset to full recovery okada et al. 2001 .  
16647138cox 2cox 21.0a rat hippocampal kindling model enabled a study of the role of cox 2 in seizure activity.  
16647138cox 2cox 21.0cox 2 encoded in an early response gene increased in a synaptic activity dependent manner with induction becoming evident initially in hippocampal neurons and then spreading to cortical neurons.  
16647138cox 2cox 21.0when rats were rekindled 34 days later this spreading of cox 2 expression persisted.  
16647138cox 2cox 21.0the cox 2 selective inhibitor nimesulide attenuated kindling development tu and bazan 2003 thus neuronal cox 2 gene induction and cpla 2 activation are key signaling events in epileptogenesis.  
16647138cox 2cox 21.0 2003 examined the effects of cox 2 on the _amp_#x2018;rapid kindling_amp_#x2019; development in cox 2 knockout mice and mice treated with nimesulide.  
16647138cox 2cox 21.0they also measured cox 2 mrna expression and pge 2 concentrations.  
16647138cox 2cox 21.0kindling in hippocampal neurons of control mice markedly increased brain cox 2 mrna levels with a significant increase in pge 2 levels.  
16647138cox 2cox 21.0moreover conditions of cox 2 deficiency significantly decreased the incidence of after discharges total after discharge duration and seizure behavior induction suggesting that inducible cox 2 facilitates the recurrence of hippocampal seizures.  
16647138cox 2cox 21.0 1999 developed a transgenic mouse model with neuronal overexpression of the human cox 2 to further explore its role in excitotoxicity.  
16647138cox 2cox 21.0overexpression of hcox 2 potentiated the intensity and lethality of kainic acid excitotoxicity thus demonstrating a cause_amp_#x2013;effect relationship between neuronal cox 2 expression and excitotoxicity.  
16647138hcox 2hcox 21.0overexpression of hcox 2 potentiated the intensity and lethality of kainic acid excitotoxicity thus demonstrating a cause_amp_#x2013;effect relationship between neuronal cox 2 expression and excitotoxicity.  
16647138cox 2cox 21.0the cox 2 selective inhibitor rofecoxib significantly reduced kainate induced cell death in the rat hippocampus kunz and oliw 2001b .  
16647138cox 2cox 21.0another selective cox 2 inhibitor celecoxib was effective in reducing electroshock induced convulsions in rats shafiq et al. 2003 whereas nimesulide aggravated kainic acid induced seizures in the rat kunz and oliw 2001a .  
16647138cox 2cox 21.0with the exception of high temperature febrile induced seizures no reports on the effects of cox 2 inhibitors on epileptic seizures in humans have appeared.  
16647138cox 2cox 21.0a marked increase of cox 1 and cox 2 expression and immunoreactivity in cerebral cortex and hippocampal regions of ad brains correlates with the number of senile plaques neuronal atrophy and increased levels of pge 2 found in ad pasinet 
16647138cox 2cox 21.0the neuroprotective effects of cox 1 and cox 2 inhibitors nsaid strongly support the view that upregulation of these enzymes in ad is detrimental to neuronal survival.  
16647138cox 2cox 21.0the molecular mechanism by which cox 1 and cox 2 promote amyloidogenic accumulation of _amp_#x3b2; amyloid peptide is not fully understood.  
16647138cox 2cox 21.0cox 1 and cox 2 potentiate _amp_#x3b2; amyloid peptide generation through mechanisms that involve _amp_#x3b3; secretase activity qin et al. 2003 .  
16647138cox 2cox 21.0furthermore cox 2 expression is also involved in regulation of cell cycle activity and cell cycle abnormalities are associated with the pathogenesis of ad.  
16647138cox 2cox 21.0re entry into the cell cycle may underlie cox 2 mediated neuronal damage in ad xiang et al. 2002 .  
16647138cox 2cox 21.0the sporadic form of this disease is characterized by a prominent neuroinflammatory component upregulation of cox 2 mrna and oxidative stress yasojima et al. 2001 .  
16647138cox 2cox 21.0upregulation of cox 2 mrna also occurs in sod1 transgenic mice at the onset of als almer et al. 2001 .  
16647138cox 2cox 21.0in an organotypic cell culture model of als the addition of a selective cox 2 inhibitor sc236 blocked the destruction of motor neurons drachman and rothstein 2000 suggesting that cox 2 may play an important role in inflammatory processes in als.  
16647138cox 2cox 21.0similarly treatment with celecoxib another cox 2 inhibitor prolongs the survival of neurons in the sod1 mouse model of als drachman et al. 2002 .  
16647138cox 2cox 21.0although upregulation of cox 2 and pge 2 levels may not be the root cause of als alterations in these parameters may be responsible for the induction and maintenance of inflammation during the progression of als.  
16647138cox 2cox 21.0at present nothing is known about the expression of cox 2 in patients with pd.  
16647138cox 2cox 21.0however involvement of cox 2 in the pathogenesis of pd has been explored in an animal model treated with n methyl 4 phenyl 1 2 3 6 tetrahydropyridine mptp as well as in cox 2 gene knockout mice feng et al. 2003 and teismann et al. 2003 .  
16647138cox 2cox 21.0thus a lower mortality rate has been reported after mptp injection in heterozygous cox 2 deficient mice than in the wild type mice and inhibition of cox 2 protein expression decreases the lesions caused by mptp and protects dopaminergic neurons in the substantia nigra.  
16647138cox 2cox 21.0the molecular mechanism associated with cox 2 mediated neurodegeneration in animal models of pd remains unknown.  
16647138cox 2cox 21.0however cox 2 inhibition may prevent the formation of the oxidant species of reactive quinones.  
16647138cox 2cox 21.0using rt pcr and western blotting both cox 1 and cox 2 are significantly increased in brains from cjd patients compared to age matched controls implicating both enzymes in the pathogenesis of cjd deininger et al. 2003 .  
16647138cox 2cox 21.0in csf from sporadic and familial cjd and in brain homogenates of scrapie infected mice the upregulation of cox 1 and cox 2 is accompanied by a several fold increase in concentrations of pge 2 and f 2 isoprostane 8 epi prostaglandin f 2_amp_#x3b1; 8 epi pgf 2_amp_#x3b1; compared to age matched controls minghetti et al. 20 
16647138cox 2cox 21.0in contrast indomethacin a cox 1 and cox 2 inhibitor and baicalein a 12 lox inhibitor do not affect prp106_amp_#x2013;126 induced neurotoxicity in cerebellar granule neuronal cultures stewart et al. 2001 .  
16647138cox 2cox 21.0in astrocytes tgf_amp_#x3b2;1 upregulates cox 1 expression and serum increases cox 2 expression.  
16647138cox 2cox 21.0neither tgf_amp_#x3b2;1 nor serum affects cox 1 and cox 2 expression in neurons.  
16647138cox 2cox 21.0furthermore cox 1 compensates for the loss of cox 2 in the cox 2 knockout cox 2 _amp_#x2212;/_amp_#x2212; mouse brain.  
16647138cox 2cox 21.0thus cox 2 _amp_#x2212;/_amp_#x2212; shows a compensatory increase in brain cox 1 expression and activity with exogenous arachidonic acid in brain tissue bosetti et al. 2004 .  
16753239cox 2cox 21.0recent studies demonstrated that tzds block the production of inos tnf _amp_#x3b1; il 6 and cox 2 by primary rat microglia and astrocytes and protected cortical neurons in a neuron glia co culture paradigm.  
16766086cox 2cox 21.0these agents suppressed cytokine as well as cox 2 expression.  
16766086cox 2cox 21.0expression of inflammatory genes such as inos cyclooxygenase 2 cox 2 proinflammatory cytokines and intercellular adhesion molecule are upregulated following stroke and increasing the level or the activity of these proteins exacerbates injury while antagonism of the ac 
16766086cox 2cox 21.0there is a reduced inflammatory infiltrate in tzd treated rats that is associated with reduced expression of inflammatory mediators such as inos cox 2 and il 1_amp_#x3b2; fig 5 .  
16766086cox 2cox 21.0relative to levels in vehicle treated rats mrna was reduced by approximately 25% for inos 30% for cox 2 and 50% for il 1_amp_#x3b2; n = 4 for each group .  
17015226cox 2cox 21.0cyclooxygenase 2 cox 2 produced in abundance by microglia and other inflammatory cells but also by neurons and astrocytes plays a key role in stimulating production of proinflammatory cytokines and cox 2 expression is induced in spinal cords of als patients yasojima et_amp_#xa0;al. 2001 and yiangou et_amp_#xa0;al. 2006 .  
17015226cox 2cox 21.0in mice use of a cox 2 inhibitor celecoxib prolonged survival by slowing disease onset drachman et_amp_#xa0;al. 2002 but disappointingly did not alter progression after onset.  
17569578cox 2cox21.0ppar_amp_#x3b3; activation in microglial cells suppressed inflammatory cytokine expression inos expression and no production and inhibition of cox2 and subsequent generation of immunostimulated prostanoid synthesis [38] .  
17569578cox 2cox 21.0activated microglia were significantly reduced at sites of neurodegeneration in pioglitazone treated sod1 g93a mice as were the protein levels of cox 2 and inos.  
17569578cox 2cox21.0the peripheral leukocytes and microglia mount a robust inflammatory response with the induction of cytokine and chemokine expression as well as elevated expression of adhesion molecules inos cox2 and other inflammatory mediators which act to exacerbate the tissue damage [9] [12] and [181] .  
17569578cox 2cox21.0the salutary actions of the drugs were associated with reduced infiltration of peripheral leukocytes diminished microglial activation and reduction of inos cox2 and cytokine expression.  
17574754cox 2cox 21.0induction of cyclooxygenase 2 cox 2 with production of prostaglandins occurs in a wide spectrum of acute and chronic neurodegenerative diseases and is associated with neuronal death.  
17574754cox 2cox 21.0inhibition of the cox 2 pathway and downstream production of prostaglandins protect neurons in rodent models of cerebral ischemia and neurodegeneration.  
17574754cox 2cox 21.0recent studies investigating the functions of selected prostaglandin receptor pathways in mediating cox 2 neurotoxicity have demonstrated both toxic and paradoxically neuroprotective effects of several receptors in models of excitotoxicity.  
17574754cox 2cox 21.0the inducible isoform of cyclooxygenase cox 2 is rapidly upregulated in vivo in hippocampal and cerebral cortical neurons following n methyl d aspartate nmda receptor dependent synaptic activity [23] consistent with a physiologic role in modulat 
17574754cox 2cox 21.0however in pathologic conditions caused by either excitotoxicity or inflammation cox 2 expression and activity are increased in neurons and glial cells and can promote either primary or secondary neuronal injury respectively.  
17574754cox 2cox 21.0thus increased cox 2 activity and prostaglandin production are hallmarks of a wide range neurological disease models including acute excitotoxic events such as cerebral ischemia traumatic brain or spinal cord injury as w 
17574754cox 2cox 21.0in humans increased cox 2 and prostaglandin production have been observed in ad als multiple sclerosis and pd [1] [10] [22] and [24] .  
17574754cox 2cox 21.0thus cox 2 appears to function physiologically in promoting synaptic activity and pathologically in diseases characterized by excitotoxicity or inflammation.  
17574754cox 2cox 21.0because inhibition of cox 2 either genetically or pharmacologically decreases neuronal injury in rodent models of nmda dependent excitotoxicity there is considerable interest in defining the downstream mechanisms by which cox 2 
17574754cox 2cox 21.0 either genetically or pharmacologically decreases neuronal injury in rodent models of nmda dependent excitotoxicity there is considerable interest in defining the downstream mechanisms by which cox 2 exerts its neurotoxicity.  
17574754cox 2cox 21.0a primary focus has been the examination of prostaglandin signaling cascades downstream of cox 2 and the identification of neurotoxic prostaglandin receptors [4] .  
17574754cox 2cox 21.0prostaglandins are lipid signaling molecules derived from the metabolism of arachidonic acid by cox 1 and the inducible cox 2.  
17574754cox 2cox 21.0cox 2 neurotoxicity is presumed to be mediated by one or more of these prostaglandin receptor signaling cascades.  
17574754cox 2cox 21.0induction of cox 2 activity and production of downstream prostaglandins is associated in a wide range of neurological disease models with neuronal injury [9] and [18] .  
17574754cox 2cox 21.0cox 2 inhibition has been shown to be protective in this in vitro model as well as in the transgenic model of familial als [3] [7] and [8] .  
17574754cox 2cox 21.0this would suggest that the dp fp and ip receptors do not mediate cox 2 toxicity in this in vitro model and from our previous studies [3] the ep2 and ep3 receptors can also be excluded since they too rescue motor neurons.  
17574754cox 2cox 21.0in models of in vitro and in vivo excitotoxicity cox 2 inhibition is clearly neuroprotective.  
17901552cox 2cox 21.0function of cox 2 and prostaglandins in neurological disease.  
17901552cox 2cox 21.0induction of cox 2 expression and enzymatic activity promotes neuronal injury in a number of models of neurological disease.  
17901552cox 2cox 21.0inhibition of cox 2 activity either genetically or pharmacologically has been shown to be neuroprotective in rodent models of stroke parkinson's disease and amyotrophic lateral sclerosis.  
17901552cox 2cox 21.0in this proceeding we review recent data demonstrating effects of prostaglandin signaling on neuronal viability that are paradoxically protective when taken in the context that cox 2 induces neuronal injury in the setting of excitotoxicity.  
18040778cox 2cox 21.0cyclooxygenase 2 cox 2 is an enzyme central to the production of prostaglandins a family of powerful inflammatory mediators produced by activated microglia that can have both deleterious and neuroprotective effects in the  
18040778cox 2cox 21.0cox 2 and prostaglandin e 2 are elevated in the cns of patients with als and recent studies have implicated activated microglia in this _amp_#8220;neuron only_amp_#8221; disease weydt and moller 2005 .  
18040778cox 2cox 21.0prostaglandin production by activated microglia has been implicated in other neuroinflammatory/neurodegenerative diseases and not surprisingly cox 2 has been considered a major therapeutic target.  
18040778cox 2cox 21.0hypothetically by inhibiting microglial cell cyclooxygenases cox 1 or cox 2 the metabolism of arachadonic acid is curtailed and production of deleterious proinflammatory prostaglandins is suppressed hoozemans and o'banion 2005 .  
18040778cox 2cox 21.0although preclinical and early clinical data suggested that cox 2 inhibitors may have a beneficial role in ad results of subsequent studies and the development of unanticipated side effects of cox 2 inhibitors have dampened enthusiasm for the use of these agents in the management of ad.  
18464922cox 2cox 21.0; has been identified as a key regulatory factor in the modulation of target genes with ppar response element ppre in their promoters including those encoding for inflammation inos nf _amp_#x003ba; b cox 2 oxidative stress and apoptosis.  
18464922cox 2cox 21.0they also showed significant reduction in microglial activation as well as reduction in the expression of cox 2 and inos [ 39 ].  
18464925cox 2cox21.0the two tzd compounds np00111 and np01138 were reported to inhibit the production of nitric oxide no il 6 and tnf _amp_#x003b1; as well as expression of the inducible enzymes inos and cox2 induced in lps stimulated astrocyte and microglial cultures [ 58 ].  
18464925cox 2cox 21.0in contrast to the above described tzds the natural ligand 15d pgj 2 prevented the il 1 _amp_#x003b2; induced cox 2 mrna accumulation in human astrocytes through a ppar _amp_#x003b3; independent mechanism [ 60 ].  
18464925cox 2cox 21.0the same authors then demonstrated that 15d pgj 2 decreases the production of tnf _amp_#x003b1; il 1 _amp_#x003b2; and the expression of cox 2 in the same cell system while increasing the expression of the antioxidant enzyme hemeoxygenase 1 and the intracellular levels of glutathione [ 75 ].  
18464925cox 2cox 21.0in this cell system cox 2 specific inhibitors failed to promote neuronal survival suggesting protective mechanisms independent of cox 2 metabolism.  
18464925cox 2cox 21.0 at concentrations several fold lower than those required for ppar _amp_#x003b3; activation effectively reduced the lps stimulated production of pgj 2 by directly preventing the enzymatic activity of cox 2 rather than its expression as previously described in activated monocytic cell lines [ 80 83 ] and in bv 2 cells [ 75 ].  
18464925cox 2cox 21.0the reduction of cox 2 enzymatic activity could be achieved through the modifications of key cysteine residues [ 84 ] as suggested by the ability of 15d pgj 2 electrophilic _amp_#x003b1; _amp_#x003b2; unsaturated ketones t