Levels of cyclooxygenase-2 are increased in the oral mucosa of smokers: Evidence for the role of epidermal growth factor receptor and its ligands Journal Article


Authors: Moraitis, D.; Du, B.; De Lorenzo, M. S.; Boyle, J. O.; Weksler, B. B.; Cohen, E. G.; Carew, J. F.; Altorki, N. K.; Kopelovich, L.; Subbaramaiah, K.; Dannenberg, A. J.
Article Title: Levels of cyclooxygenase-2 are increased in the oral mucosa of smokers: Evidence for the role of epidermal growth factor receptor and its ligands
Abstract: Cyclooxygenase-2 (COX-2) is a promising pharmacologic target for preventing aerodigestive malignancies. In this study, we investigated the effects of tobacco smoke on the expression of COX-2 in oral mucosa. An ∼4-fold increase in amount of COX-2 mRNA was observed in the oral mucosa of active smokers versus never smokers. Thus, a series of in vitro studies were carried ont to elucidate the mechanism by which tobacco smoke induced COX-2. Treatment of a nontumorigenic oral epithelial cell line (MSK-Leuk1) with a saline extract of tobacco smoke (TS) stimulated COX-2 transcription, resulting in increased amounts of COX-2 mRNA, COX-2 protein, and prostaglandin E2 (PGE 2) synthesis. Exposure of cells to TS also caused an increase in epidermal growth factor receptor (EGFR) tyrosine kinase activity. Both an inhibitor of EGFR tyrosine kinase activity and a neutralizing anti-EGFR antibody blocked TS-mediated induction of COX-2. To define the mechanism by which TS activated EGFR, the release of amphiregulin and transforming growth factor α, two ligands of the EGFR, was measured. Exposure to TS caused a rapid increase in the release of both ligands. TS also markedly induced the expression of mRNAs for amphiregulin and transforming growth factor α. Importantly, increased expression of both ligands was also detected in the oral mucosa of active smokers. Taken together, these results suggest that activation of EGFR signaling contributes to the elevated levels of COX-2 found in the oral mucosa of smokers. Moreover, these findings strengthen the rationale for determining whether inhibitors of COX-2 or EGFR tyrosine kinase activity can reduce the risk of tobacco smoke-related malignancies of the aerodigestive tract.
Keywords: signal transduction; controlled study; human tissue; human cell; epidermal growth factor receptor; membrane proteins; smoking; receptor, epidermal growth factor; in vitro study; enzyme activity; messenger rna; reverse transcriptase polymerase chain reaction; rna, messenger; cyclooxygenase 2; prostaglandin e2; ligand; epithelium cell; ligands; mouth mucosa; blotting, northern; sodium chloride; epidermal growth factor receptor kinase; amphiregulin; transforming growth factor alpha; carcinogenic activity; mouth tumor; tobacco smoke; prostaglandin-endoperoxide synthases
Journal Title: Cancer Research
Volume: 65
Issue: 2
ISSN: 0008-5472
Publisher: American Association for Cancer Research  
Date Published: 2005-01-15
Start Page: 664
End Page: 670
Language: English
PUBMED: 15695412
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 72" - "Export Date: 24 October 2012" - "CODEN: CNREA" - "Source: Scopus"
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MSK Authors
  1. Erik Cohen
    9 Cohen
  2. Jay O Boyle
    148 Boyle