British Journal of Cancer · 2004 · 70 citations · 47 references
MedicineOncologyPharmacologyBreast OncologyMetastasisTumor ProgressionBreast Cancer PharmacotherapyBreast Cancer SurgeryMalignant NeoplasmsMetastatic Breast CancerMetastatic Disease TreatmentCyclooxygenase InhibitorsCyclooxygenase-2 PathwayExperimental Metastasis AssaysImmunohistochemical DetectionImmunohistochemical StainingIntraperitoneal AdministrationMammary Fat PadSelective Cyclooxygenase-2 Inhibitors
Cyclooxygenase-2 (COX-2) expression is increased in breast cancer and surgery has been shown to increase the growth of metastatic tumours. We investigated the effect of selective COX-2 inhibition on the growth of metastases in either an experimental metastasis model or following excision of a murine primary breast tumour. 50,000 4T1 mammary carcinoma cells were injected into the mammary fat pad of female BALB/c mice. When the mean TD reached 8+/-0.4 mm, tumours were excised and the mice were randomised into two groups (n=12 per group) to receive daily intraperitoneal injections of the selective COX-2 inhibitor, SC-236 or drug vehicle for 14 days. Alternatively, experimental metastases were established by tail-vein injection of 50,000 4T1 cells. Mice received either the selective COX-2 inhibitor, SC-236 or drug vehicle for 14 days (n=12 per group). SC-236 treatment significantly reduced tumour burden, the number and size of spontaneous metastases following primary tumour excision. SC-236 treatment also reduced tumour burden, the number and size of experimental metastases. Immunohistochemical staining demonstrated that COX-2 inhibition reduced microvessel density and increased apoptosis within both spontaneous and experimental metastases. These data clearly demonstrate that the selective COX-2 inhibitor, SC-236, has potent antimetastatic activity against both spontaneous metastases arising following primary tumour excision and experimental metastases.
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