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Am J Physiol Gastrointest Liver Physiol (December 22, 2005). doi:10.1152/ajpgi.00416.2005
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Submitted on September 6, 2005
Accepted on December 14, 2005

Role of the different isoforms of cyclooxygenase and nitric oxide synthase during gastric ulcer healing in cyclooxygenase 1 and 2 knockout mice

Adrian Schmassmann1*, Georg Zoidl2, Brigitta M. Peskar3, Bea Waser4, Diana Schmassmann-Suhijar1, Jan-Olaf Gebbers5, and Jean Claude Reubi4

1 Department of Clinical Research, University of Berne, Berne, Switzerland
2 Department of Neuroanatomy and Molecular Brain Research, Ruhr-University of Bochum, Bochum, Germany
3 Department of Experimental Clinical Medicine, Ruhr-University of Bochum, Bochum, Germany
4 Division of Cell Biology and Experimental Cancer Research, Institute of Pathology, University of Berne, Berne, Switzerland
5 Institute of Pathology, Kantonsspital Lucerne, Lucerne, Switzerland

* To whom correspondence should be addressed. E-mail: adrian.schmassmann{at}kssw.ch.

Traditional NSAIDs, selective cyclooxygenase (COX)-2 inhibitors, and inhibitors of nitric oxide synthase (NOS) impair the healing of pre-existing gastric ulcers. However, the role of COX-1 (with or without impairment of COX-2) and the interaction between COX and NOS isoforms during healing are less clear. Thus, we investigated healing and regulation of COX and NOS isoforms during ulcer healing in COX-1 and COX-2 deficiency and inhibition mouse models. In this study, female wild-type, COX-1-/- and COX-2-/- mice with gastric ulcers induced by cryoprobe were treated intragastrically with vehicle, selective COX-1 (SC-560), COX-2 (celecoxib, rofecoxib, and valdedoxib), and unselective COX (piroxicam) inhibitors. Ulcer healing parameters, messenger RNA (mRNA) expression, and activity of COX and NOS were quantified. Gene disruption or inhibition of COX-1 did not impair ulcer healing. In contrast, COX-2 gene disruption and COX-2 inhibitors moderately impaired wound healing. More severe healing impairment was found in dual (SC-560+rofecoxib) and unselective (piroxicam) COX inhibition and combined COX-impairment (in COX-1-/- mice with COX-2 inhibition and COX-2-/- mice with COX-1 inhibition). In the ulcerated repair tissue, COX-2 mRNA in COX-1-/- mice, COX-1 mRNA in COX-2-/- mice, and, remarkably, NOS-2 and NOS-3 mRNA in COX-impaired mice were more up-regulated than in wild-type mice. This study demonstrates that COX-2 is a key mediator in gastric wound healing. In contrast, COX-1 has no significant role in healing when COX-2 is unimpaired, but becomes important when COX-2 is impaired. As counter-regulatory mechanisms, mRNA of COX and NOS isoforms were increased during healing in COX-impaired mice.




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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
R. Hatazawa, A. Tanaka, M. Tanigami, K. Amagase, S. Kato, Y. Ashida, and K. Takeuchi
Cyclooxygenase-2/prostaglandin E2 accelerates the healing of gastric ulcers via EP4 receptors
Am J Physiol Gastrointest Liver Physiol, October 1, 2007; 293(4): G788 - G797.
[Abstract] [Full Text] [PDF]




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