COX-2

From WikiMD's Wellness Encyclopedia

Cyclooxygenase-2
250px
Structure of COX-2 enzyme
Identifiers
EC number1.14.99.1
CAS number9007-96-7
Databases
IntEnzIntEnz view
BRENDABRENDA entry
ExPASyNiceZyme view
KEGGKEGG entry
MetaCycmetabolic pathway
PRIAMprofile
PDB structuresRCSB PDB PDBe PDBsum
Gene OntologyAmiGO / QuickGO


Cyclooxygenase-2 (COX-2) is an enzyme that plays a significant role in the inflammatory response and is a target for nonsteroidal anti-inflammatory drugs (NSAIDs). It is one of the two main isoforms of the cyclooxygenase enzyme, the other being COX-1.

Function[edit | edit source]

COX-2 is an inducible enzyme, meaning its expression is increased in response to inflammatory stimuli. It catalyzes the conversion of arachidonic acid to prostaglandins, which are lipid compounds that have diverse hormone-like effects in animals. Prostaglandins produced by COX-2 are involved in mediating inflammation, pain, and fever.

Structure[edit | edit source]

COX-2 is a homodimeric enzyme, meaning it consists of two identical subunits. Each subunit contains a heme group that is essential for its enzymatic activity. The enzyme is located in the endoplasmic reticulum and the nuclear envelope of cells.

Clinical Significance[edit | edit source]

COX-2 is a target for NSAIDs, which are drugs commonly used to reduce inflammation and pain. Traditional NSAIDs, such as ibuprofen and aspirin, inhibit both COX-1 and COX-2, which can lead to side effects such as gastrointestinal bleeding. Selective COX-2 inhibitors, such as celecoxib, were developed to reduce these side effects by specifically targeting COX-2.

Regulation[edit | edit source]

The expression of COX-2 is regulated by various cytokines, growth factors, and tumor promoters. It is upregulated in response to pro-inflammatory cytokines such as interleukin-1 (IL-1) and tumor necrosis factor-alpha (TNF-α).

Role in Disease[edit | edit source]

Overexpression of COX-2 has been implicated in various diseases, including cancer, arthritis, and Alzheimer's disease. In cancer, COX-2 is thought to promote tumor growth and metastasis by stimulating angiogenesis and inhibiting apoptosis.

Also see[edit | edit source]



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Contributors: Prab R. Tumpati, MD