2012, Number 4
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Rev Esp Med Quir 2012; 17 (4)
COX-2 Immunomodulation in breast cancer
Herrera GNE, Herrera GY
Language: Spanish
References: 34
Page: 308-312
PDF size: 201.18 Kb.
ABSTRACT
Breast cancer in Mexico presents mortality rates higher than those of most Caucasian countries. This is a highly heterogenous disease
because it presents subtypes, each one of which has different molecular alterations. It is very important to know and to study the
patterns of molecular alterations in the tissues of breast cancer patientes in our country, because it is known that Mexican patients
present this sickness at an earlier age that those reported internationally. These characteristic molecular alterations may be associated
to variations in tumor aggressiveness, response to treatment and prognosis. The expression of COX-2 in breast cancer, according to
international reports, is present in 45 to 55% of patients and is correlated to a higher aggressive tumor and a worse prognosis. It has
been proposed that the progression of in situ invasive breast cancer depends on the expression of this protein in the tumor. Relevant
data found in breast cancer is that when there is an elevated expression of HER-2 neu receptor in tumor tissues, there is also present
a co-expression of COX-2, which corroborates the aggressiveness of the tumor and a worse prognosis. The enzime COX-2 intervenes
in the conversion of araquidonic acid to prostaglandins, which in turn participate in relevant carcinogenesis processes like cellular
proliferation, resistance to apoptosis, angiogenesis, immunosupression and tumor invasion. At the same time, an overproduction of
prostaglandins mediated by COX-2 can induce an elevated activity of aromatasa, which leads to a higher synthesis of estrogens in
the tumor.
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