Prostaglandin E2 (PGE2) plays an important role in promoting carcinogenesis. Cytosolic phospholipase A2 (cPLA2) and cyclooxygenase 2 (COX-2) are both key enzymes for PGE2 biosynthesis. Recent evidence suggests that the coordinated function of cPLA2 and COX-2 in the arachidonic acid pathway may contribute to the process of carcinogenesis in various tissue types. However, the concomitant effect of these enzymes on oral carcinogenesis remains unclear. In this study,we evaluated the expression of cPLA2 and COX-2 in normal oral mucosa, dysplastic oral mucosa and squamous carcinoma (SCC) using immunohistochemistry. In an in vitro assay, Tca8113 and KB oral cancer cells were treatedwith NS-398 (a selective inhibitor of COX-2) for varying time intervals: 6, 12, 24, 48 and 72 h. The levels of cPLA2 and COX-2 expression were evaluated by Western blot, and PGE2 production was analyzed by radioimmunoassay. We found that cPLA2 and COX-2 were expressed at higher levels in oral dysplasia and SCC than in normal oral mucosa. cPLA2 expression was also found to correlate closely with COX-2 expression. Moreover, the enzymatic activities of cPLA2 and COX-2 were gradually downregulated with longer durations of treatment with NS-398, as demonstrated by a reduction in the amount of PGE2 production over time. Our data suggest that the coordinated activity of cPLA2 and COX-2 contribute to the process of oral carcinogenesis, thus identifying cPLA2 as a potential target for the prevention and treatment of oral cancers.

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