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Volume 17, Number 8, Issue of April 15, 1997 pp. 2746-2755
Copyright ©1997 Society for Neuroscience

Cyclo-Oxygenase-2 Gene Expression in Neurons Contributes to Ischemic Brain Damage

Received Oct. 11, 1996; revised Feb. 3, 1997; accepted Feb. 6, 1997.

Shigeru Nogawa, Fangyi Zhang, M. Elizabeth Ross, and Costantino Iadecola

Laboratory of Cerebrovascular Biology and Stroke, Department of Neurology, University of Minnesota Medical School, Minneapolis, Minnesota 55455

Cyclo-oxygenase-2 (COX-2), a rate-limiting enzyme for prostanoid synthesis, is induced during inflammation and participates in inflammation-mediated cytotoxicity. Cerebral ischemia is followed by an inflammatory reaction that plays a role in the evolution of the tissue damage. We studied whether COX-2 is induced after cerebral ischemia and if so, whether such expression contributes to ischemic brain damage. The middle cerebral artery was occluded in rats, and the ischemic area was sampled for analysis 3-96 hr later. COX-2 mRNA was determined by the competitive reverse-transcription PCR. COX-2 mRNA was upregulated in the ischemic hemisphere, but not contralaterally, beginning 6 hr after ischemia. The upregulation reached a maximum at 12 hr, at which time a fivefold induction of the message occurred. Twenty-four hours after ischemia, the concentration of prostaglandin E2 was elevated in the injured brain by 292 ± 57% (n = 6). COX-2 immunoreactivity was observed in neurons at the medial edge of the ischemic area. Administration of the COX-2 inhibitor NS-398 attenuated the elevation in prostaglandin E2 in the postischemic brain and reduced the volume of the infarct by 29 ± 6% (p < 0.05). Thus, cerebral ischemia leads to upregulation of COX-2 message, protein, and reaction products in the injured hemisphere. The data implicate COX-2 in the mechanisms of delayed neuronal death at the infarct border and provide the rationale for neuroprotective strategies employing COX-2 inhibitors.

Key words: stroke; prostanoids; prostaglandin H2 synthase; gene expression; NS-398; reverse-transcription polymerase chain reaction; iNOS; inflammation




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Stroke, September 1, 1999; 30(9): 1900 - 1906.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
F. Domoki, R. Veltkamp, N. Thrikawala, G. Robins, F. Bari, T. M. Louis, and D. W. Busija
Ischemia-reperfusion rapidly increases COX-2 expression in piglet cerebral arteries
Am J Physiol Heart Circ Physiol, September 1, 1999; 277(3): H1207 - H1214.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
T. Nagayama, A. D. Sinor, R. P. Simon, J. Chen, S. H. Graham, K. Jin, and D. A. Greenberg
Cannabinoids and Neuroprotection in Global and Focal Cerebral Ischemia and in Neuronal Cultures
J. Neurosci., April 15, 1999; 19(8): 2987 - 2995.
[Abstract] [Full Text] [PDF]


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JEMHome page
C. Iadecola, C. A. Salkowski, F. Zhang, T. Aber, M. Nagayama, S. N. Vogel, and M. Elizabeth Ross
The Transcription Factor Interferon Regulatory Factor 1 Is Expressed after Cerebral Ischemia and Contributes to Ischemic Brain Injury
J. Exp. Med., February 15, 1999; 189(4): 719 - 727.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
J. Yrjanheikki, R. Keinanen, M. Pellikka, T. Hokfelt, and J. Koistinaho
Tetracyclines inhibit microglial activation and are neuroprotective in global brain ischemia
PNAS, December 22, 1998; 95(26): 15769 - 15774.
[Abstract] [Full Text] [PDF]


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StrokeHome page
J. E. Brian Jr, S. A. Moore, F. M. Faraci, and H. A. Kontos
Expression and Vascular Effects of Cyclooxygenase-2 in Brain • Editorial Comment
Stroke, December 1, 1998; 29(12): 2600 - 2606.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
M. Nakayama, K. Uchimura, R. L. Zhu, T. Nagayama, M. E. Rose, R. A. Stetler, P. C. Isakson, J. Chen, and S. H. Graham
Cyclooxygenase-2 inhibition prevents delayed death of CA1 hippocampal neurons following global ischemia
PNAS, September 1, 1998; 95(18): 10954 - 10959.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
S. Nogawa, C. Forster, F. Zhang, M. Nagayama, M. E. Ross, and C. Iadecola
Interaction between inducible nitric oxide synthase and cyclooxygenase-2 after cerebral ischemia
PNAS, September 1, 1998; 95(18): 10966 - 10971.
[Abstract] [Full Text] [PDF]


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StrokeHome page
H. Okamoto, O. Ito, R. J. Roman, A. G. Hudetz, and R. M. Bryan Jr
Role of Inducible Nitric Oxide Synthase and Cyclooxygenase-2 in Endotoxin-Induced Cerebral Hyperemia • Editorial Comment
Stroke, June 1, 1998; 29(6): 1209 - 1218.
[Abstract] [Full Text] [PDF]


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StrokeHome page
K. Osuka, Y. Suzuki, Y. Watanabe, M. Takayasu, J. Yoshida, and D. W. Busija
Inducible Cyclooxygenase Expression in Canine Basilar Artery After Experimental Subarachnoid Hemorrhage • Editorial Comment
Stroke, June 1, 1998; 29(6): 1219 - 1222.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
J. R. Bethea, M. Castro, R. W. Keane, T. T. Lee, W. D. Dietrich, and R. P. Yezierski
Traumatic Spinal Cord Injury Induces Nuclear Factor-kappa B Activation
J. Neurosci., May 1, 1998; 18(9): 3251 - 3260.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
P. G. Gunasekar, J. L. Borowitz, and G. E. Isom
Cyanide-Induced Generation of Oxidative Species: Involvement of Nitric Oxide Synthase and Cyclooxygenase-2
J. Pharmacol. Exp. Ther., April 1, 1998; 285(1): 236 - 241.
[Abstract] [Full Text]


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J. Neurosci.Home page
C. Iadecola, F. Zhang, R. Casey, M. Nagayama, and M. E. Ross
Delayed Reduction of Ischemic Brain Injury and Neurological Deficits in Mice Lacking the Inducible Nitric Oxide Synthase Gene
J. Neurosci., December 1, 1997; 17(23): 9157 - 9164.
[Abstract] [Full Text] [PDF]



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