| AIM:The aim of this study was to investigate the overexpression and co-expression of COX-2 and its related signaling proteins in gastric adenocarcinoma patients,and to find their relationship to gastric carcinogenesis. Cyclooxygenases-2(COX-2)- short interfering RNA is constructed so as to suppress the expression of COX-2 in gastric carcinoma cell SGC-7901.We examined the effects of COX-2 siRNA on growth,apoptosis,cell cycle and invasion of gastric cancer,and the effect of the down-regulation of COX-2 on expression of Prostaglandin E2(PGE2)and cancer related genes.Subcutaneous SGC-7901 gastric carcinoma model was established in nude mice.The mechanism of RNAi applying for gene therapy in gastric carcinoma by inhibiting COX-2 in nude mice is investigated.METHODS:The study was divided into 3 parts.1.Immunohistochemical staining was applied to tissue microarray,we examined COX-2,PGE2,PCNA,VEGF expressions in gastric adenocarcinoma tissue array.2.siRNA targeting COX-2 was transfected into SGC-7901 cells mediated by Oligofectamine.COX-2 mRNA expression were detected by realtime PCR after transfection.The expression of COX-2 and other cancer related genes PCNA, PGE2,Bcl-2,Cyclin D1 and VEGF was also studied by Western blotting and immunofiuorescence staining after transfection.The phenotypic change of SGC-7901 cells including proliferation,apoptosis and invasive ability after RNAi trasfection was studied by MTT assay,annexinⅤstaining,flow cytometry, Matrigel 3D growth experiment and Transwell.3.Subcutaneous SGC-7901 gastric carcinoma model model was established in nude mice.Every 4 day the mixture of Oligofectamine and siRNA was injected into the tumors and the tumor volumes were measured.On 30ndday after the first injection,tumors were resected.The expression of COX-2 and PCNA,CD31, VEGF were studied by immunohistochemistry.Apoptosis in tumors were detected by TUNEL method.RESULTS:1.COX-2 was commonly expressed in gastric adenocarcinoma (68.9%).PGE2,PCNA,and VEGF(80.0%,84.4%and 73.3%of malignant cells, respectively)overexpression was also detected.The COX-2 expression was elevated with the rising gastric adenocarcinoma stages(χ2=31.855,P<0.001).The expression of COX-2 in gastric adenocarcinoma was higher than that of the gastric mucosa surrounding carcinomas and normal stomach tissue(χ2=14.231, P=0.027);The result of Spearman rank correlation analysis indicated that the relevance of COX-2,PGE2,VEGF,PCNA expression was considered to be statistically significant.2.SGC-7901 cells were transfected with siRNA targeting COX-2 mediated by Oligofectamine in vitro.The transfection efficiency was up to over 70%.COX-2 mRNA expression were obviously knocked down after transfection with siRNA. COX-2,PCNA,PGE2,Bcl-2,Cyclin D1 and VEGF protein expression were also decreased.SGC-7901 cells transfected with siRNA targeting COX-2 showed lowering proliferation activity,decrease of SPF and arresting cell cycle in the G0/G1phase.The cell invasive ability was attenuated and cell apoptosis was induced.3.As compared with the control group,the tumors in mice treated with siRNA targeting COX-2 grew slowly and the difference of tumor volumes became significant since the 15th day after the first time of siRNA therapy until the 30nd day tumors were resected.Meanwhile,cell apoptosis was increased.The expressions of PCNA,CD31 and VEGF were downregulated as shown by immunohistochemistry.CONCLUSION:1.The COX-2,PGE2,PCNA,VEGF expressions increased with gastric adenocarcinoma histodifferentiation grade rise,which are useful for predicting the degree of malignancy for gastric cancer cells.COX-2 overexpression,via inducing angiogenesis,promoting proliferation,inducting immunosuppression, inducing angiogenesis,may play an important role in gastric carcinogenesis.2.Using RNAi technology,siRNA targeting COX-2 mediated by Oligofectamine efficiently knocks down the expression of COX-2 in human gastric carcinoma cell SGC-7901 cells,inhibits activation of PCNA,PGE2,Bcl-2,Cyclin D1 and VEGF, results in decrease of cell proliferation activity and invasive ability,arrests cell cycle and induces apoptosis.3.The established subcutaneous SGC-7901 gastric carcinoma models in nude mice are treated with siRNA targeting COX-2.the tumor growth is inhibited and cell apoptosis is induced.The findings of in vivo study is in accordance with those in vitro study. |