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Keywords:

  • hepatitis C virus (HCV);
  • cyclooxygenase-2 (COX-2);
  • hepatocellular carcinoma (HCC);
  • chemoprevention;
  • angiogenesis;
  • retinoid;
  • peroxisome proliferator-activated receptor

Abstract

Inhibitors of cyclooxygenase-2 (COX-2) have proapoptotic and antiangiogenic effects on malignant tumors and inhibit their invasion to surrounding tissues. These properties are derived from COX-dependent and/or COX-independent signaling via peroxisome proliferator-activated receptor γ. Although the role of COX-2 involvement in human hepatocarcinogenesis has not been determined yet, selective COX-2 inhibitors with COX-independent properties may potentially suppress hepatocarcinogenesis. This hypothesis should be confirmed in in vivo studies using animal models. These studies may provide insights into any application of the COX-2 inhibitor for primary and/or secondary chemoprevention. Cancer 2003;98:661–7. © 2003 American Cancer Society.

DOI 10.1002/cncr.11576