The Cyclooxygenase-2 and Nuclear Factor-kappa B Expressions in Colorectal Polyps

• Published in: The Indonesian journal of gastroenterology, hepatology, and digestive endoscopy (Jakarta) Vol. 11; no. 2; p. 55
• Main Authors: Ahmar Abyadh, Diah Rini Handjari, Murdani Abdullah, Damaledo, Pamela Abineno, Abdul Aziz Rani
• Format: Journal Article
• Language: English
• Published: Jakarta Universitas Indonesia / University of Indonesia 01.08.2010
• Subjects: Colon; Polyps
• ISSN: 1411-4801; 2302-8181
• DOI: 10.24871/112201055-60

Background: Cyclooxygenase-2 (COX-2) is the rate-limiting enzyme in prostaglandin synthesis, while nuclear factor kappa B (NF-kB) is a family of transcription factors. Both play an important role in tumorigenesis. In the present study, we examined NF-kB and COX-2 expressions pattern, and their association in neoplastic and non-neoplastic colorectal polyps (CP). Method: Formalin-fixed and paraffin embedded tissue blocks from 77 patients with CP were immunostained with anti-NF-kB (p 65) and anti-COX-2. Expressions of NF-kB, and COX-2 were detected immunohistochemically. The relationship between these expressions and the two types of CP, and other clinicopathological findings were evaluated Results: The expressions of NF-kB and COX-2 in patients with neoplastic and non-neoplastic CP were high. The results of this study indicated that generally in CP, NF-kB was associated with COX-2 and the association was also seen in neoplastic and non-neoplastic polyps. There was no significant difference of NF-kB and COX-2 expressions in terms of patient’s age, sex, histologic type, and location of the CP. Neoplastic CPs were more common in the distal colon, female patients and older patients (> 60 years) compared with non-neoplastic CPs. Neoplastic CP were located more at the distal colon, more in female, and more in older (> 60 years) patients as compared with the non-neoplastic CP. Further studies are needed to elaborate the role of inflammation in sporadic colorectal carcinogenesis. Conclusion: The expressions of NF-kB and COX-2 in patients with CP were high, and strong correlated each other. There were no significant differences between expression of NF-kB and COX-2 in neoplastic and non-neoplastic polyps.