Abstract
Selective inhibitors of cyclooxygenase-2 (COX2) have attracted widespread media attention because of evidence of an elevated risk of cardiovascular complications in placebo-controlled trials, resulting in the market withdrawal of some members of this class1,2,3,4,5. These drugs block the cyclooxygenase activity of prostaglandin H synthase-2 (PGHS2), but do not affect the associated peroxidase function. They were developed with the rationale of conserving the anti-inflammatory and analgesic actions of traditional nonsteroidal anti-inflammatory drugs (tNSAIDs) while sparing the ability of PGHS1-derived prostaglandins to afford gastric cytoprotection1,2,6. PGHS1 and PGHS2 coexist in the vasculature and in macrophages, and are upregulated together in inflammatory tissues such as rheumatoid synovia7 and atherosclerotic plaque8. They are each believed to function as homodimers6. Here, we developed a new genetic mouse model of selective COX2 inhibition using a gene-targeted point mutation, resulting in a Y385F substitution. Structural modeling and biochemical assays showed the ability of PGHS1 and PGHS2 to heterodimerize and form prostaglandins. The heterodimerization of PGHS1-PGHS2 may explain how the ductus arteriosus closes normally at birth in mice expressing PGHS2 Y385F, but not in PGHS2-null mice9,10.
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Acknowledgements
The study was supported by grants from the US National Institutes of Health, the Canadian Institutes of Health Research and the Heart and Stroke Foundation of Ontario. We are grateful to J. Richa and the Transgenic Core Facilities at the University of Pennsylvania for ES cell injection and generation of chimeras; to Q.C. Yu and the Biomedical Imaging Core at University of Pennsylvania for electron microscopy analysis; to J.F. Ferrari and H. Zhou for mass spectrometry measurements; and to J. Zhen for technical assistance. We thank C. Renner at the Fox Chase Cancer Center for ductus arteriosus histology assistance and the clinic laboratory of the Veterinary Hospital, University of Pennsylvania, for assay of mouse serum creatinine and BUN. G.A.F. is the Elmer Bobst Professor of Pharmacology. C.D.F. holds a Tier I Canada Research Chair in Molecular, Cellular and Physiological Medicine and is a Career Investigator of the Heart and Stroke Foundation of Canada.
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Supplementary information
Supplementary Fig. 1
PGHS1-PGHS2 heterodimer formation in transfected cells. (PDF 111 kb)
Supplementary Fig. 2
Effect of celecoxib on prostaglandin formation from immunocomplexes. (PDF 103 kb)
Supplementary Fig. 3
PGHS1-PGHS2 heterodimer formation in vitro. (PDF 149 kb)
Supplementary Fig. 4
Celecoxib does not influence COX activity of putative PGHS1-PGHS2 Y385F heterodimers in intact macrophages. (PDF 116 kb)
Supplementary Fig. 5
PGE2 production in wild-type, PGHS2 Y385F and PGHS2 knockout mice. (PDF 119 kb)
Supplementary Fig. 6
Selective inhibition of PGHS COX2 activity causes renal dysfunction. (PDF 285 kb)
Supplementary Fig. 7
Kidney injury in PGHS2 mutant mice. (PDF 299 kb)
Supplementary Table 1
PGHS2 selective inhibition or deficiency perturbs female term pregnancy. (PDF 21 kb)
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Yu, Y., Fan, J., Chen, XS. et al. Genetic model of selective COX2 inhibition reveals novel heterodimer signaling. Nat Med 12, 699–704 (2006). https://doi.org/10.1038/nm1412
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DOI: https://doi.org/10.1038/nm1412
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