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COX-2 expression in asthmatic airways: the story so far
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  1. L PANG
  1. Division of Respiratory Medicine
  2. City Hospital
  3. Nottingham NG5 1PB
  4. UK
  5. linhua.pang@nottingham.ac.uk

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Cyclo-oxygenase (COX), also known as prostaglandin H synthase (PGHS), is the rate limiting enzyme for the conversion of arachidonic acid to prostanoids and exists in two isoforms. COX-1 is constitutively expressed and is responsible for the basal production of prostanoids, whereas COX-2 is highly inducible by a number of stimuli including cytokines and is associated with inflammation. Accumulating evidence suggests that the induction and regulation of COX-2 may be key elements in the pathophysiological process of a number of inflammatory disorders and may play an important role in the pathogenesis of asthma.1

Bronchoalveolar lavage fluid from patients with symptomatic asthma contains significantly increased levels of a number of proinflammatory cytokines including interleukin 1β and tumour necrosis factor α.2 ,3 It has recently been shown that these proinflammatory cytokines are capable of inducing COX-2 in a number of cultured airway cells including airway epithelial cells,4 ,5 airway smooth muscle cells,6 ,7and airway fibroblasts.8 In addition, we have shown that transforming growth factor β1 …

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