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Originally published In Press as doi:10.1074/jbc.M201347200 on May 10, 2002

J. Biol. Chem., Vol. 277, Issue 29, 26208-26216, July 19, 2002
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Up-regulation of Cyclooxygenase-2 Expression and Prostaglandin Synthesis in Endometrial Stromal Cells by Malignant Endometrial Epithelial Cells
A PARACRINE EFFECT MEDIATED BY PROSTAGLANDIN E2 AND NUCLEAR FACTOR-kappa B*

Mitsutoshi TamuraDagger , Siby SebastianDagger , Sijun YangDagger , Bilgin GuratesDagger , Karen Ferrer§, Hironobu Sasano, Kunihiro Okamura||, and Serdar E. BulunDagger **

From the Dagger  Departments of Obstetrics and Gynecology and Molecular Genetics and the § Department of Pathology, the University of Illinois, Chicago, Illinois 60612 and the  Department of Pathology and the || Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai 980-8574, Japan

We investigated the regulation of prostaglandin production in normal endometrial stromal cells (ESC) by malignant endometrial epithelial cells. We found that cyclooxygenase (COX)-2 mRNA and protein levels and prostaglandin (PG)E2 production in ESC were significantly increased by Ishikawa malignant endometrial epithelial cell conditioned medium (MECM). By using transient transfection assays, we found that the -360/-218-bp region of the COX-2 promoter gene was critical for MECM induction of promoter activity. This MECM-responsive region contained a variant nuclear factor (NF)-kappa B site at -222 to -213 that, when mutated, completely abolished COX-2 promoter activation by MECM. Employing electrophoretic mobility shift assays, we further demonstrated that binding of NF-kappa B p65 to this NF-kappa B-binding site is, in part, responsible for the COX-2 promoter activation by MECM. To investigate further the potential effects of MECM on COX-2 mRNA stability, ESC were treated with MECM in the absence or presence of actinomycin D, a general transcription inhibitor. We found that MECM significantly increased COX-2 mRNA stability. Intriguingly, we found that PGE2 was one of the major factors in MECM, which was responsible for up-regulating COX-2 expression in ESC. ECC-1 and HEC-1A malignant endometrial epithelial cell lines also produced significantly increased quantities of PGE2. In conclusion, malignant endometrial epithelial cells secrete PGE2 that induces COX-2 expression in normal endometrial stromal cells in a paracrine fashion through activation of transcription and stabilization of COX-2 mRNA.


* This work was supported by National Institutes of Health Grant HD38691 (to S. E. B.) and by a fellowship award (to M. T.) from the Japan Menopause Society, Tokyo, Japan.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

** To whom correspondence and reprints should be addressed: Depts. of Obstetrics and Gynecology and Molecular Genetics, the University of Illinois, 820 S. Wood St., M/C 808, Chicago, IL 60612. Tel.: 312-996-8197; Fax: 312-996-4238; E-mail: sbulun@uic.edu.


Copyright © 2002 by The American Society for Biochemistry and Molecular Biology, Inc.
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