COX-2 over

expression is also found in many tumor types [18]. The carcinogenic effect of COX-2 mainly exerted through the increase of prostaglandin levels (PGE2, PGF2a, PGD2, TXA2, PGI2 and PGJ2). In lung cancer, COX-2 expression #Epacadostat randurls[1|1|,|CHEM1|]# has been reported to inhibit apoptosis [19], promote angiogenesis [20] and metastasis [2]. It has been reported in a recent meta-analysis that COX-2 might be an independent prognostic factor for NSCLC [21]. COX-2 inhibitor has been investigated in both pre-clinical and clinical study, and has shown synergistic effects with radiation and chemtoxic drugs on tumor [3, 22]. COX-2 catalyzes the conversion of arachidonic acid into prostanoids including prostaglandin E2, which is often associated with oncogenesis of lung tumors. The oncogenic signals are transducted through the MAPK/Erk pathway [23] which therefore closely correlates EGFR with COX-2. A number of in vitro studies have postulated a link between EGFR activation and subsequent COX-2 upregulation. The relationship CDK inhibitor between these factors has not been established in patients with NSCLC. In order to evaluate the EGFR and COX-2 expression and their impact on prognosis of NSCLC patients receiving post-operative adjuvant therapy, the paraffin embedded

tumor samples from 50 NSCLC were analyzed immunohistochemically for EGFR and COX-2 expression and their prognostic values were explored. Methods Tumor specimen Paraffin-embedded tissue sections from

50 histopathologically proven NSCLC patients who received radical resection during June 2001 and March 2004 were collected. Patient data All patients were histopathologically diagnosed NSCLC and had not received preoperative chemotherapy nor radiotherapy. Among them there were 31 males and 19 females, aged 36-76 (mean 58) years. According to WHO classification (2000), there were 21 squamous, 26 adenomatous and 3 adenosquamous carcinomas, with 40 moderate and well differentiated (G1-G2) and 10 low differentiated (G3). 15 cases were staged I-II and 35 III-IV based on the revised AJC staging for lung cancer (1997). Thirty-nine cases had intra-thoracic lymph node metastasis (N1-N2), and 11 Smad inhibitor were negative lymph node metastasis. The paracancerous tissues (defined as more than 5 cm away from the carcinoma tissue) taken from 7 cases and the normal tissues from 6 cases were used as controls. All patients received 4 cycles of adjuvant platinum based two drug chemotherapy. Among them, 28 patients received post-operative combined chemotherapy and thoracic radiotherapy and 22 patients had chemotherapy alone. Immunohistochemistry (IHC) The paraffin embedded tumor specimens were cut into 4-um sections for IHC staining against EGFR and COX-2 according to the manufacturer’s instructions.