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Received for publication November 8, 2005.
Revised February 7, 2006.
Accepted for publication February 7, 2006.

and
2 Folding and Secretion by a novel COX2-
independent Mechanism Involving Chaperones of the
Endoplasmic Reticulum
Celecoxib (CE) is a non-steroidal anti-inflammatory drug
(NSAID) that is a specific inhibitor of cyclooxygenase 2
(COX-2). It is indicated for a variety of chronic
inflammatory conditions including rheumatoid arthritis.
Over the last few years, adverse cardiovascular effects
and increased risk for heart attacks have been
associated with this drug. Also, evidence is emerging
for COX2-independent molecular targets. CE has been
shown to induce apoptosis in various cancer cells lines
through a COX2-independent mechanism that seems to
involve inactivation of protein kinase Akt and
inhibition of endoplasmic reticulum (ER) Ca2+ATPase. In
this study we show that both CE, and an analogue devoid
of COX2 inhibitory activity (CEA) inhibit the secretion
of the dimeric interleukin-12 (IL-12) 
and
2 forms with identical
IC50 values of 20 and 30 µM,
respectively, while no such effect was seen with
rofecoxib. RT-PCR analysis showed that this inhibition
was not due to blockage of transcription of the
and
-chain expression cassettes. Secretion of the
monomer form was less strongly inhibited
suggestive for a mechanism primarily targeting dimer
assembly in the ER. Analysis of intracellular fractions
revealed that both CE and CEA increased the association
of IL-12 with calreticulin, an endoplasmic reticulum-
resident chaperone involved in retention of misfolded
cargo proteins, while blocking interaction with ERp44.
Our findings reveal a previously undescribed effect of
celecoxib on oligomer protein folding and assembly in
the endoplasmic reticulum and ensuing secretion, and
suggest that celecoxib-driven alteration of the
secretome may be involved in some of its clinical side
effects.
Key words:
Tachykinin, Interferons, Interleukins, Pharmacogenomic analyses, Cyclooxygenases
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