Cyclooxygenase-2 expression in FAP patients carrying germ line MYH mutations

Milo Frattini, Ileana Carnevali, Stefano Signoroni, Debora Balestra, Maria Luisa Moiraghi, Paolo Radice, Liliana Varesco, Viviana Gismondi, Giovanni Ballardini, Paola Sala, Marco A. Pierotti, Silvana Pilotti, Lucio Bertario

Research output: Contribution to journalArticlepeer-review


Familial adenomatous polyposis (FAP) is an autosomal condition caused by inherited mutations in the adenomatous polyposis coli (APC) or in the MYH genes. Clinical trials have established that nonsteroidal anti-inflammatory drugs (NSAID) are effective in preventing the development as well as reducing the size and decreasing the number of adenomas in FAP patients. Our aim was to evaluate the cyclooxygenase-2 (COX-2) expression in surgical specimens from patients with no evidence of germ line APC mutations but carrying germ line MYH mutations. COX-2 expression was evaluated through immunohistochemical and mRNA analysis in carcinomas, adenomas, and healthy mucosa from six patients carrying germ line biallelic MYH mutations. A modulation of COX-2 expression from adenoma (lower level) to carcinoma (higher level) was observed in all patients by both immunohistochemical and mRNA analysis. Moreover, patients with MYH mutations showed a weak COX-2 expression in the whole colorectal mucosa, as for classic FAP patients carrying germ line APC mutations. All together, our data suggest that biallelic MYH patients might benefit from NSAID treatment, because in these patients COX-2 is overexpressed in the whole colorectal mucosa, a finding possibly related to the interplay between COX-2 and APC protein being the APC gene a common target of mutations in MYH patients.

Original languageEnglish
Pages (from-to)2049-2052
Number of pages4
JournalCancer Epidemiology Biomarkers and Prevention
Issue number8
Publication statusPublished - Aug 2005

ASJC Scopus subject areas

  • Epidemiology
  • Oncology


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