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Pathophysiological Roles of Cyclooxygenases and Prostaglandins in the Central Nervous System

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Abstract

Cyclooxygenases (COXs) oxidize arachidonic acid to prostaglandin (PG) G2 and H2 followed by PG synthases that generates PGs and thromboxane (TX) A2. COXs are divided into COX-1 and COX-2. In the central nervous system, COX-1 is constitutively expressed in neurons, astrocytes, and microglial cells. COX-2 is upregulated in these cells under pathophysiological conditions. In hippocampal long-term potentiation, COX-2, PGE synthase, and PGE2 are induced in post-synaptic neurons. PGE2 acts pre-synaptic EP2 receptor, generates cAMP, stimulates protein kinase A, modulates voltage-dependent calcium channel, facilitates glutamatergic synaptic transmission, and potentiates long-term plasticity. PGD2, PGE2, and PGI2 exhibit neuroprotective effects via Gs-coupled DP1, EP2/EP4, and IP receptors, respectively. COX-2, PGD2, PGE2, PGF, and TXA2 are elevated in stroke. COX-2 inhibitors exhibit neuroprotective effects in vivo and in vitro models of stroke, Alzheimer’s disease, Parkinson’s disease, multiple sclerosis, amyotrophic lateral sclerosis, epilepsy, and schizophrenia, suggesting neurotoxicities of COX products. PGE2, PGF, and TXA2 can contribute to the neurodegeneration via EP1, FP, and TP receptors, respectively, which are coupled with Gq, stimulate phospholipase C and cleave phosphatidylinositol diphosphate to produce inositol triphosphate and diacylglycerol. Inositol triphosphate binds to inositol triphosphate receptor in endoplasmic reticulum, releases calcium, and results in increasing intracellular calcium concentrations. Diacylglycerol activates calcium-dependent protein kinases. PGE2 disrupts Ca2+ homeostasis by impairing Na+-Ca2+ exchange via EP1, resulting in the excess Ca2+ accumulation. Neither PGE2, PGF, nor TXA2 causes neuronal cell death by itself, suggesting that they might enhance the ischemia-induced neurodegeneration. Alternatively, PGE2 is non-enzymatically dehydrated to a cyclopentenone PGA2, which induces neuronal cell death. Although PGD2 induces neuronal apoptosis after a lag time, neither DP1 nor DP2 is involved in the neurotoxicity. As well as PGE2, PGD2 is non-enzymatically dehydrated to a cyclopentenone 15-deoxy-Δ12,14-PGJ2, which induces neuronal apoptosis without a lag time. However, neurotoxicities of these cyclopentenones are independent of their receptors. The COX-2 inhibitor inhibits both the anchorage-dependent and anchorage-independent growth of glioma cell lines regardless of COX-2 expression, suggesting that some COX-2-independent mechanisms underlie the antineoplastic effect of the inhibitor. PGE2 attenuates this antineoplastic effect, suggesting that the predominant mechanism is COX-dependent. COX-2 or EP1 inhibitors show anti-neoplastic effects. Thus, our review presents evidences for pathophysiological roles of cyclooxygenases and prostaglandins in the central nervous system.

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Abbreviations

AA:

Arachidonic acid

Aβ:

Amyloid β protein

AC:

Adenylate cyclase

AD:

Alzheimer’s disease

AIDS:

Acquired immunodeficiency syndrome

ALS:

Amyotrophic lateral sclerosis

AMPA:

Amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid

BD:

Bipolar disorder

CaMK II:

Calcium/calmodulin-dependent protein kinase II

CJD:

Creutzfeldt-Jakob disease

CNS:

Central nervous system

COX:

Cyclooxygenase

CRTH2:

Chemoattractant receptor homologous molecule expressed on Th2 cells

CSF:

Cerebrospinal fluid

cPGES:

Cytosolic PGE synthase

cPLA2 :

Cytosolic phospholipase A2

15d-PGJ2 :

15-deoxy-Δ12,14-PGJ2

DP:

Receptors for PGD2

EP:

Receptors for PGE2

ER:

Endoplasmic reticulum

FP:

Receptors for PGF

H-PGDS:

Hematopoietic PGD synthase

6-OHDA:

6-Hydroxydopamine

IP:

Receptors for PGI2

L-VDCC:

L-type voltage-dependent calcium channel

L-PGDS:

Lipocalin-type PGD synthase

LTP:

Long-term potentiation

L-VDCC:

L-type voltage-dependent Ca2+ channel

MAPK:

Mitogen-activated protein kinase

MCA:

Middle cerebral artery

mPGES:

Membrane-associated perinuclear PGE synthase

MPTP:

1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine

MS:

Multiple sclerosis

NMDA:

N-methyl-d-aspartate

NSAIDs:

Nonsteroidal anti-inflammatory drugs

MPTP:

1-Methyl-4-phenyl-1,2,3,6-tetrahydropyridine

MS:

Multiple sclerosis

PD:

Parkinson’s disease

PG:

Prostaglandin

PPARγ:

Peroxysome proliferators-activated receptor γ

PLA2 :

Phospholipase A2

PLC:

Phospholipase C

PKC:

Calcium-dependent protein kinase

PKA:

cAMP-dependent protein kinase

sPLA2 :

Secreted phospholipase A2

SNpc:

Substantia nigra pars compacta

TP:

Receptors for TXA2

TXA2 :

Thromboxane A2

WT:

Wild type

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Yagami, T., Koma, H. & Yamamoto, Y. Pathophysiological Roles of Cyclooxygenases and Prostaglandins in the Central Nervous System. Mol Neurobiol 53, 4754–4771 (2016). https://doi.org/10.1007/s12035-015-9355-3

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