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BRIEF DEFINITIVE REPORT |
activation
CORRESPONDENCE Timothy Hla: hla{at}nso2.uchc.edu
Although cyclooxygenase (COX)-2 inhibitors (coxibs) are effective in controlling inflammation, pain, and tumorigenesis, their use is limited by the recent revelation of increased adverse cardiovascular events. The mechanistic basis of this side effect is not well understood. We show that the metabolism of endocannabinoids by the endothelial cell COX-2 coupled to the prostacyclin (PGI2) synthase (PGIS) activates the nuclear receptor peroxisomal proliferator–activated receptor (PPAR)
, which negatively regulates the expression of tissue factor (TF), the primary initiator of blood coagulation. Coxibs suppress PPAR
activity and induce TF expression in vascular endothelium and elevate circulating TF activity in vivo. Importantly, PPAR
agonists suppress coxib-induced TF expression and decrease circulating TF activity. We provide evidence that COX-2–dependent attenuation of TF expression is abrogated by coxibs, which may explain the prothrombotic side-effects for this class of drugs. Furthermore, PPAR
agonists may be used therapeutically to suppress coxib-induced cardiovascular side effects.
synthase; PGI2, prostacyclin; PGIS, PGI2 synthase; PPAR, peroxisomal proliferator–activated receptor; PPP, platelet poor plasma; q, quantitative; TF, tissue factor; VSA, valeryl salicylate.
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