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Am J Physiol Cell Physiol 287: C475-C483, 2004. First published April 14, 2004; doi:10.1152/ajpcell.00088.2004
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MUSCLE CELL BIOLOGY AND CELL MOTILITY

The COX-2 pathway is essential during early stages of skeletal muscle regeneration

Brenda A. Bondesen,1,2 Stephen T. Mills,1 Kristy M. Kegley,1 and Grace K. Pavlath1

1Department of Pharmacology and 2Graduate Program in Biochemistry, Cell and Developmental Biology, Emory University, Atlanta, Georgia 30322

Submitted 12 February 2004 ; accepted in final form 8 April 2004

Skeletal muscle regeneration comprises several overlapping cellular processes, including inflammation and myogenesis. Prostaglandins (PGs) may regulate muscle regeneration, because they modulate inflammation and are involved in various stages of myogenesis in vitro. PG synthesis is catalyzed by different isoforms of cyclooxygenase (COX), which are inhibited by nonsteroidal anti-inflammatory drugs. Although experiments employing nonsteroidal anti-inflammatory drugs have implicated PGs in tissue repair, how PGs regulate muscle regeneration remains unclear, and the potentially distinct roles of different COX isoforms have not been investigated. To address these questions, a localized freeze injury was induced in the tibialis anterior muscles of mice chronically treated with either a COX-1- or COX-2-selective inhibitor (SC-560 and SC-236, respectively), starting before injury. The size of regenerating myofibers was analyzed at time points up to 5 wk after injury and found to be decreased by SC-236 and in COX-2–/– muscles, but unaffected by SC-560. In contrast, SC-236 had no effect on myofiber growth when administered starting 7 days after injury. The attenuation of myofiber growth by SC-236 treatment and in COX-2–/– muscles is associated with decreases in the number of myoblasts and intramuscular inflammatory cells at early times after injury. Together, these data suggest that COX-2-dependent PG synthesis is required during early stages of muscle regeneration and thus raise caution about the use of COX-2-selective inhibitors in patients with muscle injury or disease.

prostaglandins; nonsteroidal anti-inflammatory drugs; muscle growth; inflammation; satellite cells



Address for reprint requests and other correspondence: G. K. Pavlath, Emory Univ. School of Medicine, Dept. of Pharmacology, Rm. 5024, O. W. Rollins Research Bldg., Atlanta, GA 30322 (E-mail: gpavlat{at}emory.edu).




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