Expression of cyclooxygenase 2 (COX-2) is believed to play an important rol
e in adenoma formation in murine polyposis models, and inhibition of COX-2
activity may, at least, partly explain the chemopreventative activity of no
n-steroidal anti-inflammatory drugs against colorectal cancer in humans. Ho
wever, the mechanism by which COX-2 acts in intestinal tumorigenesis remain
s unresolved because of conflicting data on the cellular localization of CO
X-2 in intestinal mucosa. Using immunohistochemistry with specific COX-2 an
tiserum, we have shown that COX-2 protein is localized to interstitial cell
s at the base of and within adenomas of the small and large intestine of mu
ltiple intestinal neoplasia (Min) mice. No COX-2 staining was observed in d
ysplastic epithelial cells within adenomas or in histologically normal epit
helium. Moreover, COX-2 staining was observed in lamina propria cells of hi
stologically normal intestine of Min mice. No staining was demonstrated in
wild-type littermates, The rat monoclonal antibody F4/80 was used to show t
hat COX-2-positive cells represented a subset of the macrophage population
present in the intestine of Min mice. Localization of COX-2 to macrophages
implies a paracrine effect of COX-2 function on epithelial cells in adenoma
s and also on histologically normal epithelium. Up-regulation of COX-2 expr
ession in lamina propria macrophages may precede loss of the second functio
nal Ape allele in epithelial cells before adenoma formation in the Min mous
e model of intestinal tumorigenesis.