PMID- 15314505 OWN - NLM STAT- MEDLINE DCOM- 20041130 LR - 20190917 IS - 1040-8711 (Print) IS - 1040-8711 (Linking) VI - 16 IP - 5 DP - 2004 Sep TI - mPGES-1 as a novel target for arthritis. PG - 623-7 AB - PURPOSE OF REVIEW: Prostaglandin E2 (PGE2) is by far the major prostanoid synthesized in the joint and plays an important role in inflammation and pathogenesis of arthritis. Moreover, increased levels of PGE2 have been detected in serum and synovial fluids from arthritic patients. Little was known about the enzyme(s) involved in the isomerization of PGH2 into PGE2 synthesis until recent identification of PGE synthase (PGES). Several isoforms were characterized, among which microsomal PGES-1 (mPGES-1) has received much attention, because this enzyme is inducible and functionally linked with cyclooxygenase-2. This review focuses on recent findings regarding the regulation of mPGES-1 expression and the possible role of this enzyme in arthritis. RECENT FINDINGS: Various in vitro and in vivo studies demonstrated that proinflammatory stimuli, such as interleukin-1beta and tumor necrosis factor-alpha upregulate the expression of mPGES-1 at the protein and mRNA level. Promoter analysis indicates that the transcription factor Egr-1 is involved in the positive regulation of mPGES-1. Studies from mPGES-1-deficient mice and animal models of inflammatory arthritis strongly suggest a role of mPGES-1 in the production of PGE2 and the pathogenesis of arthritis. SUMMARY: This article reviews the regulation of mPGES-1 expression and provides evidence for a role of mPGES-1 in inducible PGE2 production and arthritis. Future studies using selective inhibitors of mPGES-1 activity or expression would clarify the role of this enzyme in arthritis. CI - Copyright 2004 Lippincott Williams & Wilkins FAU - Fahmi, Hassan AU - Fahmi H AD - Osteoarthritis Research Unit, Centre Hospitalier de l'Universite de Montreal, Hopital Notre-Dame, Montreal, Quebec, Canada. h.fahmi@umontreal.ca LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Opin Rheumatol JT - Current opinion in rheumatology JID - 9000851 RN - 0 (Isoenzymes) RN - 0 (Prostaglandins E) RN - EC 5.3.- (Intramolecular Oxidoreductases) RN - EC 5.3.99.3 (PTGES protein, human) RN - EC 5.3.99.3 (Prostaglandin-E Synthases) RN - EC 5.3.99.3 (Ptges protein, mouse) SB - IM MH - Animals MH - Arthritis/*enzymology/etiology MH - Cells, Cultured MH - Disease Models, Animal MH - Gene Expression Regulation, Enzymologic MH - Humans MH - Intramolecular Oxidoreductases/*antagonists & inhibitors/genetics/*metabolism MH - Isoenzymes MH - Mice MH - Prostaglandin-E Synthases MH - Prostaglandins E/biosynthesis MH - Up-Regulation RF - 52 EDAT- 2004/08/18 05:00 MHDA- 2004/12/16 09:00 CRDT- 2004/08/18 05:00 PHST- 2004/08/18 05:00 [pubmed] PHST- 2004/12/16 09:00 [medline] PHST- 2004/08/18 05:00 [entrez] AID - 00002281-200409000-00023 [pii] AID - 10.1097/01.bor.0000129664.81052.8e [doi] PST - ppublish SO - Curr Opin Rheumatol. 2004 Sep;16(5):623-7. doi: 10.1097/01.bor.0000129664.81052.8e.