Enzymatic inhibitors of pro-inflammatory
cyclooxygenase-2 (COX-2) possess multiple anti-
cancer effects, including chemosensitization. These effects are not always linked to the inhibition of the COX-2
enzyme. Here we analyze the effects of three COX-2
enzyme inhibitors (
nimesulide,
NS-398 and
celecoxib) on apoptosis in different hematopoietic
cancer models. Surprisingly,
COX-2 inhibitors strongly prevent apoptosis induced by a panel of chemotherapeutic agents. We selected U937 cells as a model of sensitive cells for further studies. Here, we provide evidence that the protective effect is COX-independent. No suppression of the low basal
prostaglandin (PG)E(2) production may be observed upon treatment by
COX-2 inhibitors. Besides, the non-active
celecoxib analog
2,5-dimethyl-celecoxib is able to protect from apoptosis as well. We demonstrate early prevention of the stress-induced apoptotic signaling, prior to Bax/Bak activation. This preventive effect fits with an impairment of the ability of chemotherapeutic agents to trigger apoptogenic stress. Accordingly,
etoposide-induced DNA damage is strongly attenuated in the presence of
COX-2 inhibitors. In contrast,
COX-2 inhibitors do not exert any anti-apoptotic activity when cells are challenged with physiological stimuli (anti-Fas, TNFα or Trail) or with
hydrogen peroxide, which do not require internalization and/or are not targeted by chemoresistance
proteins. Altogether, our findings show a differential off-target anti-apoptotic effect of
COX-2 inhibitors on intrinsic vs. extrinsic apoptosis at the very early steps of intracellular signaling, prior to commitment. The results imply that an exacerbation of the chemoresistance phenomena may be implicated.