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Q J Med 2002; 95: 267-273
© 2002 Association of Physicians


Review

Translational medicine: targetting cyclo-oxygenase isozymes to prevent cancer

R.A. Sharma

From the Oncology Department, University of Leicester, Leicester Royal Infirmary, Leicester, UK


    Introduction
 
The formulation of aspirin from salicylate by Felix Hoffman in 1897 represents an early example of translating a clinical need to laboratory pharmacology, and consequently bringing a new derivative of a drug to patients. Although Hippocrates recommended a brew of willow leaves (rich in salicylates) for the relief of the pain of childbirth around 400 BC, it was not until the late nineteenth century that the use of salicylic acid became widespread for the relief of pain and fever.1 Since consumption of salicylic acid caused significant gastric irritation, many chemists sought to formulate more tolerable forms of this drug. Felix Hoffman, working in the laboratory of Friedrich Bayer, formulated a pure and stable form of acetyl salicylic acid, which was given the name ‘a-spirin’.2 Based on its success, the first large-scale pharmaceutical company, Bayer & Co., was established.

Over half a century later, as other non-steroidal anti-inflammatory drugs (NSAIDs) with . . . [Full Text of this Article]


    Prostaglandin biosynthesis
 

    Targetting COX-1 for cardiovascular protection
 

    Sparing COX-1 while inhibiting COX-2
 

    COX as a target for preventing cancer
 

    Data from clinical trials
 

    Conclusions
 

    Acknowledgments
 

    Notes
 

    References
 

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