Microsomal prostaglandin (PG) E synthase-1 (mPGES-1) is an inducible terminal enzyme in the synthetic pathway for PGE
2, which has been demonstrated to participate in many peripheral pathological inflammatory processes. Recently, we demonstrated that mPGES-1 also has a role in brain inflammation, such as that following cerebral ischemia. The expressions of mPGES-1 and cyclooxygenase-2 (COX-2) were induced and co-localized in neurons, microglia and endothelial cells in the cerebral cortex after transient focal ischemia. Using mPGES-1 knockout (KO) mice in which the postischemic PGE
2 production in the cortex was completely absent, we found that the ischemic injuries were reduced compared to those in wild-type (WT) mice. Furthermore, the ameliorated symptoms observed in KO mice after ischemia were reversed to almost the same severity as in WT mice by intracerebroventricular injection of PGE
2 into KO mice, suggesting the involvement of mPGES-1 in the exaggeration of ischemic injury through PGE
2 production. The induction and involvement of mPGES-1 in neurotoxicity were also observed in a glutamate-induced excitotoxicity model using rodent hippocampal slices. Glutamate increased the expression of mPGES-1 and production of PGE
2. The protective effect of NS-398, an inhibitor of COX-2, on the excitotoxicity observed in WT slices was completely abolished in mPGES-1 KO slices, which showed less excitotoxicity than WT slices. In the transient focal ischemia model, injection of NS-398 reduced not only ischemic PGE
2 production, but also ischemic injuries in WT mice, but not in mPGES-1 KO mice, which showed less dysfunction than WT mice. Our observations suggest that mPGES-1 is a critical determinant of postischemic neurological dysfunctions and that mPGES-1 and COX-2 are co-induced and co-localized by excess glutamate and act together to exacerbate stroke injury through excessive PGE
2 production. Considering that COX-2 inhibitors may non-selectively suppress the production of many types of prostanoids that are essential for normal physiological function of the brain and that a large number of epidemiological studies have provided evidence of an increased cardiovascular risk associated with the use of COX-2, an mPGES-1 inhibitor may prove to be an injury-selective inhibitor with fewer side effects. Thus, the results from mPGES-1 KO mice suggest that mPGES-1 is a promising novel target for the treatment of human stroke.
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