Cyclooxygenase 2 (COX-2)
Cyclooxygenase-2 (COX-2), also called prostaglandin-endoperoxide synthase 2 or prostaglandin G/H synthase 2, is a membrane-anchored, heme-containing enzyme encoded by the PTGS2 gene.
Cyclooxygenase-2 (COX-2), also called prostaglandin-endoperoxide synthase 2 or prostaglandin G/H synthase 2, is a membrane-anchored, heme-containing enzyme encoded by the PTGS2 gene. It is bifunctional, catalyzing two sequential reactions in prostanoid biosynthesis: a cyclooxygenase reaction that converts arachidonic acid to prostaglandin G2 (PGG2), and a peroxidase reaction that reduces PGG2 to prostaglandin H2 (PGH2). PGH2 serves as the common precursor from which downstream synthases generate bioactive prostanoids, including prostaglandin E2 (PGE2), thromboxanes, and prostacyclin. Unlike the constitutively expressed isoform COX-1, COX-2 protein is largely absent from most tissues at baseline and is rapidly induced by inflammatory and mitogenic stimuli. Its expression is driven by proinflammatory cytokines such as Interleukin-6 (IL-6) and interleukin-1β, by toll-like receptor 4 (TLR4) engagement, by reactive oxygen species, and by transcriptional programs converging on nuclear factor kappa B (NF-κB) and MAPK signaling.
COX-2 is among the most heavily pursued drug targets in medicine. Non-steroidal anti-inflammatory drugs, including aspirin and diclofenac, produce their analgesic and anti-inflammatory effects largely by inhibiting COX enzymes, while selective COX-2 inhibitors such as celecoxib were developed to retain anti-inflammatory efficacy with less gastrointestinal toxicity than non-selective inhibition. Because COX-2 activity links arachidonic acid metabolism to tissue inflammation, it is a recurring node in osteoarthritis, where its inhibition is studied alongside cartilage repair and macrophage polarization; in ischemic stroke and neurodegeneration, where COX-2-driven neuroinflammation and microglial activation are implicated in Alzheimer's disease and diet-associated depressive phenotypes; and in oncology, where PGE2 output supports tumor growth, angiogenesis, immune evasion, and altered lipid metabolism in cancers such as high-grade serous ovarian carcinoma and lung adenocarcinoma. COX-2 also appears repeatedly as a core predicted target in network-pharmacology and molecular-docking studies of natural products and plant flavonoids such as quercetin, typically alongside IL-6 and Tnf, and purified COX-2 protein is widely used in enzyme-inhibition assays and immobilized-enzyme screening platforms for inhibitor discovery.
Where the papers sit
37 papers from the last 6 months study Cyclooxygenase 2 (COX-2) directly · updated from PubMed 6 Oct 2026
Study type 0 clinical trials · 6 human data · 28 preclinical · 3 unclassified
Themes 4 themes
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COX-2 Inhibitor Discovery
COX-2 inhibitor discovery is shifting toward structurally diverse compounds with predicted selectivity and additional therapeutic targets. Molecular docking, machine learning and immobilized-enzyme screening recur alongside synthesis and IC50 testing of chalcones, hydrazones, thiohydantoins, scalaranes and natural-product derivatives. Several programs deliberately combine COX-2 inhibition with PARP-1, MetAP-2, cholinesterases or carbonic anhydrases for cancer, neurologic and inflammatory indications. In vivo and histopathologic validation remains less developed than chemical design, leaving selectivity, potency and translational benefit open.
13 papers · 35.1%
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COX-2 in Immune Regulation
COX-2/PGE2 signaling is being positioned as an immune-regulatory target in cancer, arthritis, osteoarthritis and inflammatory metabolic or neurologic disease. In lung adenocarcinoma, PGE2-driven NK-cell reprogramming links the pathway to acquired immunotherapy resistance, while TNBC and postoperative tumor models test combination immunomodulation. Nanoplatforms, hydrogels and PROTACs aim to localize or reprogram COX-2 activity, including macrophage polarization and cartilage repair. The broader immune-inflammatory mechanisms are recurrent, but disease-specific efficacy and safety remain open.
12 papers · 32.4%
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Traditional Medicine and Inflammation
Traditional formulas and plant extracts are being mapped to anti-inflammatory activity across ulcerative colitis, COPD, IBD, obesity and fatigue. LC-MS/MS, chromatography and pharmacodynamic comparisons connect candidate constituents with IL-1β, IL-6 and COX-2 changes. A recurring direction is toward multi-target control of arachidonic-acid metabolism, ferroptosis and inflammatory signaling rather than single compounds. Evidence remains mainly preclinical, and the active quality markers and tissue-specific mechanisms are still unresolved.
7 papers · 18.9%
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Oxidative Lipid Inflammation
Arachidonic-acid metabolism is being connected to oxidative stress and lipid peroxidation across colitis, neuroinflammation, depression, ovarian cancer and photoaging. The ACSL4/COX-2 axis, ROS, NRF2 and inflammatory cytokines recur as candidate links between membrane-lipid damage and tissue injury. Studies are moving beyond descriptive inflammation toward molecular subtypes and pathway-based intervention, including aspirin and antioxidant compounds. Whether suppressing lipid peroxidation consistently improves disease outcomes, and how cancer-specific lipid subtypes affect treatment response, remains unresolved.
5 papers · 13.5%
Papers
The 37 papers from the last 6 months that study Cyclooxygenase 2 (COX-2) directly, newest first, by theme and by study type. Study types come from PubMed publication types and MeSH headings.
By theme
COX-2 Inhibitor Discovery (13)
- Design, synthesis and multitarget evaluation of cyclopropyl-appended thiohydantoin derivatives as dual cholinesterase and COX inhibitors with antioxidant activity: a combined experimental and computational study. Journal of computer-aided molecular design · 11 Sept 2026 PMID 42726329
- Bioreactor-based production of eumelanin nanoparticles by Streptomyces glaucescens NEAE-H: physicochemical characterization, anticancer and anti-inflammatory activities, and in silico analysis. Scientific reports · 2 Sept 2026 PMID 42680801
- Artificial intelligence-guided discovery of marine scalaranes as selective COX-2 inhibitors through machine learning and molecular modelling. Organic & biomolecular chemistry · 18 Aug 2026 PMID 42610772
- Immunomodulatory activity of Inula viscosa (L.) compounds identified via LC-ESI-MS and their COX-2-targeted anti-inflammatory potential: in vitro, in vivo and in silico analysis. Journal of computer-aided molecular design · 25 Jul 2026 PMID 42501144
- Fluorescent labeled enzyme immobilized on chitosan-coated magnetic microspheres for potential cyclooxygenase-2 inhibitors screening accompanied with molecular modeling and in situ cell imaging. Mikrochimica acta · 2 Jul 2026 PMID 42393368
- Design, synthesis, biological evaluation and histopathological studies of Pyridazine and Pyrazoline derivatives as potential anti-inflammatory agents. Bioorganic chemistry · 25 Jun 2026 PMID 42348939
- Neuroprotective efficacy of Curcumae Rhizoma against ischemic stroke via attenuation of COX-2-mediated neuroinflammation: a systematic study predicting thrombin inhibition and highlighting alexandrin and hederagenin. Metabolic brain disease · 16 Jun 2026 PMID 42301551
- Discovery of novel imidazo[2,1-b]thiazole-hydrazone hybrids as multi-target anticancer agents: Dual PARP-1/COX-2 inhibition and MetAP-2 modulation. Bioorganic chemistry · 4 Jun 2026 PMID 42242020
- One destination, three routes: Tacrine-Celecoxib hybrids targeting cholinesterases, COX-2, and carbonic anhydrases in cognitive impairment linked to metabolic dysfunction. European journal of medicinal chemistry · 26 May 2026 PMID 42190432
- The anti-inflammatory effect of the aqueous fraction from Dacryodes kukachkana extract involves the L-arginine/NO/cGMP pathway. Journal of ethnopharmacology · 7 May 2026 PMID 42097345
- Celecoxib Mitigates Paclitaxel-Induced Peripheral Neuropathy Through Modulation of the COX-2/PGE2 Pathway in Rats. FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 28 Apr 2026 PMID 42048120
- Design, Synthesis, and Evaluation of New Polyhydroxylated Bis-Chalcones as Potential COX-2 Selective Inhibitors. ChemMedChem · 26 Apr 2026 PMID 42035226
- Unveiling the potential of zingerone-1,2,3-triazole derivatives as dual anticancer and COX-2 inhibitor: design, synthesis, and biological assessments. Future medicinal chemistry · 15 Apr 2026 PMID 41982177
COX-2 in Immune Regulation (12)
- Integrative computational analysis of public fecal lipidomics and transcriptomics datasets suggests a candidate association between the COX-2 pathway and CE(20:4) in colorectal adenoma-carcinoma progression. PloS one · 25 Sept 2026 PMID 42789583
- Evodiamine may inhibit insulin resistance in type 2 diabetes through IRS-1/PI3K/AKT/GLUT4 pathway. Scientific reports · 23 Aug 2026 PMID 42634086
- PGE2-mediated NK cell reprogramming drives acquired immunotherapy resistance in lung adenocarcinoma. Journal for immunotherapy of cancer · 12 Aug 2026 PMID 42586608
- Celastrol attenuates synovial inflammation and experimental arthritis by modulating PTGS2-associated ferroptosis resistance in fibroblast-like synoviocytes. Journal of molecular histology · 29 Jul 2026 PMID 42525168
- Key targets and mechanisms by which gut microbiota-derived metabolites regulate Alzheimer's disease through the immune - inflammatory pathway: Based on network pharmacology and molecular docking. PloS one · 6 Jul 2026 PMID 42406869
- Hijacking radiotherapy-induced chemokines with self-assembled molecular decoys for glioblastoma radio-immunotherapy. Journal of controlled release : official journal of the Controlled Release Society · 2 Jul 2026 PMID 42392408
- A COX-2 PROTAC Nanodrug for osteoarthritis therapy via enhancing cartilage repair and reprogramming macrophage polarization. Journal of controlled release : official journal of the Controlled Release Society · 28 Jun 2026 PMID 42365877
- Assessing the Therapeutic Efficacy of Xihuang Pill in Lung Adenocarcinoma by Single-Cell Raman Spectroscopy. Analytical chemistry · 23 Jun 2026 PMID 42336477
- Integrating machine learning and WGCNA to identify core candidate genes and decipher immune-related molecular networks in TcdA/TcdB-associated CDI. Antonie van Leeuwenhoek · 2 Jun 2026 PMID 42230843
- A natural COX-2 inhibitor-integrated nanoplatform for TNBC immunotherapy: Mn-PC-PTX synergizes chemotherapy and immune activation. Colloids and surfaces. B, Biointerfaces · 8 May 2026 PMID 42102776
- Integrated metabolomics and transcriptomics analysis to reveal the mechanism of Xuefu Zhuyu Decoction in the treatment of nitroglycerin-induced chronic migraine. Journal of pharmaceutical and biomedical analysis · 6 May 2026 PMID 42090750
- Meloxicam-1-d-MT Dual-Drug Hydrogel Serves as an Immunomodulator to Reverse Tumor Postoperative Recurrence and Metastasis. ACS applied materials & interfaces · 4 May 2026 PMID 42081317
Traditional Medicine and Inflammation (7)
- Exploring the Active Components of Buqi-Zhitong-Decoction and Its Therapeutic Potential for Chronic Fatigue Syndrome Based on LC-MS/MS and Network Pharmacology. Journal of separation science · 29 Aug 2026 PMID 42667244
- A Principle-Guided Multistep Workflow for Screening Potential Quality Marker Candidates of Sanqi Shangyao Tablet Based on UHPLC-Q-Orbitrap MS, In Silico Screening, and In Vitro Validation. Biomedical chromatography : BMC · 15 Jul 2026 PMID 42453089
- Qingfei Tongluo Formula attenuates COPD-associated ferroptosis by restoring arachidonic acid metabolic balance via dual inhibition of prostaglandin-endoperoxide synthase 2 and soluble epoxide hydrolase 2. Phytomedicine : international journal of phytotherapy and phytopharmacology · 25 May 2026 PMID 42184495
- Multi-target mechanisms of 2',4'-dihydroxy-6'-methoxy-3',5'-dimethylchalcone from Syzygium nervosum DC. flower buds in alleviating obesity and metabolic complications: An integrated study combining network pharmacology and experimental validation. European journal of pharmacology · 15 May 2026 PMID 42140514
- Biogenic selenium extract-mediated and total Convolvulus oxyphyllus extracts suppress IL6 and COX2 expression: insights from LC-MS metabolite profiling and molecular docking. Scientific reports · 13 May 2026 PMID 42128884
- In vivo and molecular docking studies of Micromeria imbricata var. imbricata extract reveal alleviation of the DSS-induced IBD phenotype via interaction with key inflammatory mediators. Journal of ethnopharmacology · 12 May 2026 PMID 42119868
- Comparative pharmacodynamic material basis of oral and colonic administration of Baitouweng decoction in experimental ulcerative colitis. Journal of ethnopharmacology · 7 May 2026 PMID 42092473
Oxidative Lipid Inflammation (5)
- Neuroprotective Effect of Isorhapontigenin (ISO) Against LPS-Induced Neurodegenerative Condition via TLR4/RAGE-Mediated p-NF-kB Activation. Molecular neurobiology · 5 Sept 2026 PMID 42700283
- Multi-Omics Profiling of High-Grade Serous Ovarian Cancer Reveals an Inflammation-Related Lipid Metabolism Subtype Associated With Platinum Resistance. Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 17 Jul 2026 PMID 42466711
- Aspirin alleviates long-term high-fat diet-induced depressive-like behavior in male mice via suppressing arachidonic acid-mediated microglial activation and neuroinflammation. Molecular psychiatry · 15 Jul 2026 PMID 42457861
- Euphorbia humifusa Willd. alleviates ulcerative colitis by inhibiting lipid peroxidation via ACSL4/COX-2 axis. Journal of ethnopharmacology · 9 May 2026 PMID 42106018
- Protection of skin from UVB-induced photoaging: Antioxidant and anti-inflammatory effects of avenanthramide C from oat sprout extract via suppression of MAPK pathways. Journal of photochemistry and photobiology. B, Biology · 8 May 2026 PMID 42102478
By study type
Human data, design not indexed (6)
- Integrative computational analysis of public fecal lipidomics and transcriptomics datasets suggests a candidate association between the COX-2 pathway and CE(20:4) in colorectal adenoma-carcinoma progression. PloS one · 25 Sept 2026 PMID 42789583
- Design, synthesis and multitarget evaluation of cyclopropyl-appended thiohydantoin derivatives as dual cholinesterase and COX inhibitors with antioxidant activity: a combined experimental and computational study. Journal of computer-aided molecular design · 11 Sept 2026 PMID 42726329
- Key targets and mechanisms by which gut microbiota-derived metabolites regulate Alzheimer's disease through the immune - inflammatory pathway: Based on network pharmacology and molecular docking. PloS one · 6 Jul 2026 PMID 42406869
- Fluorescent labeled enzyme immobilized on chitosan-coated magnetic microspheres for potential cyclooxygenase-2 inhibitors screening accompanied with molecular modeling and in situ cell imaging. Mikrochimica acta · 2 Jul 2026 PMID 42393368
- Integrating machine learning and WGCNA to identify core candidate genes and decipher immune-related molecular networks in TcdA/TcdB-associated CDI. Antonie van Leeuwenhoek · 2 Jun 2026 PMID 42230843
- Design, Synthesis, and Evaluation of New Polyhydroxylated Bis-Chalcones as Potential COX-2 Selective Inhibitors. ChemMedChem · 26 Apr 2026 PMID 42035226
Preclinical: animal, cell and lab studies (28)
- Neuroprotective Effect of Isorhapontigenin (ISO) Against LPS-Induced Neurodegenerative Condition via TLR4/RAGE-Mediated p-NF-kB Activation. Molecular neurobiology · 5 Sept 2026 PMID 42700283
- Bioreactor-based production of eumelanin nanoparticles by Streptomyces glaucescens NEAE-H: physicochemical characterization, anticancer and anti-inflammatory activities, and in silico analysis. Scientific reports · 2 Sept 2026 PMID 42680801
- Exploring the Active Components of Buqi-Zhitong-Decoction and Its Therapeutic Potential for Chronic Fatigue Syndrome Based on LC-MS/MS and Network Pharmacology. Journal of separation science · 29 Aug 2026 PMID 42667244
- Evodiamine may inhibit insulin resistance in type 2 diabetes through IRS-1/PI3K/AKT/GLUT4 pathway. Scientific reports · 23 Aug 2026 PMID 42634086
- Artificial intelligence-guided discovery of marine scalaranes as selective COX-2 inhibitors through machine learning and molecular modelling. Organic & biomolecular chemistry · 18 Aug 2026 PMID 42610772
- PGE2-mediated NK cell reprogramming drives acquired immunotherapy resistance in lung adenocarcinoma. Journal for immunotherapy of cancer · 12 Aug 2026 PMID 42586608
- Celastrol attenuates synovial inflammation and experimental arthritis by modulating PTGS2-associated ferroptosis resistance in fibroblast-like synoviocytes. Journal of molecular histology · 29 Jul 2026 PMID 42525168
- Immunomodulatory activity of Inula viscosa (L.) compounds identified via LC-ESI-MS and their COX-2-targeted anti-inflammatory potential: in vitro, in vivo and in silico analysis. Journal of computer-aided molecular design · 25 Jul 2026 PMID 42501144
- A Principle-Guided Multistep Workflow for Screening Potential Quality Marker Candidates of Sanqi Shangyao Tablet Based on UHPLC-Q-Orbitrap MS, In Silico Screening, and In Vitro Validation. Biomedical chromatography : BMC · 15 Jul 2026 PMID 42453089
- Hijacking radiotherapy-induced chemokines with self-assembled molecular decoys for glioblastoma radio-immunotherapy. Journal of controlled release : official journal of the Controlled Release Society · 2 Jul 2026 PMID 42392408
- Design, synthesis, biological evaluation and histopathological studies of Pyridazine and Pyrazoline derivatives as potential anti-inflammatory agents. Bioorganic chemistry · 25 Jun 2026 PMID 42348939
- Assessing the Therapeutic Efficacy of Xihuang Pill in Lung Adenocarcinoma by Single-Cell Raman Spectroscopy. Analytical chemistry · 23 Jun 2026 PMID 42336477
- Neuroprotective efficacy of Curcumae Rhizoma against ischemic stroke via attenuation of COX-2-mediated neuroinflammation: a systematic study predicting thrombin inhibition and highlighting alexandrin and hederagenin. Metabolic brain disease · 16 Jun 2026 PMID 42301551
- Discovery of novel imidazo[2,1-b]thiazole-hydrazone hybrids as multi-target anticancer agents: Dual PARP-1/COX-2 inhibition and MetAP-2 modulation. Bioorganic chemistry · 4 Jun 2026 PMID 42242020
- One destination, three routes: Tacrine-Celecoxib hybrids targeting cholinesterases, COX-2, and carbonic anhydrases in cognitive impairment linked to metabolic dysfunction. European journal of medicinal chemistry · 26 May 2026 PMID 42190432
- Qingfei Tongluo Formula attenuates COPD-associated ferroptosis by restoring arachidonic acid metabolic balance via dual inhibition of prostaglandin-endoperoxide synthase 2 and soluble epoxide hydrolase 2. Phytomedicine : international journal of phytotherapy and phytopharmacology · 25 May 2026 PMID 42184495
- Multi-target mechanisms of 2',4'-dihydroxy-6'-methoxy-3',5'-dimethylchalcone from Syzygium nervosum DC. flower buds in alleviating obesity and metabolic complications: An integrated study combining network pharmacology and experimental validation. European journal of pharmacology · 15 May 2026 PMID 42140514
- Biogenic selenium extract-mediated and total Convolvulus oxyphyllus extracts suppress IL6 and COX2 expression: insights from LC-MS metabolite profiling and molecular docking. Scientific reports · 13 May 2026 PMID 42128884
- In vivo and molecular docking studies of Micromeria imbricata var. imbricata extract reveal alleviation of the DSS-induced IBD phenotype via interaction with key inflammatory mediators. Journal of ethnopharmacology · 12 May 2026 PMID 42119868
- Euphorbia humifusa Willd. alleviates ulcerative colitis by inhibiting lipid peroxidation via ACSL4/COX-2 axis. Journal of ethnopharmacology · 9 May 2026 PMID 42106018
- A natural COX-2 inhibitor-integrated nanoplatform for TNBC immunotherapy: Mn-PC-PTX synergizes chemotherapy and immune activation. Colloids and surfaces. B, Biointerfaces · 8 May 2026 PMID 42102776
- Protection of skin from UVB-induced photoaging: Antioxidant and anti-inflammatory effects of avenanthramide C from oat sprout extract via suppression of MAPK pathways. Journal of photochemistry and photobiology. B, Biology · 8 May 2026 PMID 42102478
- The anti-inflammatory effect of the aqueous fraction from Dacryodes kukachkana extract involves the L-arginine/NO/cGMP pathway. Journal of ethnopharmacology · 7 May 2026 PMID 42097345
- Comparative pharmacodynamic material basis of oral and colonic administration of Baitouweng decoction in experimental ulcerative colitis. Journal of ethnopharmacology · 7 May 2026 PMID 42092473
- Integrated metabolomics and transcriptomics analysis to reveal the mechanism of Xuefu Zhuyu Decoction in the treatment of nitroglycerin-induced chronic migraine. Journal of pharmaceutical and biomedical analysis · 6 May 2026 PMID 42090750
- Meloxicam-1-d-MT Dual-Drug Hydrogel Serves as an Immunomodulator to Reverse Tumor Postoperative Recurrence and Metastasis. ACS applied materials & interfaces · 4 May 2026 PMID 42081317
- Celecoxib Mitigates Paclitaxel-Induced Peripheral Neuropathy Through Modulation of the COX-2/PGE2 Pathway in Rats. FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 28 Apr 2026 PMID 42048120
- Unveiling the potential of zingerone-1,2,3-triazole derivatives as dual anticancer and COX-2 inhibitor: design, synthesis, and biological assessments. Future medicinal chemistry · 15 Apr 2026 PMID 41982177
Unclassified: not yet indexed with MeSH (3)
- Multi-Omics Profiling of High-Grade Serous Ovarian Cancer Reveals an Inflammation-Related Lipid Metabolism Subtype Associated With Platinum Resistance. Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 17 Jul 2026 PMID 42466711
- Aspirin alleviates long-term high-fat diet-induced depressive-like behavior in male mice via suppressing arachidonic acid-mediated microglial activation and neuroinflammation. Molecular psychiatry · 15 Jul 2026 PMID 42457861
- A COX-2 PROTAC Nanodrug for osteoarthritis therapy via enhancing cartilage repair and reprogramming macrophage polarization. Journal of controlled release : official journal of the Controlled Release Society · 28 Jun 2026 PMID 42365877
Written from 37 PubMed abstracts, each one listed by PMID above. Published: 2026-06-16. Last written: 2026-09-13 by GPT. Reviewed by a human editor on 2026-07-23. Drafted by language models from published abstracts; not medical advice.