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Exploring Aspirin's Role in Cancer Risk Reduction Through COX-2 Inhibition

In this chat, we delve into how aspirin may lower cancer risk by inhibiting COX-2 and reducing inflammation. The conversation discusses aspirin's impact on cancer progression, metastasis, and platelets, while highlighting the ongoing research into its protective mechanisms.


  • How does Aspirin reduce cancer risk?
    ❓Question
    "Observational studies show that regular use of aspirin reduces the long-term risk of several cancers and the risk of distant metastasis. Results of methodologically rigorous studies are consistent with those obtained from randomised controlled trials, but sensitivity is particularly dependent on appropriately detailed recording and analysis of aspirin use."

    https://pubmed.ncbi.nlm.nih.gov/22440112/

    would it be down to cox 2 inhibition?

  • Aspirin is thought to reduce the risk of certain cancers primarily through its anti-inflammatory effects. One of the key mechanisms involves the inhibition of cyclooxygenase enzymes, particularly COX-2. COX-2 is often overexpressed in tumor cells and plays a role in promoting inflammation, which can contribute to cancer progression and metastasis. By inhibiting COX-2, aspirin can reduce inflammation and potentially inhibit the growth and spread of cancer cells.

    Additionally, aspirin's anti-platelet effects might also contribute to cancer prevention. Platelets can shield circulating tumor cells from immune surveillance and facilitate their metastasis. By reducing platelet aggregation, aspirin may help reduce the risk of metastasis in certain types of cancer.

    However, the exact mechanisms by which aspirin reduces cancer risk are still being studied, and it is likely that multiple factors contribute to its protective effects.

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