Nonsteroidal anti-inflammatory drugs and implications for the cyclooxygenase pathway in embryonic development

Am J Physiol Cell Physiol. 2023 Feb 1;324(2):C532-C539. doi: 10.1152/ajpcell.00430.2022. Epub 2023 Jan 9.

Abstract

Nonsteroidal anti-inflammatory drugs (NSAIDs) are a class of analgesics that inhibit the activity of cyclooxygenase isoenzymes, which drive tissue inflammation pathways. Caution should be exercised when taking these drugs during pregnancy as they increase the risk of developmental defects. Due to the high rates of NSAID use by individuals, possibilities for in utero exposure to NSAIDs are high, and it is vital that we define the potential risks these drugs pose during embryonic development. In this review, we characterize the identified roles of the cyclooxygenase signaling pathway components throughout pregnancy and discuss the effects of cyclooxygenase pathway perturbation on developmental outcomes.

Keywords: NSAID; cyclooxygenase; embryo; prostaglandin; prostanoid.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal* / adverse effects
  • Anti-Inflammatory Agents, Non-Steroidal* / pharmacology
  • Cyclooxygenase 2 / genetics
  • Embryonic Development* / drug effects
  • Female
  • Humans
  • Inflammation / drug therapy
  • Isoenzymes / antagonists & inhibitors
  • Pregnancy
  • Prostaglandin-Endoperoxide Synthases

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Cyclooxygenase 2
  • Prostaglandin-Endoperoxide Synthases
  • Isoenzymes