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24                        GÉNÉRALITES SUR LES MEDICAMENTS ANTTTUMORAUX


                      Phospholipides membranaires
                            i
                        P~paseA2       Nf·KB JI q Inhibition de 1 'apoptose
                           •       y
                       Acide arachidonique    r\     n
                                                  PROLIFÉRATION CELL
                         Jase=j

                       Prostaglandines:  NÉO-
                         PG E2       VASCULA RISATION JI  4FE#5ni
                          4  Aroma tase
                                                  PROLIFÉRATION CELL
                       Testosté<one ~ Estradiot JI
                                                   Ex : cancer du sein
                                                (tum eur s hormono-d épendan tes)
              Figure 13 : Conséquences liées à la surexpression de COX-2
                Les relations précises entre l'isoenzyme COX-2, le récepteur PPAR-y (Peroxisome
              Proliferator-Activated Receptorgamma) et le processus prolifératif restent à déterminer.



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