Cyclooxygenase (COX), the key enzyme required for the conversion
of arachidonic acid to prostaglandins was first identified over 20
years ago. Drugs, like aspirin, that inhibit cyclooxygenase
activity have been available to the public for about 100 years. In
the past decade, however, more progress has been made in
understanding the role of cyclooxygenase enzymes in biology and
disease than at any other time in history. Two cyclooxygenase
isoforms have been identified and are referred to as COX-1 and
COX-2. Under many circumstances the COX-1 enzyme is produced
constitutively (i.e., gastric mucosa) whereas COX-2 is inducible
(i.e., sites of inflammation). Here, we summarize the current
understanding of the role of cyclooxygenase-1 and -2 in different
physiological situations and disease processes ranging from
inflammation to cancer.