The COX inhibitor indomethacin blocks TNFα-induced binding of NFATc1 and cAMP response element-binding protein (CREB) to the RANKL promoter in C2C12 cells. (A) PGE2 increased the expression of RANKL, NFATc1, CREB, and COX2, whereas indomethacin suppressed TNFα-mediated RANKL, NFATc1, CREB, and COX2 expression. Treatment with PGE2 in the presence of indomethacin and TNFα partially rescued the expression of RANKL, NFATc1, CREB, and COX2. C2C12 cells were incubated with the indicated reagents for 24 h and subjected to RT-PCR and western blot analyses; (B) PGE2 increased RANKL promoter–reporter activity in a CREB binding element-dependent manner. C2C12 cells were transfected with RANKL-WT-luc or a CREB-binding site mutant (RANKL-MT(C)-luc) RANKL promoter, incubated for 24 h in the presence of PGE2, and subjected to a luciferase assay; (C) PGE2 induced CREB binding to the mouse RANKL promoter. C2C12 cells were incubated for 24 h with PGE2 and subjected to a ChIP assay with CREB and control IgG antibodies. The RANKL promoter region containing the CREB-binding element was then amplified; (D) Indomethacin prevented TNFα-induced NFAT and CREB binding to the mouse RANKL promoter. C2C12 cells were incubated for 24 h with the indicated reagents and subjected to a ChIP assay (* p < 0.05, compared to control; # p < 0.05).