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Chimeric DNA vaccine reverses morphine-induced immunosuppression and tumorigenesis
Wen-Fang Cheng1, Li-Kuei Chen, Chi-An Chen
1Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan.
Abstract:
Although long-term use of morphine has been shown to promote tumor growth, the question whether tumorigenesis occurs as a result of an immunosuppressive effect remains to be investigated. In mice rendered tolerant to morphine, the efficacy and mechanism of a vaccination to rescue morphine-induced immunosuppression and prevent tumor growth was assessed both in vitro and in vivo. Herein, we found that morphine-injected mice exhibited higher tumor growth rates and lower percentages of CD8+ T lymphocytes. The mechanism of morphine suppression of immunity might be through the suppression of E7-specific CD8+ T lymphocyte proliferation and the promotion of apoptosis of these cells by the Bcl-2 and Bax pathways. The suppressive effect of E7-specific CD8+ T lymphocytes by morphine could be reversed by naloxone. We have previously shown that calreticulin linked with E7 (CRT/E7) could enhance the CD8+ T cell response and the anti-tumor effects (W. F. Cheng et al. (2001) J. Clin. Invest. 108, 669-678). CRT/E7 DNA vaccine could overcome the immunosuppressive effect of morphine and suppress tumor growth. Our findings reveal that long-term morphine treatment dose-dependently promotes tumor growth and a DNA vaccine may serve as a useful approach to treat the profound immunosuppressive function and prevent tumorigenesis after long-term morphine treatment.
Insights
Long-term morphine use promotes tumor growth by suppressing the immune system, specifically CD8+ T cells. A DNA vaccine effectively reversed this immunosuppression and inhibited tumor development in mice.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Long-term morphine use is linked to increased tumor growth.
- The immunosuppressive mechanisms underlying morphine's pro-tumorigenic effects require further investigation.
Purpose of the Study:
- To assess the efficacy of a vaccination strategy in counteracting morphine-induced immunosuppression.
- To investigate the mechanism by which morphine affects T lymphocytes and tumor growth.
- To determine if a DNA vaccine can prevent tumor growth in morphine-tolerant mice.
Main Methods:
- Mice were rendered tolerant to morphine and treated with a calreticulin-linked E7 (CRT/E7) DNA vaccine.
- Tumor growth rates and percentages of CD8+ T lymphocytes were measured.
- Mechanisms of immune suppression, including T cell proliferation and apoptosis pathways (Bcl-2, Bax), were analyzed.
- Effects were assessed both in vitro and in vivo.
Main Results:
- Morphine-injected mice showed accelerated tumor growth and reduced CD8+ T lymphocyte populations.
- Morphine suppressed E7-specific CD8+ T lymphocyte proliferation and promoted apoptosis.
- Naloxone reversed the suppressive effect of morphine on T lymphocytes.
- The CRT/E7 DNA vaccine successfully overcame morphine-induced immunosuppression and inhibited tumor growth.
Conclusions:
- Long-term morphine treatment dose-dependently promotes tumor growth via immunosuppression.
- A CRT/E7 DNA vaccine can reverse morphine-induced immune suppression and prevent tumor growth.
- DNA vaccination presents a potential therapeutic strategy for managing immunosuppression and tumorigenesis associated with long-term morphine use.
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