Stereospecific modulation of tumorigenicity by opioid antagonists

Insights

The (-) isomer of naloxone, an opioid antagonist, reduced tumor incidence and increased survival time in mice with neuroblastoma. The (+) isomer had no effect, indicating stereospecificity in cancer response.

Area of Science:

  • Neuroscience
  • Oncology
  • Pharmacology

Background:

  • Endogenous opioid systems are implicated in neuro-oncogenic expression.
  • Opioid antagonists, like naloxone, modulate opioid receptor activity.
  • Stereospecificity of drug action is crucial for understanding therapeutic mechanisms.

Purpose of the Study:

  • To investigate the stereospecific effects of naloxone isomers on neuroblastoma tumor response.
  • To determine the role of endogenous opioid systems in neuro-oncogenesis.

Main Methods:

  • A/Jax mice were inoculated with S20Y neuroblastoma cells.
  • Mice received daily subcutaneous injections of either (-)naloxone or (+)naloxone (15 mg/kg).
  • Tumor incidence, time to tumor appearance, and survival time were monitored and compared to control groups.

Main Results:

  • Daily administration of (-)naloxone resulted in a 71% tumor incidence, a 33% delay in tumor appearance, and a 28% increase in survival time.
  • (+)naloxone administration showed no significant difference in tumor incidence, time to appearance, or survival compared to controls.
  • Control mice exhibited 100% tumor incidence within 13 days.

Conclusions:

  • Opioid antagonists exert stereospecific effects on neural cancers.
  • Endogenous opioid systems play a significant role in neuro-oncogenic expression.
  • (-)naloxone demonstrates potential as an agent to modulate neuroblastoma progression.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Opioid Receptors: Overview01:22

Opioid Receptors: Overview

Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2, D-Pen5]-enkephalin or DPDPE for...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids01:21

Chemotherapy-Induced Nausea and Vomiting: Cannabinoids

Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...