Identification for antitumor effects of tramadol in a xenograft mouse model using orthotopic breast cancer cells

Myoung Hwa Kim1, Jeong-Rim Lee2, Ki-Joon Kim2

  • 1Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Gangnam Severance Hospital, Gangnam-gu, Seoul, 06273, Republic of Korea.

Scientific Reports
|November 12, 2021
PubMed

Insights

Tramadol demonstrated anti-tumor effects in a mouse model of breast cancer, reducing tumor growth and inflammation. Unlike morphine, tramadol did not impair natural killer cell activity, suggesting a safer therapeutic profile.

Area of Science:

  • Oncology
  • Pharmacology
  • Immunology

Background:

  • Previous research suggested tramadol may enhance oncological prognosis in breast cancer patients.
  • Clinical validation through dose-regulated animal or prospective human studies was lacking.

Purpose of the Study:

  • To investigate the in vivo anti-tumor effect of tramadol in a breast cancer xenograft mouse model.
  • To compare tramadol's effects with morphine and assess its impact on tumor growth, immune markers, and receptor expression.

Main Methods:

  • Female nude mice bearing MCF-7 breast cancer xenografts were treated with tramadol (1.5 or 3 mg/kg/day), morphine (0.5 mg/kg/day), or saline.
  • Tumor growth, bioluminescence, immune cell activity (NK cells), and serum cytokine levels (IL-1β, TNF-α, IFN-γ, IL-6) were analyzed.
  • Expression of estrogen receptor (ER), progesterone receptor (PR), and TRPV1 was examined.

Main Results:

  • Tramadol treatment significantly attenuated tumor growth in both dose groups (P < 0.05).
  • Natural killer (NK) cell activity decreased with morphine but not tramadol.
  • Tramadol reduced serum IL-6 and TNF-α levels and decreased ER, PR, and TRPV1 expression compared to morphine.

Conclusions:

  • Clinical doses of tramadol exhibit anti-tumor effects in a mouse model of MCF-7 breast cancer.
  • Tramadol appears to have a more favorable immunomodulatory profile than morphine in this model.
  • These findings support further investigation into tramadol's therapeutic potential in breast cancer treatment.

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