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The Role of Opioid Receptors in Cancer
Siddhant Bhoir1,2, Megan Uhelski3, Juan Jose Guerra-Londono1,2
1Department of Anesthesiology and Perioperative Medicine, The University of Texas - MD Anderson Cancer Centre, Houston, TX, 77030, USA.
Abstract:
Opioids are one of the most potent drugs for treating moderate to severe pain. Despite irrefutable clinical application in chronic pain management, the long-term use of opioids has been increasingly questioned due to undesired side effects that demand attention. Opioids such as morphine mediate clinically relevant effects primarily through the µ-opioid receptor that go beyond their classical role as analgesics, causing potentially fatal side effects such as tolerance, dependence, and addiction. Furthermore, there is growing evidence that opioids affect immune system function, cancer progression, metastasis, and recurrence. Though a biological plausibility, the clinical evidence for the action of opioids on cancer is mixed, revealing a more complex picture as researchers struggle to establish a vital link between opioid receptor agonists, cancer progression, and suppression, or both. Thus, in light of the uncertainty of opioid effects on cancer, in this review, a focused overview of the role of opioid receptors in modulating cancer progression, their underlying signaling mechanisms, and the biological activity of opioid receptor agonists and antagonists is provided.
Insights
Opioid medications, while effective for pain, carry risks like addiction and may impact cancer. This review explores opioid receptors
Area of Science:
- Pharmacology and Oncology
- Molecular Biology and Cancer Research
Background:
- Opioids are potent analgesics for moderate to severe pain, with long-term use raising concerns about side effects.
- The µ-opioid receptor mediates opioid effects, including analgesia, tolerance, dependence, addiction, and potential impacts on the immune system and cancer.
- Existing clinical evidence on opioid effects on cancer progression, metastasis, and recurrence is mixed and requires further investigation.
Purpose of the Study:
- To provide a focused overview of the role of opioid receptors in modulating cancer progression.
- To elucidate the underlying signaling mechanisms involved in opioid receptor-mediated cancer modulation.
- To review the biological activity of opioid receptor agonists and antagonists in the context of cancer.
Main Methods:
- Literature review synthesizing current research on opioid receptors and cancer.
- Analysis of signaling pathways linking opioid receptor activation to cancer cell behavior.
- Examination of studies investigating the effects of opioid agonists and antagonists on cancer progression.
Main Results:
- Opioid receptors play a complex role in cancer, with potential to both suppress and promote tumor growth, metastasis, and recurrence.
- Specific signaling pathways activated by opioid receptor agonists are implicated in modulating immune function and cancer cell proliferation.
- The clinical impact of opioids on cancer is not fully understood, necessitating further research into receptor-specific effects.
Conclusions:
- Opioid receptors are key modulators of cancer progression, with significant implications for patient outcomes.
- Understanding the intricate signaling mechanisms is crucial for developing targeted therapeutic strategies.
- Further research is warranted to clarify the dual role of opioid receptor agonists and antagonists in cancer treatment and management.
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