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.

Advanced Biology
|May 3, 2023
PubMed

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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