Abstract
Opioids are widely administered to alleviate pain, including chronic pain in advanced cancer patients. Among opioids, morphine is one of the most clinically effective drugs for the palliative management of severe pain. In the last few decades, there has been a debate around the possible influence of opioids such as morphine on tumour growth and metastasis. Whilst several in vitro and in vivo studies suggest the possible modulatory effects of morphine on tumour cells, little is known about the impact of this analgesic drug on other mediators such as matrix metalloproteinases (MMPs) that play a key role in the control of cancer cell invasion and metastasis. MMP-9 has been considered as one of the principal mediators in regulation of not only the initial steps of cancer but during the invasion and spreading of cancer cells to distant organs. Herein, current studies regarding the direct and indirect effects of morphine on regulation of MMP-9 production are discussed. In addition, drawing from previous in vivo and in vitro studies on morphine action in regulating MMP-9 production, the potential roles of several underlying factors are summarised, including nuclear factor kappa-B and intracellular molecules such as nitric oxide.
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Abbreviations
- AC:
-
Adenylyl cyclase
- AP-1:
-
Activator protein 1
- BMM:
-
Bone marrow-derived macrophages
- CREB:
-
cAMP responsive element binding
- cAMP:
-
Cyclic adenosine monophosphate
- cGMP:
-
Cyclic guanosine monophosphate
- cNOS:
-
Constitutive nitric oxide synthase
- DRG:
-
Dorsal root ganglia
- eNOS:
-
Endothelial nitric oxide synthase
- ECM:
-
Extracellular matrix
- GPCR:
-
G protein-coupled receptor
- Gβγ:
-
G beta-gamma
- iNOS:
-
Inducible nitric oxide synthase
- IL-1β:
-
Interleukin 1 beta
- IL-4:
-
Interleukin 4
- IL-6:
-
Interleukin 6
- IκB:
-
Nuclear factor-κB inhibitor
- LPS:
-
Lipopolysaccharide
- MMPs:
-
Matrix metalloproteinases
- MMP-9:
-
Matrix metalloproteinase 9
- NF-κB:
-
Nuclear factor kappa B
- NO:
-
Nitric oxide
- NOS:
-
Nitric oxide synthase
- nNOS:
-
Neuronal nitric oxide synthase
- PKCδ:
-
Protein kinase C-delta
- PKA:
-
Protein kinase A
- PLC:
-
Phospholipase C
- PKC:
-
Protein kinase C
- PI3K:
-
Phosphoinositide 3-kinase
- PKB:
-
Protein kinase B
- PEA3:
-
Polyoma enhancer activator 3
- Sp-1:
-
Stimulating protein-1
- TNFR-6:
-
Tumour necrosis factor receptor-associated factor 6
- TLR:
-
Toll-like receptor
- TIMP-1:
-
Tissue inhibitor of metalloproteinase 1
- TNF-α:
-
Tumour necrosis factor alpha
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Funding
Authors’ own work discussed was supported in part by National Health and Medical Research Council Australia (NHMRC) project grants and fellowships (numbers 0508046, 0508047 and 1042105).
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SK and MH designed and conducted the literature review and drafted the manuscript. AH, PY and YS conducted the literature review. CJX designed and conceptualised the manuscript.
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Khabbazi, S., Hassanshahi, M., Hassanshahi, A. et al. Opioids and matrix metalloproteinases: the influence of morphine on MMP-9 production and cancer progression. Naunyn-Schmiedeberg's Arch Pharmacol 392, 123–133 (2019). https://doi.org/10.1007/s00210-019-01613-6
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DOI: https://doi.org/10.1007/s00210-019-01613-6