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Common Treatment For Cancer Pain Stimulates Breast Tumor Growth
In Mice
MINNEAPOLIS / ST. PAUL -- University of Minnesota Cancer Center
researchers have found that morphine, which is routinely given
to cancer patients to manage severe pain, actually stimulates
signals in endothelial cells that in turn prompt tumors to grow
in mice.
The study will be published in the Aug. 1 issue of Cancer
Research.
Kalpna Gupta, Ph.D., assistant professor in the hematology, oncology
and transplantation division of the university's department of
medicine and lead author of the study, found that doses of morphine
similar to doses given to cancer patients activate the mitogen-activated
protein kinase (MAPK) signaling pathway in human endothelial
cells (cells that form blood vessels). MAPK plays a key role
in promoting endothelial cell multiplication and angiogenesis
(formation of new blood vessels).
Angiogenesis can cause tumor
growth by providing nutrients to growing tumors and by transporting
cancer cells from a tumor to other parts of the body. Gupta notes
that morphine did not promote initial or early growth of tumors
in this study.
The researchers also found that morphine promotes endothelial
cell survival by activating Akt, the key survival-signaling pathway
inside these cells. Endothelial cell survival is crucial to the
process of angiogenesis.
This study demonstrates for the first
time that morphine-induced effects on blood vessel cells can
lead to angiogenesis-dependent tumor growth in mice.
"Despite the widespread use of morphine to treat pain in many
medical conditions like cancer, little was known about how this
drug affects blood vessels or cancer," says Gupta. "Our study
shows that morphine stimulates the formation of new blood vessels
inside the tumor, which in turn allows increased growth of tumors
in mice."
Gupta cautions that there is currently no scientific
data that indicates morphine or similar pain medications will
lead to increased growth of cancers in humans.
Thanks to [07/25/2002; ScienceDaily]
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