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β-内啡肽在疼痛和癌症进展的交叉点:临床前证据。

β-endorphin at the intersection of pain and cancer progression: Preclinical evidence.

机构信息

Hematology/Oncology, Department of Medicine, University of California, Irvine, CA, USA.

Division of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.

出版信息

Neurosci Lett. 2021 Jan 23;744:135601. doi: 10.1016/j.neulet.2020.135601. Epub 2020 Dec 30.

DOI:10.1016/j.neulet.2020.135601
PMID:33387660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7837276/
Abstract

We examined the association between endogenous opioid β-endorphin, cancer progression and pain in a transgenic mouse model of breast cancer, with a rat C3(1) simian virus 40 large tumor antigen fusion gene (C3TAg). C3TAg mice develop ductal epithelial atypia at 8 weeks, progression to intra-epithelial neoplasia at 12 weeks, and invasive carcinoma with palpable tumors at 16 weeks. Consistent with invasive carcinoma at 4 months of age, C3TAg mice demonstrate a significant increase in hyperalgesia compared to younger C3TAg or control FVBN mice without tumors. Our data show that the growing tumor contributes to circulating β-endorphin. As an endogenous ligand of mu opioid receptor, β-endorphin has analgesic activity. Paradoxically, we observed an increase in pain in transgenic breast cancer mice with significantly high circulating and tumor-associated β-endorphin. Increased circulating β-endorphin correlates with increasing tumor burden. β-endorphin induced the activation of mitogenic and survival-promoting signaling pathways, MAPK/ERK 1/2, STAT3 and Akt, observed by us in human MDA-MB-231 cells suggesting a role for β-endorphin in breast cancer progression and associated pain.

摘要

我们研究了内源性阿片 β-内啡肽、癌症进展和疼痛之间的关系,使用了一种乳腺癌的转基因小鼠模型,该模型带有大鼠 C3(1)猴 SV40 大肿瘤抗原融合基因(C3TAg)。C3TAg 小鼠在 8 周时出现导管上皮异型增生,12 周时发展为上皮内瘤变,16 周时出现可触及肿瘤的浸润性癌。与 4 个月大时的浸润性癌一致,C3TAg 小鼠与没有肿瘤的年轻 C3TAg 或对照 FVBN 小鼠相比,表现出明显的痛觉过敏增加。我们的数据表明,生长中的肿瘤导致循环β-内啡肽增加。作为μ阿片受体的内源性配体,β-内啡肽具有镇痛活性。矛盾的是,我们观察到转基因乳腺癌小鼠的疼痛增加,其循环和肿瘤相关β-内啡肽显著升高。增加的循环β-内啡肽与肿瘤负荷的增加相关。β-内啡肽诱导促有丝分裂和生存促进信号通路 MAPK/ERK1/2、STAT3 和 Akt 的激活,我们在人 MDA-MB-231 细胞中观察到这一点,表明β-内啡肽在乳腺癌进展和相关疼痛中起作用。

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本文引用的文献

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Opioid receptors beyond pain control: The role in cancer pathology and the debated importance of their pharmacological modulation.阿片受体的作用不仅限于疼痛控制:在癌症病理中的作用及其药理学调节的重要性备受争议。
Pharmacol Res. 2020 Sep;159:104938. doi: 10.1016/j.phrs.2020.104938. Epub 2020 Jun 3.
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Endogenous opioid peptides in the descending pain modulatory circuit.
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