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Gene & Protein in Disease                                                              MOR in cancer




            Table 1. (Continued)
            Tumors       Drugs     Effects   Mechanism  Signaling   Result         Conclusion         References
                         (Opioids)                     pathway
            NSCLC                  Tumor    Tumor     VEGF     MOR expression increased   The expression level of   [130]
                                   promoter  angiogenesis      significantly in cancer   MOR might be associated
                                                               samples from patients with   with tumor progression
                                                               lung cancer compared with
                                                               adjacent control tissue
            Melanoma               Tumor    Immune             There was a positive   µ-opioid peptides might   [89]
                                   promoter  function          correlation between the   play a major role in cancer
                                                               expression of β-endorphin   progression by modulating
                                                               and tumor progression in   immune response. This
                                                               melanoma tissues    finding might have
                                                                                   implications for future
                                                                                   optimization of immune-
                                                                                   interventions for cancer
            HCC                    Tumor    Tumor     MAPK     The downregulation of MOR  Blocking MOR has   [88]
                                   promoter  progression       inhibited both      potential in cancer therapy
                                                               in vivo and in vitro human
                                                               liver cancer progression
            NSCLC                  Tumor    Tumor     AKT-mTOR MOR overexpression   The exploration of MOR   [131]
                                   promoter  progression       increased AKT and mTOR   in NSCLC merits further
                                                               activation, proliferation,   study both as a diagnostic
                                                               and extravasation in human   and therapeutic option
                                                               bronchioloalveolar carcinoma
                                                               cells
            AKT: Protein kinase B; B2AR: Beta-2 adrenergic receptor; cAMP/PKA: cyclic adenosine monophosphate/protein kinase A; CRC: Colorectal carcinoma;
            EGFR: Epidermal growth factor receptor; ERK: Extracellular signal-regulated kinase; GSK3: Glycogen synthase kinase 3; HCC: Hepatocellular
            carcinoma; HIF-1α: Hypoxia-inducible factor 1 alpha; HNSCC: Head and neck squamous cell carcinoma; JAK3/STAT5: Janus kinase 3/signal
            transducer and activator of transcription 5; LLC: Lewis lung carcinoma cells; mAb: monoclonal antibody; MAPK: Mitogen-activated protein kinase;
            MOR: Mu (µ)-opioid receptor; mTOR: Mammalian target of rapamycin; NADH: Nicotinamide adenine dinucleotide; NFAT: Nuclear factor of activated
            T-cells; NSCLC: Non-small cell lung cancer; OPCML: Opioid-binding protein/cell adhesion molecule; PI3k: Phosphoinositide 3 kinase; Src: Rous
            sarcoma oncogene cellular homolog; VEGF: Vascular endothelial growth factor

            phosphoinositide 3 kinase (PI3k)/AKT/mTOR pathway,   cell proliferation and may be involved in tumor progression
            which can further promote the malignant biological   and chemoresistance .
                                                                               [89]
            behavior of H460 cells (Figure 4). Lu et al.  found that   Opioids usually exert their corresponding effects by
                                               [87]
            the downregulation of MOR was able to inhibit human   agonizing MOR. The different and even opposite effects
            LC progression both in vivo and in vitro and detected the   of opioids in various cancers may be due to factors such
            activation of mitogen-activated protein kinase (MAPK)-  as cell type, drug, and dose. Overall, the above reports
            related signaling pathways while conducting a clinical study   have  shown  that  in  different  types  of  tumor  cell,  the
            of patients with LC. Similar results have been reported by   expression of MOR is closely related to the occurrence and
            Zhang et al.  who found that the expression of MOR in   development of tumors. MOR is anticipated to be used as
                     [56]
            HCC cells and tissue was higher than in non-tumor cells   a novel biomarker and therapeutic target for some cancers,
            or adjacent tissue and the specific anti-MOR monoclonal   necessitating further exploration and research on cancer
            antibody  (mAb)  3A5C7  inhibited  the proliferation  of   immunotherapy.
            HepG2 and Huh7  cells through the MOR-CD147-p53-
            MAPK pathway (Figure 5).                           3.2. Tumor angiogenesis
              The association between MOR expression and       Angiogenesis is an essential process for tumorigenesis, tumor
            tumorigenesis has been reported in many other types   growth, and metastasis, and it is regulated by various factors.
            of cancer. In CRC cells, there were differences in the   At present, there is a growing interest in the close relationship
            expression of MOR in tumor and control tissues and in the   between MOR and tumorigenesis and its influence on tumor
            activation of cAMP/PKA signaling pathway, suggesting   angiogenesis. As solid tumors grow, tumor cells move
            a higher expression of MOR in colorectal cancer .   further away from their vascular supply. The hypoxic tension
                                                        [88]
            Moreover, MOR overexpression has shown to increase PC   or hypoxia subsequently stimulates tumor cells to secrete

            Volume 2 Issue 2 (2023)                         8                         https://doi.org/10.36922/gpd.282
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