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Morphine,
a common treatment for severe cancer pain, has been shown to stimulate
the growth of breast tumors in mice, according to researchers
at the University of Minnesota.
Morphine stimulates
signals in endothelial cells that spur the growth of tumors in
mice, according to the study published in Cancer Research. Researchers
said there is currently no scientific evidence that indicates
that morphine will lead to increased growth of cancers in humans.
The mice in
the study were given doses of morphine similar to what is given
to cancer patients. The drug activates a signaling pathway in
human endothelial cells (cells that form blood vessels). The signaling
pathway promotes endothelial cell multiplication and angiogenesis
(formation of new blood vessels). Angiogenesis can promote tumor
growth by providing nutrients to the tumors and transporting cancer
cells from a tumor to other areas of the body.
However, morphine
did not promote initial or early growth of tumors, said Kalpna
Gupta, PhD, assistant professor in the department of medicine
and lead author of the study.
Researchers
also discovered that morphine promotes the survival of endothelial
cells by activating a key survival-signaling pathway inside these
cells. Endothelial cell survival is critical to the process of
the formation of new blood vessels.
"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," said 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."
Researchers
are hopeful that their findings will lead to new treatments to
manage cancer pain that do not stimulate the formation of new
blood vessels.
Other
sources: University of Minnesota
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