Morphine and cancer progression: hydrogen peroxide points to need for more research

J Opioid Manag. 2011 Mar-Apr;7(2):93-6. doi: 10.5055/jom.2011.0051.

Abstract

Background: Morphine is widely used in the management of intractable cancer pain. However, conflicting views exist on two suspected nonanalgesic properties of morphine: suppression of immune function and inhibition of cancer progression.

Methods: In vitro measurement of the tumor growth-inhibiting signaling molecule, hydrogen peroxide (H2O2), released from the cultured acute monocytic leukemia cell line, THP-1, in the presence or absence of morphine.

Results: Morphine at concentrations of 10(-8) M significantly reduced H2O2 release from THP-1 cells.

Conclusions: These results provide a proof of concept for morphine's ability to inhibit H2O2 production and release in a leukemia cell system and point to a possible and as yet unrecognized tumor-promoting effect of morphine. More research is needed to systematically examine this suspected morphine-associated tumor-promoting effect.

MeSH terms

  • Cell Line, Tumor
  • Disease Progression
  • Humans
  • Hydrogen Peroxide / metabolism*
  • Macrophages / drug effects
  • Macrophages / metabolism
  • Membrane Glycoproteins / physiology
  • Morphine / pharmacology*
  • NADPH Oxidase 2
  • NADPH Oxidases / physiology
  • Neoplasms / etiology*
  • Neoplasms / metabolism

Substances

  • Membrane Glycoproteins
  • Morphine
  • Hydrogen Peroxide
  • CYBB protein, human
  • NADPH Oxidase 2
  • NADPH Oxidases