Targeting the kappa opioid receptor for analgesia and antitumour effects.

in British journal of anaesthesia by David G Lambert, Joshua S Mincer

TLDR

  • Kappa opioid receptor agonists show promise as chemotherapeutic adjuncts for glioma treatment due to their ability to promote apoptosis of glioma cells.

Abstract

Kappa opioid (KOP) receptor agonists have analgesic actions in a range of models, but central side-effects can limit their utility. In addition, non-analgesic actions of opioid receptors are receiving significant research interest. A recent article reports that high KOP receptor expression in glioma tissue correlates with improved survival and that KOP receptor agonism further promotes apoptosis of glioma cells through regulation of the p38 MAPK oncogenic pathway. This suggests that KOP receptor ligands could be developed as chemotherapeutic adjuncts in addition to their use as analgesics.

Overview

  • The study investigates the analgesic actions of Kappa opioid (KOP) receptor agonists, but also explores the non-analgesic effects of opioid receptors.
  • The researchers analyzed the correlation between KOP receptor expression in glioma tissue and patient survival, finding a positive correlation.
  • The study proposes the development of KOP receptor ligands as chemotherapeutic adjuncts in addition to their use as analgesics.

Comparative Analysis & Findings

  • High KOP receptor expression in glioma tissue was found to correlate with improved patient survival.
  • KOP receptor agonism was shown to further promote apoptosis of glioma cells through regulation of the p38 MAPK oncogenic pathway.
  • This suggests that KOP receptor agonists could have potential therapeutic applications beyond their analgesic effects.

Implications and Future Directions

  • The study provides potential new avenues for the development of chemotherapeutic adjuncts for glioma treatment.
  • Further research is needed to fully understand the mechanisms by which KOP receptor agonism promotes apoptosis of glioma cells.
  • The potential for KOP receptor ligands to have therapeutic applications in other cancer types or diseases warrants further investigation.