Evidence map›Paper›PMID 24626197›Full record

ArticleCell cycle (Georgetown, Tex.)2014

Opioid receptor activation triggering downregulation of cAMP improves effectiveness of anti-cancer drugs in treatment of glioblastoma.

Claudia Friesen, Inis Hormann, Mareike Roscher, Iduna Fichtner, Andreas Alt, Ralf Hilger, Klaus-Michael Debatin, Erich Miltner

Open access · bronzeAbstract read
In one paragraph

Article in Cell cycle (Georgetown, Tex.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
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  19. Anaesthesia as an influence in tumour progression.Langenbeck's archives of surgery · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 5 countries.

Claudia FriesenCenter for Biomedical Research; University of Ulm; Ulm, Germany; Institute of Legal Medicine; University of Ulm; Ulm, Germany.
Inis HormannCenter for Biomedical Research; University of Ulm; Ulm, Germany; Institute of Legal Medicine; University of Ulm; Ulm, Germany.
Mareike RoscherCenter for Biomedical Research; University of Ulm; Ulm, Germany; Institute of Legal Medicine; University of Ulm; Ulm, Germany.
Iduna FichtnerMax Delbrueck Center for Molecular Medicine; Berlin, Germany.
Andreas AltInstitute of Legal Medicine; University of Ulm; Ulm, Germany.
Ralf HilgerDepartment of Internal Medicine; University of Essen; West German Cancer Center; Essen, Germany.
Klaus-Michael DebatinUniversity Children's Hospital; University of Ulm; Ulm, Germany.
Erich MiltnerCenter for Biomedical Research; University of Ulm; Ulm, Germany; Institute of Legal Medicine; University of Ulm; Ulm, Germany.
Foundation for Biomedical Research · USUniversität Ulm · DEInstitute of Legal Economics · RUMax Delbrück Center · DEUniwersytecki Szpital Dziecięcy · PLWest Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glioblastoma are the most frequent and malignant human brain tumors, having a very poor prognosis. The enhanced radio- and chemoresistance of glioblastoma and the glioblastoma stem cells might be the main reason why conventional therapies fail. The second messenger cyclic AMP (cAMP) controls cell proliferation, differentiation, and apoptosis. Downregulation of cAMP sensitizes tumor cells for anti-cancer treatment. Opioid receptor agonists triggering opioid receptors can activate inhibitory Gi proteins, which, in turn, block adenylyl cyclase activity reducing cAMP. In this study, we show that downregulation of cAMP by opioid receptor activation improves the effectiveness of anti-cancer drugs in treatment of glioblastoma. The µ-opioid receptor agonist D,L-methadone sensitizes glioblastoma as well as the untreatable glioblastoma stem cells for doxorubicin-induced apoptosis and activation of apoptosis pathways by reversing deficient caspase activation and deficient downregulation of XIAP and Bcl-xL, playing critical roles in glioblastomas' resistance. Blocking opioid receptors using the opioid receptor antagonist naloxone or increasing intracellular cAMP by 3-isobutyl-1-methylxanthine (IBMX) strongly reduced opioid receptor agonist-induced sensitization for doxorubicin. In addition, the opioid receptor agonist D,L-methadone increased doxorubicin uptake and decreased doxorubicin efflux, whereas doxorubicin increased opioid receptor expression in glioblastomas. Furthermore, opioid receptor activation using D,L-methadone inhibited tumor growth significantly in vivo. Our findings suggest that opioid receptor activation triggering downregulation of cAMP is a promising strategy to inhibit tumor growth and to improve the effectiveness of anti-cancer drugs in treatment of glioblastoma and in killing glioblastoma stem cells.

Indexed as

AnimalsAntineoplastic AgentsApoptosisBrain NeoplasmsCell Line, TumorCell ProliferationCyclic AMPDown-RegulationDoxorubicinDrug SynergismGlioblastomaHumansMethadoneMiceMice, NudeNeoplastic Stem CellsAntineoplastic AgentsCyclic AMPDoxorubicinMethadoneReceptors, Opioid, muapoptosiscAMPchemoresistancechemotherapyD,L-methadoneglioblastomaglioblastoma stem cellsopioid receptor

Identifiers

PMID24626197
PMCPMC4050161
OpenAlexW2071319684

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.