Evidence map›Paper›PMID 40217097›Full record

SynthesisBritish journal of cancer2025

The organ-specific modulation of malignant processes by opioids: a systematic review of cell culture studies.

Natalia Hefteh, Olivia Welch, Mahdi Sheikh, Adam La Caze, Marie-Odile Parat

Abstract readSystematic Review
In one paragraph

Synthesis in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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

5 authors.

Natalia HeftehSchool of Pharmacy, The University of Queensland, St Lucia, QLD, Australia.
Olivia WelchSchool of Pharmacy, The University of Queensland, St Lucia, QLD, Australia.
Mahdi SheikhGenomic Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.ORCID http://orcid.org/0000-0003-3972-7824
Adam La CazeSchool of Pharmacy, The University of Queensland, St Lucia, QLD, Australia.
Marie-Odile ParatSchool of Pharmacy, The University of Queensland, St Lucia, QLD, Australia. m.parat@uq.edu.au.ORCID http://orcid.org/0000-0003-4895-7381

Funding

The Opioid Cohort Consortium (OPICO) to investigate the effects of using opioids on cancer riskU01CA289226 · NCI · INTERNATIONAL AGENCY FOR RES ON CANCER · PI Mahdi SHEIKH · 2024 to 2026
$1.7M
Institut National Du Cancer (French National Cancer Institute) INCa - 2022-037NCI NIH HHS U01 CA289226World Health Organization 001
6 · The paper itself

Abstract

backgroundThe International Agency for Research on Cancer (IARC) monographs recently classified opium consumption as carcinogenic to humans in certain organs, raising concerns regarding the effects of pharmaceutical opioids. This systematic review (Open Science Framework osf.io/xyg9p) evaluated whether opioid exposure causes organ-specific modulation of malignant processes in cancer cell culture studies.

methodsWe identified all research articles evaluating tumour modulation by opioids in vitro through 28/02/2024. Data on the organ of origin of cancer cells, opioid activity, opioid exposure, and cancer outcomes (tumour cell growth, metastasis, clonogenicity) were extracted. Statistical analyses were performed using Fisher's exact tests and multivariable logistic regression.

resultsThe anti-cancer outcome was the most prevalent (57%) while only 11% of experiments reported pro-cancer outcomes. A total of 230 publications, comprising 1465 experiments, were included. Low opioid concentrations (p = 0.0005), short exposure durations (p = 0.0035), and organs where cancer risk increases with opium use (p = 0.002), were associated with reporting of pro-cancer effects for opioid agonists.

conclusionThe findings support a positive association between opioid exposure and growth of cancer cells from lung, bladder, larynx, pancreas, pharynx, stomach, or oesophagus and further reveal duration and concentration as critical factors in experiments evaluating the effects of opioids on cultured cancer cells.

Indexed as

Analgesics, OpioidNeoplasmsAnimalsCell ProliferationHumansOrgan SpecificityAnalgesics, Opioid

Identifiers

PMID40217097
PMCPMC12152132

What OpenQuestion holds

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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.