Chronic Morphine Treatment Attenuates Cell Growth of Human BT474 Breast Cancer Cells by Rearrangement of the ErbB Signalling Network.docVIP

Chronic Morphine Treatment Attenuates Cell Growth of Human BT474 Breast Cancer Cells by Rearrangement of the ErbB Signalling Network.doc

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Chronic Morphine Treatment Attenuates Cell Growth of Human BT474 Breast Cancer Cells by Rearrangement of the ErbB Signalling Network

ChronicMorphineTreatmentAttenuatesCellGrowthof HumanBT474BreastCancerCellsbyRearrangementof theErbBSignallingNetwork InkaRegineWeingaertner,SarahKoutnik,HermannAmmer* InstituteofPharmacology,ToxicologyandPharmacy,Ludwig-Maximilians-University,Munich,Germany Abstract Background:Thereisincreasingevidencethatopioidanalgesicsmayinterferewithtumourgrowth.Itiscurrentlythought thattheseeffectsaremediatedbytransactivationofreceptortyrosinekinase(RTK)-controlledERK1/2andAktsignalling. ThegrowthofmanybreastcancercellsisdependentonhyperactiveErbBreceptornetworksandoneofthemostsuccessful approachesinantineoplastictherapyduringthelastdecadewasthedevelopmentofErbB-targetedtherapies.However,the responseratesofsingletherapiesareoftenpoorandresistancemechanismsevolverapidly.Todatethereisnoinformation abouttheabilityofopioidanalgesicstointerferewiththegrowthofErbB-drivencancers. MethodsandPrincipalFindings:HerewedemonstratethatErbB2overexpressingBT474humanbreastcancercellscarry fully functional endogenous m-opioid receptors. Most interestingly, the acute opioid effects on basal and Heregulin- stimulatedERK1/2andAktphosphorylationchangedconsiderablyduringchronicMorphinetreatment.Investigationofthe underlyingmechanismbytheuseofproteinkinaseinhibitorsandco-immunoprecipitationstudiesrevealedthatchronic Morphine treatment results in rearrangement of the ErbB signalling network leading to dissociation of ERK1/2 from Akt signalling and a switch from ErbB1/ErbB3 to ErbB1/ErbB2-dependent cell growth. In chronically Morphine-treated cells Heregulin-stimulated ERK1/2 signalling is redirected via a newly established PI3K- and metalloproteinase-dependent feedbackloop.Together,thesealterationsresultinapoptosisofBT474cells.AsimilarswitchinHeregulin-stimulatedERK1/2 signallingfromanErbB2-independenttoanErbB2-,PI3K-andmetalloproteinase-dependentmechanismwasalsoobserved ink-opioidreceptorexpressingSKBR3humanmammaryadenocarcinomacells. ConclusionsandSignificance:ThepresentdatademonstratethattheErbBre

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