Cancer is a simplistic, yet complicated, process that promotes uncontrolled growth. In this regard, this unconstrained proliferation may represent primitive phenomena whereby cellular regulation is suspended or compromised. Given the new empirical evidence for a morphinergic presence and its profound modulatory actions on several cellular processes it is not an overstatement to hypothesize that morphine may represent a key chemical messenger in the process of modulating proliferation of diverse cells. This has been recently demonstrated by the finding of a novel opiate-alkaloid selective receptor subtype in human multilineage progenitor cells (MLPC). Adding to the significance of morphinergic signaling are the findings of its presence in plant, invertebrate and vertebrate cells, which also have been shown to synthesize this messenger as well. Interestingly, we and others have shown that some cancerous tissues contain morphine. Furthermore, in medullary histolytic reticulosis, which is exemplified by cells having hyperactivity, the mu3 (μ 3 ) opiate select receptor was not present. Thus, it would appear that morphinergic signaling has inserted itself in many processes taking a long time to evolve, including those regulating the proliferation of cells across diverse phyla.Keywords endogenous morphine; μ 3 opiate receptor; nitric oxide; stem cell; cancer * Corresponding Author: Dr. George B. Stefano, Neuroscience Research Institute, SUNY College at Old Westbury, P.O. Box 210, Old Westbury, NY 11568, USA Tel: 001-516-876-2732; Fax: 001-516-876-2727; Email: gstefano@sunynri.org. Email addresses: gstefano@sunynri.org (GB Stefano); rmkream@sunynri.org (RM Kream); kmantione@sunynri.org (KJ Mantione); msheehan@sunynri.org (M Sheehan); patcad@sunynri.org (P Cadet); zhuwei@sunynri.org (W Zhu); tbilfinger@notes.cc.sunysb.edu (TV Bilfinger); esch@fh-coburg.de (T Esch) Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Author ManuscriptSemin Cancer Biol. Author manuscript; available in PMC 2009 June 1.
Historical Context and Clinical ImplicationsMorphine and chemically related opiate alkaloids represent time-tested analgesic principles for management of severe pain associated with metastatic disease [1,2]. A substantial body of accumulated evidence, however, documents a cadre of cellular/physiological effects associated with pharmacological administration of morphine and related opiate alkaloids that lie outside the realm of anti-nociception and appear to be mediated by indirect and/or "non-traditional" mechanisms. Notably, complementary studies have monitored ...