PMID- 26566757 OWN - NLM STAT- MEDLINE DCOM- 20160620 LR - 20211203 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 138 IP - 8 DP - 2016 Apr 15 TI - Blocking mammalian target of rapamycin alleviates bone cancer pain and morphine tolerance via micro-opioid receptor. PG - 2013-20 LID - 10.1002/ijc.29927 [doi] AB - The current study was to examine the underlying mechanisms responsible for the role of mammalian target of rapamycin (mTOR) in regulating bone cancer-evoked pain and the tolerance of systemic morphine. Breast sarcocarcinoma Walker 256 cells were implanted into the tibia bone cavity of rats and this evoked significant mechanical and thermal hyperalgesia. Our results showed that the protein expression of p-mTOR, mTOR-mediated phosphorylation of 4E-binding protein 4 (4E-BP1), p70 ribosomal S6 protein kinase 1 (S6K1) as well as phosphatidylinositide 3-kinase (p-PI3K) pathways were amplified in the superficial dorsal horn of the spinal cord of bone cancer rats compared with control rats. Blocking spinal mTOR by using rapamycin significantly attenuated activities of PI3K signaling pathways as well as mechanical and thermal hyperalgesia. Additionally, rapamycin enhanced attenuations of protein kinase Cvarepsilon (PKCvarepsilon)/protein kinase A (PKA) induced by morphine and further extended analgesia of morphine via micro-opioid receptor (MOR). Our data for the first time revealed specific signaling pathways leading to bone cancer pain, including the activation of mTOR and PI3K and downstream PKCvarepsilon/PKA, and resultant sensitization of MOR. Targeting one or more of these signaling molecules may present new opportunities for treatment and management of bone cancer pain often observed in clinics. CI - (c) 2015 UICC. FAU - Jiang, Zongming AU - Jiang Z AD - Department of Anesthesiology, Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing, Zhejiang, 312000, China. FAU - Wu, Shaoyong AU - Wu S AD - Department of Anesthesiology, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangdong, 510000, China. FAU - Wu, Xiujuan AU - Wu X AD - Department of Nephrology, Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing, Zhejiang, 312000, China. FAU - Zhong, Junfeng AU - Zhong J AD - Department of Anesthesiology, Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing, Zhejiang, 312000, China. FAU - Lv, Anqing AU - Lv A AD - Department of Anesthesiology, Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing, Zhejiang, 312000, China. FAU - Jiao, Jing AU - Jiao J AD - Department of Anesthesiology, Shanghai Obstetrics and Gynecology Hospital, Fudan University, Shanghai, 200011, China. FAU - Chen, Zhonghua AU - Chen Z AD - Department of Anesthesiology, Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing, Zhejiang, 312000, China. LA - eng PT - Journal Article DEP - 20151208 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Analgesics, Opioid) RN - 0 (Receptors, Opioid, mu) RN - 76I7G6D29C (Morphine) RN - EC 2.7.1.1 (mTOR protein, rat) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) SB - IM CIN - Int J Cancer. 2016 Oct 1;139(7):1670-1. PMID: 27244273 CIN - Int J Cancer. 2016 Oct 1;139(7):1672. PMID: 27244694 MH - Analgesics, Opioid/pharmacology MH - Animals MH - Blotting, Western MH - Bone Neoplasms/*complications MH - Disease Models, Animal MH - Drug Tolerance/*physiology MH - Morphine/pharmacology MH - Pain/*metabolism MH - Rats MH - Rats, Wistar MH - Receptors, Opioid, mu/*metabolism MH - Signal Transduction/physiology MH - Sirolimus/pharmacology MH - TOR Serine-Threonine Kinases/*antagonists & inhibitors OTO - NOTNLM OT - bone cancer OT - mTOR OT - morphine tolerance OT - neuropathic pain EDAT- 2015/11/15 06:00 MHDA- 2016/06/21 06:00 CRDT- 2015/11/15 06:00 PHST- 2015/04/04 00:00 [received] PHST- 2015/10/12 00:00 [revised] PHST- 2015/10/20 00:00 [accepted] PHST- 2015/11/15 06:00 [entrez] PHST- 2015/11/15 06:00 [pubmed] PHST- 2016/06/21 06:00 [medline] AID - 10.1002/ijc.29927 [doi] PST - ppublish SO - Int J Cancer. 2016 Apr 15;138(8):2013-20. doi: 10.1002/ijc.29927. Epub 2015 Dec 8.