PMID- 29115581 OWN - NLM STAT- MEDLINE DCOM- 20180608 LR - 20181202 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 52 IP - 1 DP - 2018 Jan TI - Tramadol attenuates the sensitivity of glioblastoma to temozolomide through the suppression of Cx43‑mediated gap junction intercellular communication. PG - 295-304 LID - 10.3892/ijo.2017.4188 [doi] AB - Analgesics and antineoplastic drugs are often used concurrently for cancer patients. Our previous study reported that gap junctions composed of connexin32 (Cx32) was implicated in the effect of analgesics on cisplatin cytotoxicity. However, the effect of analgesic on the most widely expressed connexin (Cx), connexin43 (Cx43), and whether such effect mediates the influence on chemotherapeutic efficiency remain unknown. By manipulation of Cx43 expression or gap junction function, we found that there were gap junction-dependent and independent effect of Cx43 on temozolomide (TMZ) sensitivity in U87 glioblastoma cells. Studies on survival and apoptosis showed widely used analgesic tramadol significantly reduced TMZ-induced cytotoxicity in control and negative control cells but not shCx43-transfected cells. Proliferation assay demonstrated tramadol suppressed TMZ-induced cytotoxicity only on high density (with gap junction formation) but not on low density (without gap junction formation). Tramadol inhibited dye-coupling through gap junctions between U87 cells. Tramadol treatment for 72 h did not alter Cx43 expression, but decreased Cx43 phosphorylation accompanied with reduced p-ERK and p-JNK. Our results indicated that long-term treatment with tramadol reduced TMZ cytotoxicity in U87 cells by suppressing Cx43-composed gap junctions, suggesting identification and usage of antinociceptive drugs which do not downregulate connexin activity should have beneficial therapeutic consequences. FAU - Wang, Lingzhi AU - Wang L AD - Department of Anaesthesia, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510260, P.R. China. FAU - Peng, Yuexia AU - Peng Y AD - Department of Pharmacology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, Guangdong 510080, P.R. China. FAU - Peng, Jianxin AU - Peng J AD - Department of Hepatobiliary Surgery, Guangdong Province Traditional Chinese Medicine Hospital, Guangzhou, Guangdong 510120, P.R. China. FAU - Shao, Min AU - Shao M AD - Department of Pharmacology, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, Guangdong 510080, P.R. China. FAU - Ma, Li AU - Ma L AD - Department of Cardiovascular Internal Medicine, Tianyou Hospital, Wuhan University of Science and Technology, Wuhan, Hubei 430064, P.R. China. FAU - Zhu, Zhuoli AU - Zhu Z AD - Department of Anaesthesia, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510260, P.R. China. FAU - Zhong, Guocheng AU - Zhong G AD - Department of Anaesthesia, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510260, P.R. China. FAU - Xia, Zhengyuan AU - Xia Z AD - Department of Anaesthesia, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510260, P.R. China. FAU - Huang, Huansen AU - Huang H AD - Department of Anaesthesia, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong 510260, P.R. China. LA - eng PT - Journal Article DEP - 20171103 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (Analgesics, Opioid) RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Connexin 43) RN - 39J1LGJ30J (Tramadol) RN - 7GR28W0FJI (Dacarbazine) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Analgesics, Opioid/pharmacology MH - Antineoplastic Agents, Alkylating/pharmacology MH - Brain Neoplasms/*drug therapy/genetics/metabolism/pathology MH - Cell Communication/*drug effects/genetics MH - Cell Line, Tumor MH - Connexin 43/genetics/*metabolism MH - Dacarbazine/administration & dosage/*analogs & derivatives/pharmacology MH - Drug Interactions MH - Gap Junctions/*drug effects/genetics MH - Glioblastoma/*drug therapy/genetics/metabolism/pathology MH - Humans MH - Temozolomide MH - Tramadol/administration & dosage/*pharmacology MH - Transfection EDAT- 2017/11/09 06:00 MHDA- 2018/06/09 06:00 CRDT- 2017/11/09 06:00 PHST- 2017/07/19 00:00 [received] PHST- 2017/10/05 00:00 [accepted] PHST- 2017/11/09 06:00 [pubmed] PHST- 2018/06/09 06:00 [medline] PHST- 2017/11/09 06:00 [entrez] AID - 10.3892/ijo.2017.4188 [doi] PST - ppublish SO - Int J Oncol. 2018 Jan;52(1):295-304. doi: 10.3892/ijo.2017.4188. Epub 2017 Nov 3.