Summary
Objectives
Expression of mu-opioid receptors (MORs) has not been investigated in head and neck
cancer. In this study, we aimed to assess the expression of opioids receptors in laryngeal
cancer, compared to adjacent non-malignant tissue.
Study design
A retrospective case series in a single academic center.
Methods
Sixty-four specimens were taken from 32 matched patients, diagnosed with laryngeal-carcinoma
(20 supraglottic and 12 glottic), and were analyzed using immunohistochemical stains
for MOR. All sections were examined and evaluated with a semi-quantitative analysis
for staining intensity and cell count for a percentage of the positively stained cells.
Survival of patients was compared based on MOR expression.
Results
MOR staining intensity was significantly increased in laryngeal-carcinoma compared
to the normal tissue adjacent to the carcinoma (P = 0.019). The percentage of stained cells in non-involved supraglottis was significantly
higher compared to the non-involved glottis (P = 0.022), yet this difference was no longer found between supra- and glottic-carcinoma
tissues.
Conclusion
MOR may play a role in the laryngeal cancer environment, as the expression in tumor
cells alters from adjacent non-cancerous tissue.
Key Words
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References
Research Data (1975-2016), National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Stat Facts: Laryngeal Cancer. Surveillance, epidemiology, and end results (SEER) program. Available at: www.seer.cancer.gov. Accessed February 26, 2020.
- Global epidemiology of head and neck cancers: a continuing challenge.Oncology. 2016; 91: 13-23
- Head and Neck Cancer (Version 1.2020).2020 (Available at:) (Accessed February 26, 2020)
- Five-year survival rates and time trends of laryngeal cancer in the US population.Arch Otolaryngol Head Neck Surg. 2008; 134: 370-379
- Supraglottic versus glottic laryngeal cancer: epidemiological and pathological aspects.ORL J Otorhinolaryngol Relat Spec. 1992; 54: 43-48
- Risk factors of cancer of the larynx: results of the Heidelberg case-control study.Otolaryngol Head Neck Surg. 1992; 107: 577-582
- Alcohol and laryngeal cancer: an update.Eur J Cancer Prev. 2008; 17: 116-124
- Tobacco, alcohol, asbestos, and occupational risk factors for laryngeal cancer.Cancer. 1992; 69: 2244-2251
- Intravenous opioid drug abuse as an independent risk factor for supraglottic squamous cell carcinoma—a case-control study.Clin Otolaryngol. 2018; 43: 456-462
- Opium and risk of laryngeal cancer.Laryngoscope. 2003; 113: 1939-1943
- Radiotherapy of carcinoma of the Larynx.Ann Acad Med Singapore. 1981; 10: 307-310
- Methadone maintenance and cancer risk: an Israeli case registry study.Drug Alcohol Depend. 2011; 119: 88-92
- Functional expression of mu-opioid receptors in the human colon cancer cell line, HT-29, and their localization in human colon.Dig Dis Sci. 2008; 53: 461-466
- Increased mu-opioid receptor expression in metastatic lung cancer.Br J Anaesth. 2014; 113: i103-i108
- Association of mu-opioid receptor expression with lymph node metastasis in esophageal squamous cell carcinoma.Dis Esophagus. 2015; 28: 196-203
- Overexpression of the mu-opioid receptor in human non-small cell lung cancer promotes Akt and mTOR activation, tumor growth, and metastasis.Anesthesiology. 2012; 116: 857-867
- Opioid requirement, opioid receptor expression, and clinical outcomes in patients with advanced prostate cancer.Cancer. 2013; 119: 4103-4110
- MOR1 expression in gastric cancer: a biomarker associated with poor outcome.CTS journal. 2012; 8: 2
- Census Data.2008 (Available at:) (Accessed April 10, 2016)
- Principles for valid histopathologic scoring in research.Vet Pathol. 2013; 50: 1007-1015
- Role of the mu-opioid receptor in opioid modulation of immune function.Amino Acids. 2013; 45: 9-24
- Microvascular structure of the larynx. A scanning electron microscopic study of microcorrosion casts.Acta Otolaryngol Suppl. 1991; 486: 254-263
- Normal Anatomy, Histology and Heterotopia of the Larynx. Atlas of Ear, Nose and Throat Pathology, Volume 16 of the series Current Histopathology.1st ed. Springer, The Netherlands1990: 82-86
- Central and peripheral mechanisms of narcotic antitussives: codeine-sensitive and -resistant coughs.Cough. 2007; 9: 3-8
- Differential beta-catenin expression between glottic and supraglottic laryngeal carcinoma.Eur Arch Otorhinolaryngol. 2010; 267: 1573-1578
- The immunohistochemical expression of p21WAF1/Cip1 and proliferating cell nuclear antigen in laryngeal squamous cell carcinomas.J Laryngol Otol. 2006; 120: 1042-1048
- Glottic versus supraglottic tumors: differential molecular profile.Eur Arch Otorhinolaryngol. 2008; 265: 79-84
- Supraglottic and glottic carcinomas: clinically and biologically distinct entities?.Eur J Cancer. 2002; 38: 1717-1723
- 75 years of opioid research: the exciting but vain quest for the Holy Grail.Br J Pharmacol. 2006; 147: S153-S162
- Chronic opioid use in patients undergoing treatment for oropharyngeal cancer.Laryngoscope. 2019; 129: 2087-2093
- Chronic opioid use following surgery for oral cavity cancer.JAMA Otolaryngol Head Neck Surg. 2017; 143: 1187-1194
Article info
Publication history
Published online: March 07, 2021
Accepted:
February 11,
2021
Footnotes
Funding: None
Identification
Copyright
© 2021 The Voice Foundation. Published by Elsevier Inc. All rights reserved.