Document Detail


Muscarinic receptor agonists and antagonists: effects on cancer.
MedLine Citation:
PMID:  22222710     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Many epithelial and endothelial cells express a cholinergic autocrine loop in which acetylcholine acts as a growth factor to stimulate cell growth. Cancers derived from these tissues similarly express a cholinergic autocrine loop and ACh secreted by the cancer or neighboring cells interacts with M3 muscarinic receptors expressed on the cancer cells to stimulate tumor growth. Primary proliferative pathways involve MAPK and Akt activation. The ability of muscarinic agonists to stimulate, and M3 antagonists to inhibit tumor growth has clearly been demonstrated for lung and colon cancer. The ability of muscarinic agonists to stimulate growth has been shown for melanoma, pancreatic, breast, ovarian, prostate and brain cancers, suggesting that M3 antagonists will also inhibit growth of these tumors as well. As yet no clinical trials have proven the efficacy of M3 antagonists as cancer therapeutics, though the widespread clinical use and low toxicity of M3 antagonists support the potential role of these drugs as adjuvants to current cancer therapies.
Authors:
Eliot R Spindel
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Handbook of experimental pharmacology     Volume:  -     ISSN:  0171-2004     ISO Abbreviation:  Handb Exp Pharmacol     Publication Date:  2012  
Date Detail:
Created Date:  2012-01-06     Completed Date:  2012-04-25     Revised Date:  2013-04-18    
Medline Journal Info:
Nlm Unique ID:  7902231     Medline TA:  Handb Exp Pharmacol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  451-68     Citation Subset:  IM    
Affiliation:
Division of Neuroscience, Oregon National Primate Research Center, Oregon Health and Science University, 505 NW 185th Avenue, Beaverton, OR 97006, USA. Spindele@ohsu.edu
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MeSH Terms
Descriptor/Qualifier:
Acetylcholine / metabolism
Animals
Antineoplastic Agents / pharmacology*
Autocrine Communication / drug effects
Cell Proliferation / drug effects
Chemotherapy, Adjuvant
Humans
Muscarinic Agonists / pharmacology*
Muscarinic Antagonists / pharmacology*
Neoplasms / drug therapy*,  metabolism
Receptors, Muscarinic / drug effects*,  metabolism
Signal Transduction / drug effects
Grant Support
ID/Acronym/Agency:
HL087710/HL/NHLBI NIH HHS; R01 CA151601/CA/NCI NIH HHS; R01 HL087710/HL/NHLBI NIH HHS; RR00163/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 0/Muscarinic Agonists; 0/Muscarinic Antagonists; 0/Receptors, Muscarinic; 51-84-3/Acetylcholine
Comments/Corrections

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