Ex vivo nonviral gene delivery of μ-opioid receptor to attenuate cancer-induced pain

Pain. 2017 Feb;158(2):240-251. doi: 10.1097/j.pain.0000000000000750.

Abstract

Virus-mediated gene delivery shows promise for the treatment of chronic pain. However, viral vectors have cytotoxicity. To avoid toxicities and limitations of virus-mediated gene delivery, we developed a novel nonviral hybrid vector: HIV-1 Tat peptide sequence modified with histidine and cysteine residues combined with a cationic lipid. The vector has high transfection efficiency with little cytotoxicity in cancer cell lines including HSC-3 (human tongue squamous cell carcinoma) and exhibits differential expression in HSC-3 (∼45-fold) relative to HGF-1 (human gingival fibroblasts) cells. We used the nonviral vector to transfect cancer with OPRM1, the μ-opioid receptor gene, as a novel method for treating cancer-induced pain. After HSC-3 cells were transfected with OPRM1, a cancer mouse model was created by inoculating the transfected HSC-3 cells into the hind paw or tongue of athymic mice to determine the analgesic potential of OPRM1 transfection. Mice with HSC-3 tumors expressing OPRM1 demonstrated significant antinociception compared with control mice. The effect was reversible with local naloxone administration. We quantified β-endorphin secretion from HSC-3 cells and showed that HSC-3 cells transfected with OPRM1 secreted significantly more β-endorphin than control HSC-3 cells. These findings indicate that nonviral delivery of the OPRM1 gene targeted to the cancer microenvironment has an analgesic effect in a preclinical cancer model, and nonviral gene delivery is a potential treatment for cancer pain.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Cancer Pain / metabolism
  • Cancer Pain / pathology
  • Cancer Pain / therapy*
  • Carcinoma, Squamous Cell / complications*
  • Carcinoma, Squamous Cell / genetics
  • Cell Line, Tumor
  • Disease Models, Animal
  • Fibromatosis, Gingival / genetics
  • Fibromatosis, Gingival / metabolism
  • Genetic Therapy / methods*
  • Genetic Vectors
  • Green Fluorescent Proteins / genetics
  • Green Fluorescent Proteins / metabolism
  • Humans
  • Mice
  • Receptors, Opioid, mu / genetics
  • Receptors, Opioid, mu / metabolism*
  • Tongue Neoplasms / complications*
  • Tongue Neoplasms / genetics
  • Transfection

Substances

  • OPRM1 protein, human
  • Receptors, Opioid, mu
  • Green Fluorescent Proteins