The Potential Effect of Lidocaine, Ropivacaine, Levobupivacaine and Morphine on Breast Cancer Pre-Clinical Models: A Systematic Review

Breast cancer (BC) is one of the most common types of cancer and the second leading cause of death in women. Local anaesthetics (LAs) and opioids have been shown to influence cancer progression and metastasis formation in several pre-clinical studies. However, their effects do not seem to promote co...

Full description

Bibliographic Details
Main Authors: Ana Catarina Matos, Inês Alexandra Marques, Ana Salomé Pires, Ana Valentim, Ana Margarida Abrantes, Maria Filomena Botelho
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/3/1894
_version_ 1797487129183387648
author Ana Catarina Matos
Inês Alexandra Marques
Ana Salomé Pires
Ana Valentim
Ana Margarida Abrantes
Maria Filomena Botelho
author_facet Ana Catarina Matos
Inês Alexandra Marques
Ana Salomé Pires
Ana Valentim
Ana Margarida Abrantes
Maria Filomena Botelho
author_sort Ana Catarina Matos
collection DOAJ
description Breast cancer (BC) is one of the most common types of cancer and the second leading cause of death in women. Local anaesthetics (LAs) and opioids have been shown to influence cancer progression and metastasis formation in several pre-clinical studies. However, their effects do not seem to promote consensus. A systematic review was conducted using the databases Medline (via PubMed), Scopus, and Web of Science (2010 to December 2021). Search terms included “lidocaine”, “ropivacaine”, “levobupivacaine”, “morphine”, “methadone”, “breast cancer”, “breast carcinoma” and “breast neoplasms” in diverse combinations. The search yielded a total of 784 abstracts for initial review, 23 of which met the inclusion criteria. Here we summarise recent studies on the effect of analgesics and LAs on BC cell lines and animal models and in combination with other treatment regimens. The results suggest that local anaesthetics have anti-tumorigenic properties, hence their clinical application holds therapeutic potential. Regarding morphine, the findings are conflicting, but this opioid appears to be a tumour-promoting agent. Methadone-related results are scarce. Additional research is clearly required to further study the mechanisms underlying the controversial effects of each analgesic or LA to establish the implications upon the outcome and prognosis of BC patients’ treatment.
first_indexed 2024-03-09T23:43:05Z
format Article
id doaj.art-a9aba4676a564c8e8ab2520227d96fb2
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-09T23:43:05Z
publishDate 2022-02-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-a9aba4676a564c8e8ab2520227d96fb22023-11-23T16:48:21ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-02-01233189410.3390/ijms23031894The Potential Effect of Lidocaine, Ropivacaine, Levobupivacaine and Morphine on Breast Cancer Pre-Clinical Models: A Systematic ReviewAna Catarina Matos0Inês Alexandra Marques1Ana Salomé Pires2Ana Valentim3Ana Margarida Abrantes4Maria Filomena Botelho5Faculty of Pharmacy, University of Coimbra, 3000-548 Coimbra, PortugalFaculty of Pharmacy, University of Coimbra, 3000-548 Coimbra, PortugalCoimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment, Genetics and Oncobiology (CIMAGO), Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, PortugalClinical Academic Center of Coimbra (CACC), 3004-561 Coimbra, PortugalCoimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment, Genetics and Oncobiology (CIMAGO), Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, PortugalCoimbra Institute for Clinical and Biomedical Research (iCBR) Area of Environment, Genetics and Oncobiology (CIMAGO), Institute of Biophysics, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, PortugalBreast cancer (BC) is one of the most common types of cancer and the second leading cause of death in women. Local anaesthetics (LAs) and opioids have been shown to influence cancer progression and metastasis formation in several pre-clinical studies. However, their effects do not seem to promote consensus. A systematic review was conducted using the databases Medline (via PubMed), Scopus, and Web of Science (2010 to December 2021). Search terms included “lidocaine”, “ropivacaine”, “levobupivacaine”, “morphine”, “methadone”, “breast cancer”, “breast carcinoma” and “breast neoplasms” in diverse combinations. The search yielded a total of 784 abstracts for initial review, 23 of which met the inclusion criteria. Here we summarise recent studies on the effect of analgesics and LAs on BC cell lines and animal models and in combination with other treatment regimens. The results suggest that local anaesthetics have anti-tumorigenic properties, hence their clinical application holds therapeutic potential. Regarding morphine, the findings are conflicting, but this opioid appears to be a tumour-promoting agent. Methadone-related results are scarce. Additional research is clearly required to further study the mechanisms underlying the controversial effects of each analgesic or LA to establish the implications upon the outcome and prognosis of BC patients’ treatment.https://www.mdpi.com/1422-0067/23/3/1894breast carcinomalidocaineropivacainelevobupivacainemorphinemethadone
spellingShingle Ana Catarina Matos
Inês Alexandra Marques
Ana Salomé Pires
Ana Valentim
Ana Margarida Abrantes
Maria Filomena Botelho
The Potential Effect of Lidocaine, Ropivacaine, Levobupivacaine and Morphine on Breast Cancer Pre-Clinical Models: A Systematic Review
International Journal of Molecular Sciences
breast carcinoma
lidocaine
ropivacaine
levobupivacaine
morphine
methadone
title The Potential Effect of Lidocaine, Ropivacaine, Levobupivacaine and Morphine on Breast Cancer Pre-Clinical Models: A Systematic Review
title_full The Potential Effect of Lidocaine, Ropivacaine, Levobupivacaine and Morphine on Breast Cancer Pre-Clinical Models: A Systematic Review
title_fullStr The Potential Effect of Lidocaine, Ropivacaine, Levobupivacaine and Morphine on Breast Cancer Pre-Clinical Models: A Systematic Review
title_full_unstemmed The Potential Effect of Lidocaine, Ropivacaine, Levobupivacaine and Morphine on Breast Cancer Pre-Clinical Models: A Systematic Review
title_short The Potential Effect of Lidocaine, Ropivacaine, Levobupivacaine and Morphine on Breast Cancer Pre-Clinical Models: A Systematic Review
title_sort potential effect of lidocaine ropivacaine levobupivacaine and morphine on breast cancer pre clinical models a systematic review
topic breast carcinoma
lidocaine
ropivacaine
levobupivacaine
morphine
methadone
url https://www.mdpi.com/1422-0067/23/3/1894
work_keys_str_mv AT anacatarinamatos thepotentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT inesalexandramarques thepotentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT anasalomepires thepotentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT anavalentim thepotentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT anamargaridaabrantes thepotentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT mariafilomenabotelho thepotentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT anacatarinamatos potentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT inesalexandramarques potentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT anasalomepires potentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT anavalentim potentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT anamargaridaabrantes potentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview
AT mariafilomenabotelho potentialeffectoflidocaineropivacainelevobupivacaineandmorphineonbreastcancerpreclinicalmodelsasystematicreview