Carcinoma of the head and neck is the sixth leading cause of cancer in the
world, and the third most common neoplasia in developing countries. More th
an 90% of head and neck cancers are squamous cell carcinomas (SCCHN). Appro
ximately half of the patients afflicted die within 5 years of diagnosis and
survival rates for cancer of the upper aerodigestive tract have not change
d in 25 years. The opioid growth factor (OGF), [Met(5)]-enkephalin, inhibit
s the growth of SCCHN ill vitro and in vivo, and acts in a receptor-mediate
d fashion. Receptor binding assays using CAL-27 human SCCHN cells in cultur
e and [H-3]-[Met(5)]-enkephalin were employed to identify and characterize
the receptor responsible for the growth-regulatory effects of OGF. Specific
and saturable binding was recorded, and Scatchard analysis showed that the
data were consistent for a single binding site with a binding affinity (K-
d) of 5.0+/-0.9 nM and maximal binding capacity (B-max) of 47.5+/-1.7 fmol/
mg protein. Subcellular fractionation studies determined that the optimal b
inding occurred with the nuclear fraction. Competition experiments demonstr
ated that cold [Met(5)]-enkephalin was at least 7-fold greater than ligands
selective for classical opioid receptors. Binding was detected in 4 other
SCCHN cell lines. Receptor number in xenografts of CAL-27 was decreased alm
ost 5-fold compared to the same cells grown in vitro. Binding to radio-labe
led [Met(5)]-enkephalin was recorded in SCCHN obtained from surgical resect
ions. The function, pharmacological and biochemical characteristics, distri
bution and subcellular location of OGF binding in human SCCHN were consonan
t with the OGF receptor (OGFr).