Iñiguez C, Larrodé P, Mayordomo J I, Mauri J A, Trés A, Morales F
Servicio de Neurología, Hospital Clínico Universitario, Juan Bosco, 15, 50009 Zaragoza.
Neurologia. 2000 Oct;15(8):343-51.
Peripheral neurotoxicity is a crucial side effect of chemotherapeutic agents. It is the only situation where there is no preventive treatment. Neuromuscular toxicity has become the major dose limiting side effect for many chemotherapeutic agents. The iatrogenic toxic neuropathy is a growing neurologic problem, as cancer patients are beign treated with increasing doses of chemotherapy drugs. Major advances in cancer treatment have resulted from the use of drug combinations; for some combinations this raises the possibility of sinergistic neurotoxicity. The following report reviews the SNP toxicities encountered with cisplatin, vincristine, taxanes and others, and methods to minimize the deleterious effect of chemotherapeutic agents.
周围神经毒性是化疗药物的一种关键副作用。这是唯一没有预防性治疗的情况。神经肌肉毒性已成为许多化疗药物的主要剂量限制性副作用。医源性毒性神经病变是一个日益严重的神经问题,因为癌症患者正在接受越来越高剂量的化疗药物治疗。癌症治疗的重大进展源于联合用药;对于某些联合用药,这增加了协同神经毒性的可能性。以下报告回顾了顺铂、长春新碱、紫杉烷等药物所遇到的单核苷酸多态性毒性,以及将化疗药物有害影响降至最低的方法。