Department of Pharmacology and Therapeutics, Faculty of Pharmacy, Health Sciences Center, Kuwait University, Jabriya, Kuwait.
Med Princ Pract. 2013;22(1):35-41. doi: 10.1159/000341710. Epub 2012 Aug 16.
To study the potential of chemically modified tetracycline-3 (COL-3), a potent matrix metalloproteinase (MMP) inhibitor, to protect against the development of paclitaxel-induced painful neuropathy and its immunomodulatory effects.
The reaction latency to thermal stimuli (hot plate test) of female BALB/c mice was recorded before and after treatment with paclitaxel (2 mg/kg i.p.), paclitaxel plus COL-3 (4, 20 or 40 mg/kg p.o.) or their vehicles for 5 consecutive days. Gene transcripts of CD11b (marker for microglia), 5 cytokines (IFN-γ, IL-1β, IL-6, IL-10 and TNF-α) and 3 chemokines (CCL2, CXCL10 and CX3CL1) were quantified by real-time PCR in the brains, spinal cords and spleens of mice sacrificed on day 7 after treatment.
Treatment with paclitaxel reduced the reaction latency time to thermal stimuli (thermal hyperalgesia) for 4 weeks, with maximum effect on days 7 and 10. The coadministration of paclitaxel with COL-3 40 mg/kg, but not lower doses, prevented the development of paclitaxel-induced thermal hyperalgesia. Treatment with paclitaxel alone or coadministration with COL-3 increased CD11b transcript levels in the brain but not in the spinal cord. Treatment with paclitaxel reduced IL-6 transcript levels in the spinal cord but did not alter the transcript levels of other cytokines or chemokines in the brain, spinal cord or spleen. The coadministration of COL-3 with paclitaxel significantly increased the transcript levels of IL-6 in the spleen and decreased CX3CL1 transcripts in the brain in comparison to treatment with paclitaxel alone.
Our results indicate that the MMP inhibitor COL-3 protected against paclitaxel-induced thermal hyperalgesia and, thus, could be useful in the prevention of chemotherapy-induced painful neuropathy.
研究化学修饰的四环素-3(COL-3)作为基质金属蛋白酶(MMP)抑制剂的潜力,以防止紫杉醇诱导的痛性神经病的发展及其免疫调节作用。
在连续 5 天用紫杉醇(2 mg/kg,腹腔注射)、紫杉醇加 COL-3(4、20 或 40 mg/kg,口服)或其载体处理之前和之后,记录雌性 BALB/c 小鼠对热刺激(热板试验)的反应潜伏期。用实时 PCR 定量分析第 7 天处死的小鼠的大脑、脊髓和脾脏中 CD11b(小胶质细胞标志物)、5 种细胞因子(IFN-γ、IL-1β、IL-6、IL-10 和 TNF-α)和 3 种趋化因子(CCL2、CXCL10 和 CX3CL1)的基因转录物。
紫杉醇治疗使热刺激(热痛觉过敏)的反应潜伏期减少了 4 周,最大作用发生在第 7 和 10 天。紫杉醇与 COL-3(40 mg/kg)联合治疗,而不是低剂量,可预防紫杉醇诱导的热痛觉过敏的发展。紫杉醇单独治疗或与 COL-3 联合治疗均增加了大脑中的 CD11b 转录物水平,但未改变脊髓中的转录物水平。紫杉醇治疗降低了脊髓中的 IL-6 转录物水平,但未改变大脑、脊髓或脾脏中其他细胞因子或趋化因子的转录物水平。与紫杉醇单独治疗相比,COL-3 与紫杉醇联合治疗显著增加了脾脏中 IL-6 的转录物水平,并降低了大脑中 CX3CL1 的转录物水平。
我们的结果表明,MMP 抑制剂 COL-3 可预防紫杉醇诱导的热痛觉过敏,因此可用于预防化疗引起的痛性神经病。