De Iuliis Francesca, Taglieri Ludovica, Salerno Gerardo, Lanza Rosina, Scarpa Susanna
Experimental Medicine Department, Sapienza University, viale Regina Elena 324, 00161 Rome, Italy.
Ginecology and Obstetrics Department, Sapienza University, viale Regina Elena 324, 00161 Rome, Italy.
Crit Rev Oncol Hematol. 2015 Oct;96(1):34-45. doi: 10.1016/j.critrevonc.2015.04.011. Epub 2015 May 11.
Taxane induced neuropathy (TIN) is the most limiting side effect of taxane based chemotherapy, relative to the majority of breast cancer patients undergoing therapy with both docetaxel and paclitaxel. The symptoms begin symmetrically from the toes, because the tips of the longest nerves are affected for first. The patients report sensory symptoms such as paresthesia, dysesthesia, numbness, electric shock-like sensation, motor impairment and neuropathic pain. There is a great inter-individual variability among breast cancer women treated with taxanes, in fact 20-30% of them don't develop neurotoxicity. Actually, there is no standard therapy for TIN, although many medications, antioxidants and natural substances have been tested in vitro and in vivo. We will summarize all most recent literature data on TIN prevention and treatment, in order to reach an improvement in TIN management. Further studies are needed to evaluate new therapies that restore neuronal function and improve life quality of patients.
相对于大多数接受多西他赛和紫杉醇治疗的乳腺癌患者而言,紫杉烷诱导的神经病变(TIN)是基于紫杉烷的化疗最具限制性的副作用。症状从脚趾开始呈对称性出现,因为最长神经的末端首先受到影响。患者会报告感觉症状,如感觉异常、感觉障碍、麻木、电击样感觉、运动障碍和神经性疼痛。接受紫杉烷治疗的乳腺癌女性之间存在很大的个体差异,事实上,其中20% - 30%的患者不会出现神经毒性。实际上,对于TIN尚无标准疗法,尽管许多药物、抗氧化剂和天然物质已在体外和体内进行了测试。我们将总结关于TIN预防和治疗的所有最新文献数据,以便在TIN管理方面取得改进。需要进一步研究来评估恢复神经元功能并改善患者生活质量的新疗法。