Podratz Jewel L, Kulkarni Amit, Pleticha Josef, Kanwar Rahul, Beutler Andreas S, Staff Nathan P, Windebank Anthony J
Department of Neurology, Mayo Clinic, Rochester, MN 55905, USA.
Department of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA.
J Neurol Sci. 2016 Mar 15;362:131-5. doi: 10.1016/j.jns.2015.12.038. Epub 2015 Dec 28.
Chemotherapy-induced peripheral neuropathy (CIPN) is a major dose limiting side effect that can lead to long-term morbidity. Approximately one-third of patients receiving chemotherapy with taxanes, vinca alkaloids, platinum compounds or proteasome inhibitors develop this toxic side effect. It is not possible to predict who will get CIPN, however, genetic susceptibility may play a role. We explored this hypothesis using an established in vitro dorsal root ganglia neurite outgrowth (DRG-NOG) assay to assess possible genetic influences for cisplatin- and bortezomib-induced neurotoxicity. Almost all previous in vitro studies have used rats or mice. We compared DRG-NOG between four genetically defined, inbred mouse strains (C57BL/6J, DBA/2J, BALB/cJ, and C3H/HeJ) and one rat strain (Sprague Dawley). Our studies found differences in cisplatin and bortezomib-induced neurotoxicity between mouse and rat strains and between the different mouse strains. C57BL/6J and Balb/cJ DRG-NOG was more sensitive to cisplatin than DBA/2J and C3H/HeJ DRG-NOG, and all mouse strains were more sensitive to cisplatin than rat. Bortezomib induced a biphasic dose response in DBA/2J and C3H/H3J mice. C57BL/6J DRG-NOG was most sensitive and Balb/cJ DRG-NOG was least sensitive to bortezomib. Our animal data supports the hypothesis that genetic background may play a role in CIPN and care must be taken when rodent models are used to better understand the contribution of genetics in patient susceptibility to CIPN.
化疗引起的周围神经病变(CIPN)是一种主要的剂量限制性副作用,可导致长期发病。接受紫杉烷类、长春花生物碱、铂类化合物或蛋白酶体抑制剂化疗的患者中,约三分之一会出现这种毒性副作用。虽然无法预测谁会发生CIPN,但遗传易感性可能起一定作用。我们使用已建立的体外背根神经节神经突生长(DRG-NOG)试验来探讨这一假设,以评估顺铂和硼替佐米引起的神经毒性可能的遗传影响。几乎所有以前的体外研究都使用大鼠或小鼠。我们比较了四种基因定义的近交系小鼠品系(C57BL/6J、DBA/2J、BALB/cJ和C3H/HeJ)和一种大鼠品系(Sprague Dawley)之间的DRG-NOG。我们的研究发现小鼠和大鼠品系之间以及不同小鼠品系之间在顺铂和硼替佐米引起的神经毒性方面存在差异。C57BL/6J和Balb/cJ DRG-NOG对顺铂比DBA/2J和C3H/HeJ DRG-NOG更敏感,并且所有小鼠品系对顺铂都比大鼠更敏感。硼替佐米在DBA/2J和C3H/H3J小鼠中诱导双相剂量反应。C57BL/6J DRG-NOG对硼替佐米最敏感,而Balb/cJ DRG-NOG对硼替佐米最不敏感。我们的动物数据支持遗传背景可能在CIPN中起作用这一假设,并且在使用啮齿动物模型以更好地理解遗传学在患者对CIPN易感性中的作用时必须谨慎。