Department of Clinical Pharmacology and Therapeutics, Kyoto University Hospital, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Department of Molecular Pharmacology, Graduate School of Pharmaceutical Sciences, Kyoto University, 46-29 Yoshida-Shimoadachi-cho, Sakyo-ku, Kyoto, 606-8501, Japan.
Sci Rep. 2017 Jul 20;7(1):5947. doi: 10.1038/s41598-017-05784-1.
Impairment of peripheral neurons by anti-cancer agents, including taxanes and platinum derivatives, has been considered to be a major cause of chemotherapy-induced peripheral neuropathy (CIPN), however, the precise underlying mechanisms are not fully understood. Here, we examined the direct effects of anti-cancer agents on Schwann cells. Exposure of primary cultured rat Schwann cells to paclitaxel (0.01 μM), cisplatin (1 μM), or oxaliplatin (3 μM) for 48 h induced cytotoxicity and reduced myelin basic protein expression at concentrations lower than those required to induce neurotoxicity in cultured rat dorsal root ganglion (DRG) neurons. Similarly, these anti-cancer drugs disrupted myelin formation in Schwann cell/DRG neuron co-cultures without affecting nerve axons. Cisplatin and oxaliplatin, but not paclitaxel, caused mitochondrial dysfunction in cultured Schwann cells. By contrast, paclitaxel led to dedifferentiation of Schwann cells into an immature state, characterized by increased expression of p75 and galectin-3. Consistent with in vitro findings, repeated injection of paclitaxel increased expression of p75 and galectin-3 in Schwann cells within the mouse sciatic nerve. These results suggest that taxanes and platinum derivatives impair Schwan cells by inducing dedifferentiation and mitochondrial dysfunction, respectively, which may be important in the development of CIPN in conjunction with their direct impairment in peripheral neurons.
抗癌药物(包括紫杉醇类和铂类衍生物)对周围神经元的损伤被认为是化疗引起的周围神经病变(CIPN)的主要原因,但确切的潜在机制尚未完全阐明。在这里,我们研究了抗癌药物对许旺细胞的直接影响。将原代培养的大鼠许旺细胞暴露于紫杉醇(0.01 μM)、顺铂(1 μM)或奥沙利铂(3 μM)48 h 可在低于诱导培养的大鼠背根神经节(DRG)神经元神经毒性的浓度下诱导细胞毒性并降低髓鞘碱性蛋白的表达。同样,这些抗癌药物破坏了许旺细胞/DRG 神经元共培养物中的髓鞘形成,而不影响神经轴突。顺铂和奥沙利铂,但不是紫杉醇,导致培养的许旺细胞中线粒体功能障碍。相比之下,紫杉醇导致许旺细胞向未成熟状态去分化,特征是 p75 和半乳糖凝集素-3 的表达增加。与体外发现一致,紫杉醇在小鼠坐骨神经内重复注射可增加许旺细胞中 p75 和半乳糖凝集素-3 的表达。这些结果表明,紫杉醇类和铂类衍生物分别通过诱导去分化和线粒体功能障碍来损伤许旺细胞,这可能与它们对周围神经元的直接损伤一起在 CIPN 的发展中很重要。