Marmiroli Paola, Riva Beatrice, Pozzi Eleonora, Ballarini Elisa, Lim Dmitry, Chiorazzi Alessia, Meregalli Cristina, Distasi Carla, Renn Cynthia L, Semperboni Sara, Morosi Lavinia, Ruffinatti Federico A, Zucchetti Massimo, Dorsey Susan G, Cavaletti Guido, Genazzani Armando, Carozzi Valentina A
Experimental Neurology Unit, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Department of Pharmaceutical Sciences, University of Piemonte Orientale, Novara, Italy.
PLoS One. 2017 Oct 11;12(10):e0186250. doi: 10.1371/journal.pone.0186250. eCollection 2017.
Peripheral neurotoxicity is one of the most distressing side effects of oxaliplatin therapy for cancer. Indeed, most patients that received oxaliplatin experience acute and/or chronic severe sensory peripheral neuropathy. However, despite similar co-morbidities, cancer stage, demographics and treatment schedule, patients develop oxaliplatin-induced peripheral neurotoxicity with remarkably different severity. This suggests individual genetic variability, which might be used to glean the mechanistic insights into oxaliplatin neurotoxicity. We characterized the susceptibility of different mice strains to oxaliplatin neurotoxicity investigating the phenotypic features of neuropathy and gene expression profiles in dorsal root ganglia of six genetically different mice strains (Balb-c, C57BL6, DBA/2J, AJ, FVB and CD1) exposed to the same oxaliplatin schedule. Differential gene expression in dorsal root ganglia from each mice strain were assayed using a genome-wide expression analysis and selected genes were validated by RT-PCR analysis. The demonstration of consistent differences in the phenotypic response to oxaliplatin across different strains is interesting to allow the selection of the appropriate strain based on the pre-defined read-out parameters. Further investigation of the correlation between gene expression changes and oxaliplatin-induced neurotoxicity phenotype in each strain will be useful to deeper investigate the molecular mechanisms of oxaliplatin neurotoxicity.
外周神经毒性是奥沙利铂治疗癌症最令人苦恼的副作用之一。事实上,大多数接受奥沙利铂治疗的患者会出现急性和/或慢性严重感觉性外周神经病变。然而,尽管患者的合并症、癌症分期、人口统计学特征和治疗方案相似,但他们发生奥沙利铂诱导的外周神经毒性的严重程度却有显著差异。这表明存在个体基因变异性,这可能有助于深入了解奥沙利铂神经毒性的机制。我们通过研究六种基因不同的小鼠品系(Balb-c、C57BL6、DBA/2J、AJ、FVB和CD1)在相同奥沙利铂给药方案下背根神经节中神经病变的表型特征和基因表达谱,来表征不同小鼠品系对奥沙利铂神经毒性的易感性。使用全基因组表达分析检测每个小鼠品系背根神经节中的差异基因表达,并通过RT-PCR分析验证所选基因。不同品系对奥沙利铂的表型反应存在一致差异,这一发现很有意思,有助于根据预先确定的读数参数选择合适的品系。进一步研究每个品系中基因表达变化与奥沙利铂诱导的神经毒性表型之间的相关性,将有助于更深入地研究奥沙利铂神经毒性的分子机制。