a NeuroMI (Milan Center for Neuroscience) , Milan , Italy.
b School of Medicine and Surgery , University of Milano-Bicocca , Milan , Italy.
Expert Opin Drug Metab Toxicol. 2019 Jun;15(6):487-497. doi: 10.1080/17425255.2019.1622679. Epub 2019 May 29.
: Platinum-drugs (Cisplatin, Carboplatin, Oxaliplatin) are widely used in Medical Oncology departments to treat common neoplasms whose survival has greatly increased in the last few years. Thus, there is a growing population of cancer survivors who were treated with them and whose Quality of Life can be impaired by neurological late toxicities. : Essential clinical information of natural history, predisposing factors, assessment issues and lacks in treatment for peripheral neurotoxicity are here reported. An overview of preclinical pathogenetic observations is also given to drive future drug discovery. : To unravel needs and lacks for platinum-induced neurotoxicity a great effort is still to be done. A coordinated and combined effort of clinical and preclinical researchers is required. The newborn multidisciplinary Toxic Neuropathy Consortium - Special Interest Group of the Peripheral Nerve Society - seems a virtuous alliance that might find answers to meet clinical and scientific needs in this field.
铂类药物(顺铂、卡铂、奥沙利铂)在肿瘤内科被广泛用于治疗常见的恶性肿瘤,近年来这些肿瘤患者的生存率大大提高。因此,越来越多的癌症幸存者接受了铂类药物治疗,他们的生活质量可能会因神经迟发性毒性而受损。本文报告了铂类药物所致周围神经毒性的自然病史、易患因素、评估问题和治疗方面的不足等重要临床信息。还概述了临床前发病机制观察结果,以推动未来的药物发现。为了解决铂类药物诱导的神经毒性的需求和不足,仍需做出巨大努力。需要临床和临床前研究人员的协调和联合努力。新成立的多学科毒神经病学联合会-周围神经学会特别兴趣小组是一个良性联盟,可能会找到答案,满足该领域的临床和科学需求。