Department of Hematology-Oncology, Lenox Hill Hospital, New York, NY, U.S.A.
Departments of Physics and Electrical Engineering, The City College of New York, New York, NY, U.S.A.
Anticancer Res. 2020 Mar;40(3):1189-1200. doi: 10.21873/anticanres.14061.
The majority of patients receiving chemotherapy experience post-chemotherapy cognitive impairment, sometimes referred to as "chemo brain" or "chemo fog." The cognitive impairment associated with this syndrome can be severe, and can sometimes last for many years after therapy discontinuation. Despite extensive investigations, its etiology is unknown. We argue that chemo brain results from damage to tubulin within microtubules. This damage can occur directly from tubulin inhibitors such as taxanes, epothilones or vinca alkaloids. Other chemotherapies stimulate increased mitochondrial activity and biophoton release. This results in abnormal tryptophan metabolism and excess production of neurotoxic kynurenines, which, in turn, damage microtubules.
大多数接受化疗的患者会出现化疗后认知障碍,有时也被称为“化疗脑”或“化疗雾”。这种综合征相关的认知障碍可能很严重,甚至在治疗停止后持续多年。尽管进行了广泛的研究,但它的病因仍然未知。我们认为化疗脑是由于微管内的微管蛋白受损所致。这种损伤可能直接来自于紫杉烷类、埃坡霉素类或长春花生物碱类等微管蛋白抑制剂。其他化疗药物会刺激线粒体活性和生物光子的释放增加。这会导致色氨酸代谢异常和神经毒性犬尿氨酸的过量产生,进而损害微管。