Khodaei Mitra, Mehri Soghra, Pour Soroush Rashid, Mahdavi Shakiba, Yarmohammadi Fatemeh, Hayes A Wallace, Karimi Gholamreza
Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Pharmaceutical Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran.
Naunyn Schmiedebergs Arch Pharmacol. 2022 Aug;395(8):907-919. doi: 10.1007/s00210-022-02254-y. Epub 2022 May 14.
Vincristine, an alkaloid extracted from Catharanthus rosea, is a class of chemotherapy drugs that act by altering the function of the microtubules and by inhibiting mitosis. Despite its widespread application, a major adverse effect of vincristine that limits treatment duration is the occurrence of peripheral neuropathy (PN). PN presents with several symptoms including numbness, painful sensation, tingling, and muscle weakness. Vincristine-induced PN involves impaired calcium homeostasis, an increase of reactive oxygen species (ROS), and the upregulation of tumor necrosis factor-alpha (TNF-α), and interleukin 1 beta (IL-1β) expression. Several potential approaches to attenuate the vincristine-induced PN including the concomitant administration of chemicals with vincristine have been reported. These chemicals have a variety of pharmaceutical properties including anti-inflammation, antioxidant, and inhibition of calcium channels and calcineurin signaling pathways and increased expression of nerve growth factor (NGF). This review summarized several of these compounds and the mechanisms of action that could lead to effective options in improving vincristine-induced peripheral neuropathy (VIPN).
长春新碱是从长春花中提取的一种生物碱,是一类化疗药物,其作用机制是改变微管功能并抑制有丝分裂。尽管其应用广泛,但限制治疗时长的长春新碱的一个主要副作用是外周神经病变(PN)的发生。PN会出现多种症状,包括麻木、疼痛、刺痛和肌肉无力。长春新碱诱导的PN涉及钙稳态受损、活性氧(ROS)增加以及肿瘤坏死因子-α(TNF-α)和白细胞介素1β(IL-1β)表达上调。已经报道了几种减轻长春新碱诱导PN的潜在方法,包括与长春新碱联合使用化学物质。这些化学物质具有多种药理特性,包括抗炎、抗氧化、抑制钙通道和钙调神经磷酸酶信号通路以及增加神经生长因子(NGF)的表达。本综述总结了其中几种化合物及其作用机制,这些机制可能为改善长春新碱诱导的外周神经病变(VIPN)带来有效的选择。