Chiang Jeremy Chung Bo, Arnold Ria, Dhanapalaratnam Roshan, Markoulli Maria, Krishnan Arun V
School of Optometry and Vision Science, Faculty of Medicine and Health, University of New South Wales, Sydney 2052, Australia.
School of Medical, Indigenous and Health Science, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong 2500, Australia.
Pharmaceuticals (Basel). 2022 May 15;15(5):607. doi: 10.3390/ph15050607.
Peripheral nerve disorders are caused by a range of different aetiologies. The range of causes include metabolic conditions such as diabetes, obesity and chronic kidney disease. Diabetic neuropathy may be associated with severe weakness and the loss of sensation, leading to gangrene and amputation in advanced cases. Recent studies have indicated a high prevalence of neuropathy in patients with chronic kidney disease, also known as uraemic neuropathy. Immune-mediated neuropathies including Guillain-Barré syndrome and chronic inflammatory demyelinating polyradiculoneuropathy may cause significant physical disability. As survival rates continue to improve in cancer, the prevalence of treatment complications, such as chemotherapy-induced peripheral neuropathy, has also increased in treated patients and survivors. Notably, peripheral neuropathy associated with these conditions may be chronic and long-lasting, drastically affecting the quality of life of affected individuals, and leading to a large socioeconomic burden. This review article explores some of the major emerging clinical and experimental therapeutic agents that have been investigated for the treatment of peripheral neuropathy due to metabolic, toxic and immune aetiologies.
周围神经疾病由一系列不同病因引起。病因范围包括代谢性疾病,如糖尿病、肥胖症和慢性肾病。糖尿病性神经病变可能伴有严重无力和感觉丧失,在晚期病例中可导致坏疽和截肢。最近的研究表明,慢性肾病(也称为尿毒症性神经病变)患者中神经病变的患病率很高。包括格林-巴利综合征和慢性炎症性脱髓鞘性多发性神经根神经病在内的免疫介导性神经病变可能导致严重的身体残疾。随着癌症生存率的持续提高,治疗并发症(如化疗引起的周围神经病变)在接受治疗的患者和幸存者中的患病率也有所增加。值得注意的是,与这些疾病相关的周围神经病变可能是慢性且持久的,会严重影响受影响个体的生活质量,并导致巨大的社会经济负担。这篇综述文章探讨了一些主要的新兴临床和实验性治疗药物,这些药物已被研究用于治疗由代谢、毒性和免疫病因引起的周围神经病变。