Mohammed Arwa Salam, Al-Hassani Ansam N, Alrawi Rafal Abdulrazaq, Tawfeeq Rawaz D
Department of Pharmacology and Toxicology, College of Pharmacy, Hawler Medical University, Erbil 44001, Iraq.
Department of Clinical Analysis, College of Pharmacy, Hawler Medical University, Erbil 44001, Iraq.
Ecancermedicalscience. 2023 Jan 23;17:1499. doi: 10.3332/ecancer.2023.1499. eCollection 2023.
Etoposide (ETP) is one of the leading antitumour agents in cancer chemotherapy. Many studies have reported on ETP-induced peripheral neuropathy; however, few reports have focused on its brain toxicity. The current research investigates the protective potential of taurine, piracetam and vinpocetine on serum biomarkers associated with inflammation and brain injury induced by ETP in a rodent model. A total of 30 female albino rats were equally divided into five groups; the 1 and 2 groups were the control and ETP-treated groups, respectively, while the 3, 4 and 5 groups were ETP-treated rats cotreated with taurine, piracetam and vinpocetine, respectively. Administration of ETP reduced body weight significantly, enhanced production of serum proinflammatory cytokines including tumour necrosis factor-alpha, interleukin-1 beta (IL-1β) and IL-6 and decreased glutathione serum levels. Moreover, ETP treatment resulted in upregulation of glial fibrillary acidic protein expression and histopathological alterations in the rats' brain compared to the control group. Co-treatment with taurine, piracetam and vinpocetine counteracted ETP-induced brain injury and altered serum biomarkers levels. We concluded that co-treatment with vinpocetine could serve as a complementary therapeutic agent in reducing brain injury and toxicity induced by ETP.
依托泊苷(ETP)是癌症化疗中主要的抗肿瘤药物之一。许多研究报道了ETP诱导的周围神经病变;然而,很少有报告关注其脑毒性。当前的研究在啮齿动物模型中调查了牛磺酸、吡拉西坦和长春西汀对与ETP诱导的炎症和脑损伤相关的血清生物标志物的保护潜力。总共30只雌性白化大鼠被平均分为五组;第1组和第2组分别为对照组和ETP治疗组,而第3组、第4组和第5组分别是与牛磺酸、吡拉西坦和长春西汀联合治疗的ETP处理大鼠。给予ETP显著降低了体重,提高了血清促炎细胞因子的产生,包括肿瘤坏死因子-α、白细胞介素-1β(IL-1β)和IL-6,并降低了血清谷胱甘肽水平。此外,与对照组相比,ETP治疗导致大鼠大脑中胶质纤维酸性蛋白表达上调和组织病理学改变。与牛磺酸、吡拉西坦和长春西汀联合治疗抵消了ETP诱导的脑损伤并改变了血清生物标志物水平。我们得出结论,与长春西汀联合治疗可作为一种辅助治疗药物,以减少ETP诱导的脑损伤和毒性。