University of Texas MD Anderson Cancer Center, Department of Symptom Research, Houston, TX 77030, USA.
Department of Microbial Pathogenesis and Immunology, School of Medicine, Texas A&M University, Bryan, TX 77807, USA.
Brain Behav Immun. 2023 Jul;111:169-176. doi: 10.1016/j.bbi.2023.04.006. Epub 2023 Apr 17.
Cisplatin is a chemotherapeutic agent that is still commonly used to treat solid tumors. However, it has several toxic side effects due in large part to the mitochondrial damage that it induces. As this mitochondrial damage is likely to result in a decrease in the amount of metabolic energy that is available for behavioral activities, it is not surprising that fatigue develops in cancer patients treated with cisplatin. The present preclinical study was initiated to determine whether the detrimental effects of cisplatin were more pronounced on physical effort requiring a lot of energy versus effort that not only requires less energy but also procures energy in the form of food. For this purpose, mice were either trained to run in a wheel or to work for food in various schedules of food reinforcement before being treated with cisplatin. The experiments were carried out only in male mice as we had already reported that sex differences in cisplatin-induced neurotoxicities are minimal. Cisplatin was administered daily for one cycle of five days, or two cycles separated by a five-day rest. As observed in previous experiments, cisplatin drastically reduced voluntary wheel running. In contrast, when cisplatin was administered to food-restricted mice trained to work for a food reward in a progressive ratio schedule or in a fixed-interval schedule, it tended to increase the number of responses emitted to obtain the food rewards. This increase was not associated with any change in the temporal distribution of responses during the interval between two reinforcements in mice submitted to the fixed interval schedule of food reinforcement. When cisplatin was administered to food-restricted mice trained in an effort-based decision-making task in which they had to choose between working for a grain pellet with little effort and working for a preferred chocolate pellet with more effort, it decreased the total number of responses emitted to obtain food rewards. However, this effect was much less marked than the decrease in wheel running induced by cisplatin. The decrease in the effort invested in the procurement of food rewards was not associated with any change in the relative distribution of effort between low reward and high reward during the time course of the test session. These findings show that cisplatin decreases energy-consuming activities but not energy-procuring activities unless they require a choice between options differing in their cost-benefit ratio. Furthermore, they indicate that the physical dimension of fatigue is more likely to develop in cisplatin-treated individuals than the motivational dimension of fatigue.
顺铂是一种化疗药物,仍常用于治疗实体瘤。然而,它有几个毒性副作用,主要是由于它诱导的线粒体损伤。由于这种线粒体损伤可能导致可用于行为活动的代谢能量减少,因此接受顺铂治疗的癌症患者出现疲劳并不奇怪。本临床前研究旨在确定顺铂的有害影响是否在需要大量能量的体力活动上比不仅需要较少能量而且以食物形式获取能量的活动上更为明显。为此,在用顺铂处理之前,将小鼠训练在轮子上跑步或按照不同的食物强化时间表为食物而工作。由于我们已经报道过,顺铂诱导的神经毒性的性别差异最小,因此仅在雄性小鼠中进行了实验。顺铂每天给药一个周期,共 5 天,或两个周期,每个周期之间休息 5 天。如前实验观察到的,顺铂大大降低了自愿轮跑。相比之下,当将顺铂给予接受食物限制的小鼠,使其在递增比率方案或固定间隔方案中为食物奖励工作时,它倾向于增加获得食物奖励的反应次数。这种增加与在接受固定间隔食物强化方案的小鼠中,两次强化之间的间隔期间反应的时间分布没有任何变化相关。当将顺铂给予接受食物限制的小鼠,使其在基于努力的决策任务中进行训练,即在需要很少努力工作获得一个小颗粒奖励和需要更多努力工作获得一个更喜爱的巧克力颗粒奖励之间进行选择时,它减少了获得食物奖励所需的总反应次数。然而,这种效果比顺铂引起的轮跑减少要小得多。获得食物奖励的努力投入的减少与测试期间的低奖励和高奖励之间的努力分配的任何变化无关。这些发现表明,顺铂减少了消耗能量的活动,但不会减少获取能量的活动,除非它们需要在成本效益比不同的选项之间进行选择。此外,它们表明,在接受顺铂治疗的个体中,更有可能出现身体疲劳的维度,而不是疲劳的动机维度。