Platinum-induced neurotoxicity: A review of possible mechanisms


Kanat O., Ertas H., Caner B.

WORLD JOURNAL OF CLINICAL ONCOLOGY, cilt.8, sa.4, ss.329-335, 2017 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 8 Sayı: 4
  • Basım Tarihi: 2017
  • Doi Numarası: 10.5306/wjco.v8.i4.329
  • Dergi Adı: WORLD JOURNAL OF CLINICAL ONCOLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.329-335
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

Patients treated with platinum-based chemotherapy frequently experience neurotoxic symptoms, which may lead to premature discontinuation of therapy. Despite discontinuation of platinum drugs, these symptoms can persist over a long period of time. Cisplatin and oxaliplatin, among all platinum drugs, have significant neurotoxic potential. A distal dose-dependent symmetrical sensory neuropathy is the most common presentation of platinum neurotoxicity. DNA damage-induced apoptosis of dorsal root ganglion (DRG) neurons seems to be the principal cause of neurological symptoms. However, DRG injury alone cannot explain some unique symptoms such as cold-aggravated burning pain affecting distal extremities that is observed with oxaliplatin administration. In this article, we briefly reviewed potential mechanisms for the development of platinum drugs-associated neurological manifestations.