Archives of Pharmaceutical Sciences Ain Shams University,
Journal Year:
2023,
Volume and Issue:
7(2), P. 470 - 481
Published: Dec. 1, 2023
Oxaliplatin
use
in
gastrointestinal
malignancies
is
limited
by
neurotoxicity.This
study
aims
to
identify
singlenucleotide
polymorphisms
(SNPs)
the
ABCG2
gene
associated
with
oxaliplatin-induced
peripheral
neuropathy
(OIPN)
Egyptian
Colorectal
Cancer
(CRC)
patients
treated
oxaliplatin-based
chemotherapy
(CT).All
eligible
CRC
between
ages
of
18
and
80
participated
study,
those
a
neurological
illness
or
condition
limiting
neurologic
function
were
excluded.On
first
day
every
CT
cycle,
OIPN
was
assessed
scored
using
National
Institute
Common
Terminology
Criteria
for
Adverse
Events
(NCI-CTCAE
v.4.Blood
utilized
extract
genomic
DNA
detect
SNPs
(at
rs2231137and
at
rs3114018)
High
Resolution
Melting
(HRM)
technique
followed
direct
sequencing
method
melting
cluster
3500
genetic
analyzers
samples
selected
from
each
cluster.The
occurrence
grade
2-3
higher
carrying
G/G
genotype
(rs2231137)
than
G/A
same
locus
(96.7%
versus
82.0%;
P=
0.05).While,
not
significantly
different
genotypes
(C/C,
A/C,
A/A)
rs3114018
(92.9%,
82.1%
80.0%
respectively;
0.309).In
conclusion,
among
more
allele
(rs2231137).While,
similarly
this
patient
population.
Journal of Oncology Pharmacy Practice,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 28, 2025
Irinotecan
is
chemotherapeutic
agent
often
used
in
abdominal
cancers
such
as
colorectal
and
pancreatic
cancers.
While
associated
with
non-central
nervous
system
(CNS)
adverse
effects,
rare
cases
it
may
present
paresthesias
dysarthrias.
In
one
case,
a
patient
received
an
irinotecan-containing
regimen
(fluorouracil,
irinotecan,
oxaliplatin)
experienced
several
neurotoxic
which
was
successfully
managed.
A
female
newly-diagnosed
cancer
started
on
fluorouracil,
oxaliplatin
(modified
FOLFIRINOX).
She
developed
dysarthrias
early
the
course.
Causality
assessment
conducted
via
Naranjo
criteria,
yielding
score
of
6,
indicating
probable
reaction.
Initially
managed
steroids
lorazepam,
she
eventually
given
prophylactic
strategy
atropine
0.4
mg
longer
infusion
time
3
h
instead
90
min
needed
lorazepam.
This
alleviated
able
to
complete
12
cycles
therapy,
resulting
partial
response
at
end
treatment.
Prolonging
giving
help
prevent
these
effects
irinotecan.
Microbiome Research Reports,
Journal Year:
2025,
Volume and Issue:
4(2)
Published: March 24, 2025
The
incidence
of
locally
advanced
rectal
cancer
(LARC)
among
young
people
is
rising
alarmingly.
In
recent
years,
new
protocols
have
been
introduced
for
the
management
LARC,
some
which
are
associated
with
risk
significant
toxicity.
Despite
these
advancements,
robust
predictive
biomarkers
LARC
yet
to
be
established.
microbiome
has
emerged
as
a
potential
biomarker
due
its
interaction
tumor
multiomics.
This
article
provides
critical
overview
current
evidence
on
and
including
relationship
immune
system
epigenomics,
also
highlights
both
limitations
future
perspectives
in
field.
Discover Nano,
Journal Year:
2025,
Volume and Issue:
20(1)
Published: April 24, 2025
Cancer
treatments
often
exploit
oxidative
stress
to
selectively
kill
tumour
cells
by
disrupting
their
lipid
peroxidation
membranes
and
inhibiting
antioxidant
enzymes.
However,
plays
a
dual
role
in
cancer
progression,
acting
as
both
promoter
suppressor.
Balancing
through
therapy
remains
challenge,
excessive
activity
may
compromise
the
efficacy
of
chemotherapy
radiotherapy.
This
review
explores
antioxidants
mitigating
while
maintaining
treatment
efficacy.
It
highlights
recent
advancements
nanotechnology-based
targeted
delivery
optimize
therapeutic
outcomes.
A
comprehensive
literature
was
conducted
using
reputable
databases,
including
PubMed,
Scopus,
Web
Science,
ScienceDirect.
The
search
focused
on
publications
from
past
five
years
(2020-2025),
supplemented
relevant
studies
earlier
years.
Keywords
such
"antioxidants,"
"lipid
peroxidation,"
"nanotechnology
therapy,"
"oxidative
stress"
were
utilized.
Relevant
articles
critically
analysed,
graphical
illustrations
created.
Emerging
evidence
suggests
that
nanoparticles,
liposomes,
polymeric
metal-organic
frameworks,
others,
can
effectively
encapsulate
control
release
minimizing
systemic
toxicity.
Stimuli-responsive
carriers
with
tumour-specific
targeting
mechanisms
further
enhance
delivery.
Studies
indicate
these
strategies
help
preserve
normal
cells,
mitigate
stress-related
damage,
improve
challenges
bioavailability,
stability,
potential
interactions
standard
therapies
remain.
Integrating
nanotechnology
antioxidant-based
interventions
presents
promising
approach
for
optimizing
therapy.
Future
research
should
focus
refining
modulation
strategies,
assessing
profiles
during
treatment,
employing
biomarkers
determine
optimal
dosing.
balanced
use
adverse
effects.
Journal of Pain,
Journal Year:
2024,
Volume and Issue:
25(6), P. 104462 - 104462
Published: Jan. 10, 2024
Oxaliplatin,
a
platinum-based
anticancer
drug,
is
associated
with
peripheral
neuropathy
(oxaliplatin-induced
neuropathy,
OIPN),
which
can
lead
to
worsening
of
quality
life
and
treatment
interruption.
The
endothelial
glycocalyx,
fragile
carbohydrate-rich
layer
covering
the
luminal
surface
cells,
acts
as
an
gatekeeper
has
been
suggested
protect
nerves,
astrocytes,
other
cells
from
toxins
substances
released
capillary
vessels.
Mechanisms
underlying
OIPN
role
glycocalyx
remain
unclear.
This
study
aimed
define
changes
in
three-dimensional
ultrastructure
near
nerve
fibers
hind
paws
mice
OIPN.
mouse
model
OPIN
revealed
disruption
compartment,
accompanied
by
vascular
permeability,
edema,
damage
nerves.
To
investigate
potential
interventions,
nafamostat
mesilate,
protective
agent
was
used
tumor-bearing
male
mice.
Nafamostat
mesilate
suppressed
mechanical
allodynia
neuropathy.
It
also
prevented
intra-epidermal
fiber
loss
improved
permeability
paws.
capillaries
that
lie
within
bundles
novel
finding
OPIN.
Furthermore,
these
findings
point
toward
new
strategy
targeting
prevent
injury
effective
well
many
diseases.
PERSPECTIVE:
damages
capillaries,
increasing
permeability.
In
order
OIPN,
this
work
offers
therapy
approach
targets
glycocalyx.
Cancer Letters,
Journal Year:
2024,
Volume and Issue:
611, P. 217433 - 217433
Published: Dec. 28, 2024
The
nervous
system
governs
both
ontogeny
and
oncology.
Foundational
discoveries
have
clarified
the
direct
communication
of
neurotransmitters
with
tumors
indirect
interactions
through
neural
effects
on
immune
tumor
microenvironment.
Meantime,
is
susceptible
to
cancer
its
treatment.
Chemotherapy-induced
peripheral
neuropathy
(CIPN)
most
common
side
that
significantly
reduce
efficacy
anti-cancer
treatment
patients'
quality
life
by
leading
dose
reduction
or
early
cessation
chemotherapy.
However,
there
are
no
effective
strategies
reverse
treat
CIPN.
A
better
understanding
mechanisms
expected
enable
development
next
generation
therapies.
Here,
we
summarize
recent
important
studies
clinical
manifestations,
risk
factors,
prediction,
pathogenesis,
prevention,
We
also
provide
perspectives
insights
regarding
rationales
bidirectional
between
system.