Why the study?
Current treatments for oxaliplatin neurotoxicity have limited efficacy, and whether astragaloside IV reduces this neurotoxicity along with its underlying molecular mechanisms remains unclear.
Does Astragaloside IV improve oxaliplatin-induced neurotoxicity in a rat model?
Does Astragaloside IV improve oxaliplatin-induced neurotoxicity in a rat model?
Astragaloside IV attenuates oxaliplatin-induced neurotoxicity in rats through anti-inflammatory and antioxidant mechanisms.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for AS-IV in oxaliplatin neurotoxicity; clinical trials needed before practice change.
Background and Objective: Neurotoxicity is a common side effect of oxaliplatin; the effect of current drugs such as methylcobalamin and gabapentine is not obvious. Astragaloside IV (AS-IV) is an important active ingredient of Astragali Radix , which can protect the nervous system and inhibit tumor growth to a certain extent. However, whether AS-IV can reduce oxaliplatin neurotoxicity and its molecular mechanism remain unclear. Methods: The network pharmacology method was used to determine the collective targets of AS-IV and oxaliplatin neurotoxicity. The model of neurotoxicity was established by intraperitoneal injection of oxaliplatin in rats. Bodyweight, mechanical withdrawal threshold (MWT), cold allodynia, and nerve conduction velocity (NCV) were examined, pathological changes were observed by hematoxylin-eosin staining, number of Nissl bodies were assessed by Nissl staining, the key collective targets were measured by spectrophotometry and immunohistochemistry. Results: Through network pharmacological analysis, 25 collective targets of AS-IV and oxaliplatin neurotoxicity were identified, mainly related to inflammation and oxidative stress. AS-IV could increase body weight, elevate MWT, and reduce cold allodynia of model rats, it also raised NCV. Neuropathology was improved and the number of Nissl bodies was increased by AS-IV administration. It reduced TNF-α, IL-6, and IL-1β in the spinal cord of model rats to inhibit inflammation; it also decreased MDA, raised SOD, CAT, and GSH-Px in the spinal cord of model rats to block oxidative stress. Conclusion: AS-IV improves oxaliplatin neurotoxicity by regulating neuroinflammation and oxidative stress; the results can provide a new perspective for the potential treatment strategy of oxaliplatin neurotoxicity.
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Xu et al. (2021) studied this question.
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