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奥沙利铂神经毒性机制及防治新进展
New Progress in the Pathogenesis and Treatment of Oxaliplatin Induced Neurotoxicity
  
DOI:
中文关键词:  奥沙利铂  神经毒性  神经病变
英文关键词:Oxaliplatin  Neurotoxicity  Neuropathy
基金项目:湖北省药品(医疗器械)不良反应监测中心课题(编号:20160422)
作者单位
谷麟 李雪松 刘东 邓丽 王丽 宋秋艳 张程亮 ①昆明医科大学第一附属医院药剂科(昆明 650032)②华中科技大学同济医学院附属同济医院药学部③玉溪市人民医院药学部 
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中文摘要:
      摘 要奥沙利铂的神经毒性是其常见不良反应之一,具有独特的临床特征,其发生机制至今尚不清楚并且缺乏有效的防治方法。近年来的研究发现,瞬时受体电位通道、间隙连接通道、烟碱型乙酰胆碱受体等在介导奥沙利铂神经毒性中发挥了重要作用,基因多态性也与其显著相关。此外,研究者们利用锰福地吡、单唾液酸神经节苷脂和黄芪根提取物等药物在防治奥沙利铂的神经毒性中进行了探索,并显示出了良好的疗效。该文就近年来奥沙利铂神经毒性的发生机制及防治研究进展做一综述。
英文摘要:
      ABSTRACTOxaliplatin induced neuropathy, which had unique clinical features, was one of the most common adverse effects associated with oxaliplatin administration. The exact mechanism of oxaliplatin induced neurotoxicity was not known and no effective prevention and treatment methods had been developed. Several recent studies had found that transient receptor potential channels, gap junction channels, nicotinic acetylcholine receptors and so on may mediate the neurotoxicity of oxaliplatin, with which genetic polymorphisms were also significantly associated. Mangafodipir, ganglioside monosialic acid, and Astragali radix extracts and so on had shown preventive and therapeutic effects in clinical studies. In this article, new progress in the pathogenesis and treatment of oxaliplatin induced neurotoxicity were reviewed.
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