Oxidative Stress and Cognitive Alterations Induced by Cancer Chemotherapy Drugs: A Scoping Review

Cognitive impairment is one of the most deleterious effects of chemotherapy treatment in cancer patients, and this problem sometimes remains even after chemotherapy ends. Common classes of chemotherapy-based regimens such as anthracyclines, taxanes, and platinum derivatives can induce both oxidative...

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Main Author: Omar Cauli
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/10/7/1116
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author Omar Cauli
author_facet Omar Cauli
author_sort Omar Cauli
collection DOAJ
description Cognitive impairment is one of the most deleterious effects of chemotherapy treatment in cancer patients, and this problem sometimes remains even after chemotherapy ends. Common classes of chemotherapy-based regimens such as anthracyclines, taxanes, and platinum derivatives can induce both oxidative stress in the blood and in the brain, and these effects can be reproduced in neuronal and glia cell cultures. In rodent models, both the acute and repeated administration of doxorubicin or adriamycin (anthracyclines) or cisplatin impairs cognitive functions, as shown by their diminished performance in different learning and memory behavioural tasks. Administration of compounds with strong antioxidant effects such as <i>N-</i>acetylcysteine, gamma-glutamyl cysteine ethyl ester, polydatin, caffeic acid phenethyl ester, and 2-mercaptoethane sulfonate sodium (MESNA) counteract both oxidative stress and cognitive alterations induced by chemotherapeutic drugs. These antioxidant molecules provide the scientific basis to design clinical trials in patients with the aim of reducing the oxidative stress and cognitive alterations, among other probable central nervous system changes, elicited by chemotherapy in cancer patients. In particular, <i>N-</i>acetylcysteine and MESNA are currently used in clinical settings and are therefore attracting scientific attention.
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spelling doaj.art-7d374c2639cd4de3881d22814a2314282023-11-22T03:05:45ZengMDPI AGAntioxidants2076-39212021-07-01107111610.3390/antiox10071116Oxidative Stress and Cognitive Alterations Induced by Cancer Chemotherapy Drugs: A Scoping ReviewOmar Cauli0Frailty and Cognitive Impairment Group (FROG), University of Valencia, 46010 Valencia, SpainCognitive impairment is one of the most deleterious effects of chemotherapy treatment in cancer patients, and this problem sometimes remains even after chemotherapy ends. Common classes of chemotherapy-based regimens such as anthracyclines, taxanes, and platinum derivatives can induce both oxidative stress in the blood and in the brain, and these effects can be reproduced in neuronal and glia cell cultures. In rodent models, both the acute and repeated administration of doxorubicin or adriamycin (anthracyclines) or cisplatin impairs cognitive functions, as shown by their diminished performance in different learning and memory behavioural tasks. Administration of compounds with strong antioxidant effects such as <i>N-</i>acetylcysteine, gamma-glutamyl cysteine ethyl ester, polydatin, caffeic acid phenethyl ester, and 2-mercaptoethane sulfonate sodium (MESNA) counteract both oxidative stress and cognitive alterations induced by chemotherapeutic drugs. These antioxidant molecules provide the scientific basis to design clinical trials in patients with the aim of reducing the oxidative stress and cognitive alterations, among other probable central nervous system changes, elicited by chemotherapy in cancer patients. In particular, <i>N-</i>acetylcysteine and MESNA are currently used in clinical settings and are therefore attracting scientific attention.https://www.mdpi.com/2076-3921/10/7/1116taxanesanthracyclinesplatinumcognitionbiomarker<i>N-</i>acetylcysteine
spellingShingle Omar Cauli
Oxidative Stress and Cognitive Alterations Induced by Cancer Chemotherapy Drugs: A Scoping Review
Antioxidants
taxanes
anthracyclines
platinum
cognition
biomarker
<i>N-</i>acetylcysteine
title Oxidative Stress and Cognitive Alterations Induced by Cancer Chemotherapy Drugs: A Scoping Review
title_full Oxidative Stress and Cognitive Alterations Induced by Cancer Chemotherapy Drugs: A Scoping Review
title_fullStr Oxidative Stress and Cognitive Alterations Induced by Cancer Chemotherapy Drugs: A Scoping Review
title_full_unstemmed Oxidative Stress and Cognitive Alterations Induced by Cancer Chemotherapy Drugs: A Scoping Review
title_short Oxidative Stress and Cognitive Alterations Induced by Cancer Chemotherapy Drugs: A Scoping Review
title_sort oxidative stress and cognitive alterations induced by cancer chemotherapy drugs a scoping review
topic taxanes
anthracyclines
platinum
cognition
biomarker
<i>N-</i>acetylcysteine
url https://www.mdpi.com/2076-3921/10/7/1116
work_keys_str_mv AT omarcauli oxidativestressandcognitivealterationsinducedbycancerchemotherapydrugsascopingreview