Chemoprotectants in cancer chemotherapy: An update

Cancer chemotherapeutic agents play an integral part in the management of patients with malignancy. However, chemotherapy is associated with significant toxicity with an adverse impact on the health of the patients. As a result the therapeutic outcome is influenced due to the inability to deliver su...

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Main Authors: Abhishek Basu, Arin Bhattacharjee, Sudin Bhattacharya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Biomedical Research Journal
Subjects:
Online Access:http://www.brjnmims.org/article.asp?issn=2349-3666;year=2016;volume=3;issue=2;spage=157;epage=181;aulast=Basu;type=0
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author Abhishek Basu
Arin Bhattacharjee
Sudin Bhattacharya
author_facet Abhishek Basu
Arin Bhattacharjee
Sudin Bhattacharya
author_sort Abhishek Basu
collection DOAJ
description Cancer chemotherapeutic agents play an integral part in the management of patients with malignancy. However, chemotherapy is associated with significant toxicity with an adverse impact on the health of the patients. As a result the therapeutic outcome is influenced due to the inability to deliver sufficient dose-intensive therapy leading to treatment delays or cessation. Chemoprotectants have been developed in order to mitigate the toxicity associated with chemotherapeutic agents by providing organ-specific protection to normal tissues, without compromising the antitumor efficacy. The current review highlights chemoprotectants in the management of chemotherapeutics-associated toxicity, such as: amifostine, aprepitant, dexrazoxane, filgrastim, sargramostim, mesna, oprelvekin, palifermin, recombinant human erythropoietin etc. Additionally, the present status on the concurrent use of chemoprotectants in combination with chemotherapeutic agents, with focus on their safety is included. The advantageous role of these cytoprotective agents combined with chemotherapy remains controversial in clinical studies due to moderate protective efficacy for normal tissues and organs, risk of concomitant tumor protection and adverse reactions. Besides, the number of successful agents is rather small. Therefore, identification of novel approaches and chemoprotectants holds potential for better management of cancer with chemotherapy.
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spelling doaj.art-83fbab9d4e6f49cba88ad534587464432022-12-21T22:43:34ZengWolters Kluwer Medknow PublicationsBiomedical Research Journal2349-36662349-36742016-01-013215718110.4103/2349-3666.240610Chemoprotectants in cancer chemotherapy: An updateAbhishek BasuArin BhattacharjeeSudin BhattacharyaCancer chemotherapeutic agents play an integral part in the management of patients with malignancy. However, chemotherapy is associated with significant toxicity with an adverse impact on the health of the patients. As a result the therapeutic outcome is influenced due to the inability to deliver sufficient dose-intensive therapy leading to treatment delays or cessation. Chemoprotectants have been developed in order to mitigate the toxicity associated with chemotherapeutic agents by providing organ-specific protection to normal tissues, without compromising the antitumor efficacy. The current review highlights chemoprotectants in the management of chemotherapeutics-associated toxicity, such as: amifostine, aprepitant, dexrazoxane, filgrastim, sargramostim, mesna, oprelvekin, palifermin, recombinant human erythropoietin etc. Additionally, the present status on the concurrent use of chemoprotectants in combination with chemotherapeutic agents, with focus on their safety is included. The advantageous role of these cytoprotective agents combined with chemotherapy remains controversial in clinical studies due to moderate protective efficacy for normal tissues and organs, risk of concomitant tumor protection and adverse reactions. Besides, the number of successful agents is rather small. Therefore, identification of novel approaches and chemoprotectants holds potential for better management of cancer with chemotherapy.http://www.brjnmims.org/article.asp?issn=2349-3666;year=2016;volume=3;issue=2;spage=157;epage=181;aulast=Basu;type=0chemoprotectioncytoprotective agentschemotherapynutraceuticalsantioxidantsgrowth factors
spellingShingle Abhishek Basu
Arin Bhattacharjee
Sudin Bhattacharya
Chemoprotectants in cancer chemotherapy: An update
Biomedical Research Journal
chemoprotection
cytoprotective agents
chemotherapy
nutraceuticals
antioxidants
growth factors
title Chemoprotectants in cancer chemotherapy: An update
title_full Chemoprotectants in cancer chemotherapy: An update
title_fullStr Chemoprotectants in cancer chemotherapy: An update
title_full_unstemmed Chemoprotectants in cancer chemotherapy: An update
title_short Chemoprotectants in cancer chemotherapy: An update
title_sort chemoprotectants in cancer chemotherapy an update
topic chemoprotection
cytoprotective agents
chemotherapy
nutraceuticals
antioxidants
growth factors
url http://www.brjnmims.org/article.asp?issn=2349-3666;year=2016;volume=3;issue=2;spage=157;epage=181;aulast=Basu;type=0
work_keys_str_mv AT abhishekbasu chemoprotectantsincancerchemotherapyanupdate
AT arinbhattacharjee chemoprotectantsincancerchemotherapyanupdate
AT sudinbhattacharya chemoprotectantsincancerchemotherapyanupdate