Chemotherapy and cognition: comprehensive review on doxorubicin-induced chemobrain

被引:78
作者
El-Agamy, Sara Emad [1 ]
Abdel-Aziz, Amal Kamal [1 ]
Esmat, Ahmed [1 ]
Azab, Samar S. [1 ]
机构
[1] Ain Shams Univ, Fac Pharm, Dept Pharmacol & Toxicol, Cairo 11566, Egypt
关键词
Chemobrain; Doxorubicin; Hippocampus; Memory; Neuropsychological tests; TUMOR-NECROSIS-FACTOR; PEGYLATED LIPOSOMAL DOXORUBICIN; ADULT HIPPOCAMPAL NEUROGENESIS; BREAST-CANCER SURVIVORS; CENTRAL-NERVOUS-SYSTEM; ANXIETY-LIKE BEHAVIOR; OXIDATIVE STRESS; ADJUVANT CHEMOTHERAPY; FACTOR-ALPHA; IN-VIVO;
D O I
10.1007/s00280-019-03827-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Chemobrain refers to a common sequela experienced by a substantial subset of cancer patients exposed to chemotherapeutic treatment, a phenomenon that dramatically deteriorates the survivors' quality of life and prevents them from restoring their pre-cancer life. This review is intended to address the current knowledge regarding the mechanisms underlying the pathophysiology of the chemobrain phenomenon, with special focus on the antineoplastic agent 'doxorubicin'', which has been shown to be implicated in strenuous central neurotoxicity despite beingalmost entirelyperipherally confined. Moreover, the assessment of the post-chemotherapy cognitive impairment in both human and animal subjects, and the potential pharmacotherapy and behavioral intervention strategies are reviewed.
引用
收藏
页码:1 / 14
页数:14
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