Preventive effect of oral goshajinkigan on chronic oxaliplatin-induced hypoesthesia in rats

Sci Rep. 2015 Nov 6:5:16078. doi: 10.1038/srep16078.

Abstract

Oxaliplatin, a widely used chemotherapeutic agent, induces peripheral neuropathy that manifests itself as two distinct phases: acute cold hyperesthesia and chronic peripheral hypoesthesia/dysesthesia. The latter is a serious dose-limiting side effect that can often lead to withdrawal of treatment. We have developed a rat model expressing both phases and used the model to investigate the action of goshajinkigan (GJG), a traditional Japanese herbal medicine, which was reported to ameliorate oxaliplatin-induced neuropathy in a placebo-controlled double-blind randomized phase II study. In this study, neuropathy was induced by injection of oxaliplatin twice weekly for 8 wks. The maximum level of cold hyperesthesia was observed at 4 wks with heat hypoesthesia developing later. Microscopy studies revealed atrophy of axons of myelinated sciatic nerve fibers in oxaliplatin-treated rats at 8 wks. Co-administration of GJG ameliorated both abnormal sensations as well as histological damage to the sciatic nerve. A pharmacokinetic study revealed numerous neuroprotective components of GJG that are rapidly absorbed into the blood. GJG and some of its components attenuated the generation of oxaliplatin-induced reactive oxygen species, which is a possible mechanism of oxaliplatin-induced neurotoxicity. The present study provides a useful animal model for oxaliplatin-induced neurotoxicity as well as a promising prophylactic agent.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Atrophy / chemically induced
  • Atrophy / drug therapy
  • Axons / drug effects
  • Disease Models, Animal
  • Drugs, Chinese Herbal / pharmacology*
  • Ganglia, Spinal / drug effects
  • Herbal Medicine / methods
  • Hypesthesia / chemically induced*
  • Hypesthesia / drug therapy*
  • Male
  • Medicine, East Asian Traditional / methods
  • Nerve Fibers, Myelinated / drug effects
  • Neuroprotective Agents / pharmacology*
  • Neurotoxicity Syndromes / drug therapy
  • Organoplatinum Compounds / adverse effects*
  • Oxaliplatin
  • Peripheral Nervous System Diseases / chemically induced
  • Peripheral Nervous System Diseases / drug therapy
  • Phytotherapy / methods
  • Rats
  • Rats, Sprague-Dawley

Substances

  • Antineoplastic Agents
  • Drugs, Chinese Herbal
  • Neuroprotective Agents
  • Organoplatinum Compounds
  • gosha-jinki-gan
  • Oxaliplatin