Oxaliplatin neurotoxicity involves peroxisome alterations. PPARγ agonism as preventive pharmacological approach

PLoS One. 2014 Jul 18;9(7):e102758. doi: 10.1371/journal.pone.0102758. eCollection 2014.

Abstract

The development of neuropathic syndromes is an important, dose limiting side effect of anticancer agents like platinum derivates, taxanes and vinca alkaloids. The causes of neurotoxicity are still unclear but the impairment of the oxidative equilibrium is strictly related to pain. Two intracellular organelles, mitochondria and peroxisomes cooperate to the maintaining of the redox cellular state. Whereas a relationship between chemotherapy-dependent mitochondrial alteration and neuropathy has been established, the role of peroxisome is poor explored. In order to study the mechanisms of oxaliplatin-induced neurotoxicity, peroxisomal involvement was evaluated in vitro and in vivo. In primary rat astrocyte cell culture, oxaliplatin (10 µM for 48 h or 1 µM for 5 days) increased the number of peroxisomes, nevertheless expression and functionality of catalase, the most important antioxidant defense enzyme in mammalian peroxisomes, were significantly reduced. Five day incubation with the selective Peroxisome Proliferator Activated Receptor-γ (PPAR-γ) antagonist G3335 (30 µM) induced a similar peroxisomal impairment suggesting a relationship between PPARγ signaling and oxaliplatin neurotoxicity. The PPARγ agonist rosiglitazone (10 µM) reduced the harmful effects induced both by G3335 and oxaliplatin. In vivo, in a rat model of oxaliplatin induced neuropathy, a repeated treatment with rosiglitazone (3 and 10 mg kg(-1) per os) significantly reduced neuropathic pain evoked by noxious (Paw pressure test) and non-noxious (Cold plate test) stimuli. The behavioral effect paralleled with the prevention of catalase impairment induced by oxaliplatin in dorsal root ganglia. In the spinal cord, catalase protection was showed by the lower rosiglitazone dosage without effect on the astrocyte density increase induced by oxaliplatin. Rosiglitazone did not alter the oxaliplatin-induced mortality of the human colon cancer cell line HT-29. These results highlight the role of peroxisomes in oxaliplatin-dependent nervous damage and suggest PPARγ stimulation as a candidate to counteract oxaliplatin neurotoxicity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / adverse effects
  • Antioxidants / metabolism
  • Astrocytes / drug effects
  • Astrocytes / metabolism
  • Catalase / pharmacology
  • Cell Line, Tumor
  • Cells, Cultured
  • Ganglia, Spinal / drug effects
  • Ganglia, Spinal / metabolism
  • HT29 Cells
  • Humans
  • Male
  • Mitochondria / drug effects
  • Mitochondria / metabolism
  • Neuralgia / chemically induced*
  • Neuralgia / metabolism*
  • Neurotoxicity Syndromes / drug therapy
  • Neurotoxicity Syndromes / metabolism*
  • Organoplatinum Compounds / adverse effects*
  • Oxaliplatin
  • Oxidation-Reduction / drug effects
  • PPAR gamma / agonists*
  • PPAR gamma / metabolism*
  • Peroxisomes / drug effects*
  • Peroxisomes / metabolism*
  • Rats
  • Rats, Sprague-Dawley
  • Rosiglitazone
  • Spinal Cord / drug effects
  • Spinal Cord / metabolism
  • Thiazolidinediones / pharmacology

Substances

  • Antineoplastic Agents
  • Antioxidants
  • Organoplatinum Compounds
  • PPAR gamma
  • Thiazolidinediones
  • Oxaliplatin
  • Rosiglitazone
  • Catalase

Grants and funding

This research was funded by the Italian Ministry of Instruction, University and Research (MIUR) and by the University of Florence. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.