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Levetiracetam mitigates doxorubicin-induced DNA and synaptic damage in neurons
Jose Felix Moruno Manchon1, Yuri Dabaghian2,3, Ndidi-Ese Uzor1,4
1Department of Neurobiology and Anatomy, University of Texas, Houston Medical School, Houston, TX, USA.
Abstract:
Neurotoxicity may occur in cancer patients and survivors during or after chemotherapy. Cognitive deficits associated with neurotoxicity can be subtle or disabling and frequently include disturbances in memory, attention, executive function and processing speed. Searching for pathways altered by anti-cancer treatments in cultured primary neurons, we discovered that doxorubicin, a commonly used anti-neoplastic drug, significantly decreased neuronal survival. The drug promoted the formation of DNA double-strand breaks in primary neurons and reduced synaptic and neurite density. Pretreatment of neurons with levetiracetam, an FDA-approved anti-epileptic drug, enhanced survival of chemotherapy drug-treated neurons, reduced doxorubicin-induced formation of DNA double-strand breaks, and mitigated synaptic and neurite loss. Thus, levetiracetam might be part of a valuable new approach for mitigating synaptic damage and, perhaps, for treating cognitive disturbances in cancer patients and survivors.
Insights
Levetiracetam may protect against chemotherapy-induced neurotoxicity. This anti-epileptic drug enhanced neuronal survival and reduced DNA damage caused by doxorubicin, potentially aiding cancer survivors experiencing cognitive issues.
Area of Science:
- Neuroscience
- Oncology
- Pharmacology
Background:
- Chemotherapy, including doxorubicin, can cause neurotoxicity in cancer patients.
- This neurotoxicity may lead to significant cognitive deficits affecting memory, attention, and processing speed.
- Current treatments for chemotherapy-induced neurotoxicity are limited.
Purpose of the Study:
- To investigate the neuroprotective effects of levetiracetam against doxorubicin-induced neurotoxicity in primary neurons.
- To explore the molecular mechanisms underlying doxorubicin's neurotoxic effects and levetiracetam's protective actions.
Main Methods:
- Primary neurons were cultured and exposed to doxorubicin, a common chemotherapy agent.
- Neurons were pretreated with levetiracetam, an FDA-approved anti-epileptic drug.
- Neuronal survival, DNA double-strand breaks, and synaptic/neurite density were assessed.
Main Results:
- Doxorubicin significantly decreased neuronal survival and promoted DNA double-strand breaks.
- Doxorubicin treatment reduced synaptic and neurite density.
- Levetiracetam pretreatment enhanced neuronal survival, reduced DNA damage, and mitigated synaptic/neurite loss.
Conclusions:
- Levetiracetam demonstrates neuroprotective properties against doxorubicin-induced neurotoxicity.
- The findings suggest levetiracetam may help mitigate synaptic damage and cognitive disturbances in cancer patients.
- Levetiracetam could be a potential therapeutic strategy for managing chemotherapy-induced neurotoxicity.
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