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Published on: May 15, 2021
Cisplatin-Induced Nephrotoxicity; Protective Supplements and Gender Differences
Mehdi Nematbakhsh1, Zahra Pezeshki, Fatemeh Eshraghi Jazi
1Water and Electrolytes Research Center, Department of Physiology, Isfahan University of Medical Sciences, Isfahan, Iran. *Email: nematbakhsh@med.mui.ac.ir
Cisplatin chemotherapy causes kidney damage (nephrotoxicity), with no definitive supplement yet found to prevent it. Estrogen may offer kidney protection against this common chemotherapy side effect.
Area of Science:
- Nephrology
- Oncology
- Pharmacology
Background:
- Cisplatin (CDDP) is a vital chemotherapeutic agent for solid tumors.
- Nephrotoxicity is a significant dose-limiting side effect of CDDP treatment.
- Current strategies to mitigate CDDP-induced nephrotoxicity lack definitive solutions.
Approach:
- This review synthesizes research on synthetic and herbal antioxidants as potential adjuncts to CDDP.
- Investigates the role of trace elements in preventing chemotherapy-induced kidney damage.
- Examines gender-related differences in CDDP nephrotoxicity, focusing on estrogen's protective potential.
Key Points:
- Numerous synthetic and herbal antioxidants have been explored, yielding mixed results.
- No single supplement has been conclusively identified to prevent CDDP nephrotoxicity.
- Estrogen's potential protective role against kidney damage from cisplatin warrants further investigation.
Conclusions:
- The search for effective adjuncts to prevent cisplatin nephrotoxicity remains ongoing.
- Understanding gender-specific mechanisms, like estrogen's influence, is crucial for future therapeutic development.
- Further research is needed to identify reliable supplements and therapeutic strategies to minimize chemotherapy-induced kidney damage.
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