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Updated: Feb 11, 2026

Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
Published on: April 26, 2012
Protective Effect of a Mitochondria-Targeted Peptide against the Development of Chemotherapy-Induced Peripheral
Satoshi Toyama1,2, Naohito Shimoyama3, Hazel H Szeto4
1Department of Neuroscience , Jikei University School of Medicine , 3-25-8 Nishi-Shimbashi, Minato-Ku , Tokyo 105-8471 , Japan.
Abstract:
Several chemotherapeutic agents used for cancer treatment induce dose-limiting peripheral neuropathy that compromises patients' quality of life and limits cancer treatment. Recently, mitochondrial dysfunction has been shown to be involved in the mechanism of chemotherapy-induced peripheral neuropathy. SS-20 is a mitochondria-targeted peptide that promotes mitochondrial respiration and restores mitochondrial bioenergetics. In the present study, we examined the protective effect of SS-20 against the development of chemotherapy-induced peripheral neuropathy utilizing a murine model of peripheral neuropathy induced by oxaliplatin, a first-line chemotherapy agent for colon cancer. Weekly administrations of oxaliplatin induced peripheral neuropathy as demonstrated by the development of neuropathic pain and loss of intraepidermal nerve fibers in the hind paw. Continuous administration of SS-20 protected against the development of oxaliplatin-induced neuropathic pain and mitigated the loss of intraepidermal nerve fibers to normal levels. Our findings suggest that SS-20 may be a drug candidate for the prevention of chemotherapy-induced peripheral neuropathy.
Insights
Mitochondria-targeted peptide SS-20 prevents chemotherapy-induced peripheral neuropathy. This study shows SS-20 protects against oxaliplatin-induced nerve damage and pain in mice, offering a potential therapeutic strategy.
Area of Science:
- Neuroscience
- Pharmacology
- Mitochondrial Biology
Background:
- Chemotherapeutic agents can cause dose-limiting peripheral neuropathy, negatively impacting patient quality of life and treatment adherence.
- Mitochondrial dysfunction is increasingly recognized as a key mechanism underlying chemotherapy-induced peripheral neuropathy (CIPN).
- SS-20 is a novel peptide designed to target mitochondria, enhance respiration, and restore cellular bioenergetics.
Purpose of the Study:
- To investigate the potential protective effects of SS-20 against oxaliplatin-induced peripheral neuropathy.
- To evaluate SS-20's efficacy in a preclinical murine model of CIPN.
Main Methods:
- A murine model was established using weekly oxaliplatin administration to induce peripheral neuropathy.
- Mice received continuous administration of SS-20 alongside oxaliplatin treatment.
- Neuropathic pain and intraepidermal nerve fiber density in the hind paw were assessed to evaluate neuropathy development and SS-20's effect.
Main Results:
- Oxaliplatin treatment successfully induced peripheral neuropathy, characterized by neuropathic pain and significant loss of intraepidermal nerve fibers.
- Continuous SS-20 administration significantly protected against the development of oxaliplatin-induced neuropathic pain.
- SS-20 treatment mitigated the loss of intraepidermal nerve fibers, restoring them to normal levels.
Conclusions:
- SS-20 demonstrates significant protective effects against chemotherapy-induced peripheral neuropathy in a preclinical model.
- The findings support SS-20's potential as a therapeutic candidate for preventing or treating CIPN.
- Targeting mitochondrial function with peptides like SS-20 offers a promising strategy for managing chemotherapy side effects.
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Peptide Bonds

