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Cyclophosphamide has Long-Term Effects on Proliferation in Olfactory Epithelia
Nora Awadallah1, Kara Proctor2, Kyle B Joseph3
1Neuroscience Program, Marsh Life Science, University of Vermont, Burlington, USA.
Chemical Senses
|December 18, 2019
Summary
Cyclophosphamide (CYP) chemotherapy significantly impacts olfactory system cell renewal, causing initial proliferation suppression followed by a rebound. This disruption likely contributes to the loss of smell and taste experienced by patients.
Area of Science:
- Neuroscience
- Cell Biology
- Toxicology
Background:
- Chemotherapy often causes chemosensory changes, affecting taste and smell.
- Cyclophosphamide (CYP), a chemotherapy drug, has known cytotoxic effects on sensory cells.
- The olfactory system, including the main olfactory epithelium (MOE) and vomeronasal organ (VNO), relies on continuous cell renewal.
Purpose of the Study:
- To investigate the effect of a single cyclophosphamide (CYP) injection on cell proliferation in the MOE and VNO.
- To determine the temporal changes in olfactory cell renewal following CYP treatment.
- To compare the impact of CYP on different regions and cell types within the olfactory system.
Main Methods:
- Mice were administered a single injection of 75 mg/kg cyclophosphamide (CYP).
- Cell proliferation was assessed by quantifying Ki67-labeled cells in the MOE and VNO at various time points (0-125 days postinjection).
- Comparisons were made between CYP-treated groups and control groups.
Main Results:
- CYP injection caused a significant decrease in cell proliferation in both MOE and VNO by day 1 and complete suppression by day 2.
- Cell proliferation in the MOE sensory layer recovered and significantly exceeded control levels by day 6, peaking at day 30.
- Similar patterns of initial suppression followed by elevated proliferation were observed in the MOE sustentacular layer and all VNO regions, with CYP impacting the MOE sensory layer most severely.
Conclusions:
- Cyclophosphamide (CYP) chemotherapy disrupts the normal cell renewal process in the olfactory system.
- The observed changes in cell proliferation suggest a mechanism for chemotherapy-induced chemosensory dysfunction.
- These findings highlight the vulnerability of the olfactory epithelium to cytotoxic chemotherapy agents.

