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Vittoria Rimola1, Tabea Osthues2, Vanessa Königs2

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International Journal of Molecular Sciences
|June 2, 2021
PubMed
Summary

Oxaliplatin treatment transiently increases the activity of the TRPM8 channel, a key player in cold sensitivity. This early change, linked to the PLC pathway, may explain acute pain following chemotherapy.

Keywords:
TRPM8acute paindesensitizationneuropathic painoxaliplatin

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Area of Science:

  • Neuroscience
  • Pharmacology
  • Oncology

Background:

  • Oxaliplatin is a crucial chemotherapy drug for colorectal cancer.
  • Patients often experience acute peripheral pain and chronic neuropathy after oxaliplatin treatment.
  • The mechanisms behind oxaliplatin-induced acute pain remain unclear.

Purpose of the Study:

  • To investigate the role of TRP channels in oxaliplatin-induced acute pain.
  • To elucidate the molecular mechanisms underlying these pain responses.

Main Methods:

  • Examined the activity of TRPM8 and other TRP channels after oxaliplatin treatment.
  • Investigated the involvement of the phospholipase C (PLC) pathway and PIP2 levels.
  • Assessed the effects of PLC inhibition on TRPM8 activity and PIP2 concentrations.

Main Results:

  • Oxaliplatin treatment transiently increased TRPM8 channel activity 1 hour post-treatment.
  • TRPM8 activity decreased 24 hours after oxaliplatin, linked to PLC activation and PIP2 depletion.
  • Inhibiting the PLC pathway restored TRPM8 activity and PIP2 levels.

Conclusions:

  • Transient changes in TRPM8 activity early after oxaliplatin treatment are identified.
  • Later TRPM8 channel desensitization in sensory neurons may contribute to chronic pain.
  • TRPM8 plays a significant role in both acute and neuropathic pain induced by oxaliplatin.