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Cited by 829

The DOI matches its Crossref record; 188 of the 188 references it cites were found in a registry or an index.

Mechanisms of Chemotherapy-Induced Peripheral Neuropathy

Open access
Zajączkowska, Renata, Kocot-Kępska, Magdalena, Leppert, Wojciech, Wrzosek, Anna, Mika, Joanna, Wordliczek, Jerzy·2019·International Journal of Molecular Sciences

Abstract

Chemotherapy-induced peripheral neuropathy (CIPN) is one of the most frequent side effects caused by antineoplastic agents, with a prevalence from 19% to over 85%. Clinically, CIPN is a mostly sensory neuropathy that may be accompanied by motor and autonomic changes of varying intensity and duration. Due to its high prevalence among cancer patients, CIPN constitutes a major problem for both cancer patients and survivors as well as for their health care providers, especially because, at the moment, there is no single effective method of preventing CIPN; moreover, the possibilities of treating this syndrome are very limited. There are six main substance groups that cause damage to peripheral sensory, motor and autonomic neurons, which result in the development of CIPN: platinum-based antineoplastic agents, vinca alkaloids, epothilones (ixabepilone), taxanes, proteasome inhibitors (bortezomib) and immunomodulatory drugs (thalidomide). Among them, the most neurotoxic are platinum-based agents, taxanes, ixabepilone and thalidomide; other less neurotoxic but also commonly used drugs are bortezomib and vinca alkaloids. This paper reviews the clinical picture of CIPN and the neurotoxicity mechanisms of the most common antineoplastic agents. A better understanding of the risk factors and underlying mechanisms of CIPN is needed to develop effective preventive and therapeutic strategies.

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Metadata

Authors
Zajączkowska, R., Kocot-Kępska, M., Leppert, W., Wrzosek, A., Mika, J., & Wordliczek, J.
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2019-03-22
Volume
20
Issue
6
Pages
1451
ISSN
1422-0067 (ISSN-L)
OpenAlex
W2923697933
Cited by
829
References
188
FWCI
29.84
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Mechanisms of Chemotherapy-Induced Peripheral Neuropathy. https://app.cochat.ai/papers/10.3390/ijms20061451
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Zajączkowska, R., Kocot-Kępska, M., Leppert, W., Wrzosek, A., Mika, J., & Wordliczek, J. (2019). Mechanisms of Chemotherapy-Induced Peripheral Neuropathy. International Journal of Molecular Sciences. https://doi.org/10.3390/ijms20061451

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