1. Serum sodium ions and chloride ions associated with taxane-induced peripheral neuropathy in Chinese patients with early-stage breast cancer: A nation-wide multicenter study.
- Author
-
Zhai, Jingtong, Sun, Xiaoying, Zhao, Fang, Pan, Bo, Li, Huihui, Lv, Zheng, Cao, Mengru, Zhao, Jiuda, Mo, Hongnan, Ma, Fei, and Xu, Binghe
- Subjects
CHLORIDE ions ,SODIUM ions ,PERIPHERAL neuropathy ,SALT ,CHINESE people - Abstract
Taxane-induced peripheral neuropathy (TIPN) is a debilitating adverse effect of cancer treatments with taxanes which may require a reduction or discontinuation chemotherapy and affect clinical and survival outcomes. A number of factors have contributed to the increasing prevalence of TIPN. Nonetheless, limited knowledge exists of potential prechemotherapy blood-based biochemical factors associated with TIPN development. We recruited breast cancer patients at seven cancer institutions in China. Participants aged 18 years or older with stage I to III breast cancer who scheduled to undergo primary neoadjuvant and adjuvant chemotherapy with taxanes were eligible. Eligible patients underwent patient-reported neuropathy assessments using the EORTC-CIPN20 questionnaire. Patients completed the questionnaire before commencing treatment and after every cycle. For every patient, we selected the highest TIPN toxicity score for analysis since the first cycle. The posttreatment TIPN severity was compared with blood-based biochemical factors within 30 days before commencing treatment. Independent samples t tests, Mann-Whitney U tests and linear regression were used to identify blood-based and clinical associations with TIPN development. The study included 873 breast cancer participants who received paclitaxel, docetaxel or nanoparticle albumin-bound (nab)-paclitaxel. In the whole cohort, factors associated with higher TIPN toxicity scores were higher cumulative chemotherapy dose (β = 0.005; 95% CI, 0.004 to 0.006; P <.001), lower sodium ions (β = −0.24; 95% CI, −0.39 to −0.09; P =.002) and higher chloride ions (β = 0.30; 95% CI, 0.16 to 0.44; P <.001). The findings suggest that breast cancer patients with a higher cumulative chemotherapy dose, lower pretreatment sodium ions, and higher pretreatment chloride ions receiving taxanes should receive closer monitoring to mitigate the development of short-term and long-term TIPN. • Taxane-induced peripheral neuropathy (TIPN) is a debilitating adverse effect of cancer treatments. • Limited knowledge exists of potential prechemotherapy blood-based biochemical factors associated with TIPN development. • Ion channels, including sodium, potassium, and chloride ion channels, are associated with TIPN. • Alterations in sodium ion channel type and activity may contribute to the development of TIPN. • The altered function of chloride ion cotransporters can cause the transmission of peripheral pain. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF