Methods for treatment of drug-induced peripheral neuropathy and related conditions
申请人:——
公开号:US20020061899A1
公开(公告)日:2002-05-23
A method of treating drug-induced peripheral neuropathy comprises administering to a patient with drug-induced peripheral neuropathy an effective quantity of a purine derivative or analogue, a tetrahydroindolone derivative or analogue, or a pyrimidine derivative or analogue. If the compound is a purine derivative, the purine moiety can be guanine or hypoxanthine. The compound can induce peripheral nerve sprouting through the action of a neurotrophic factor such as nerve growth factor (NGF) without the occurrence of hyperalgesia. The peripheral nerve sprouting can be nociceptive nerve sprouting. The drug-induced peripheral neuropathy can be drug-induced peripheral neuropathy associated with the administration of oncolytic drugs, such as a vinca alkaloid, cisplatin, paclitaxel, suramin, altretamine, carboplatin, chlorambucil, cytarabine, dacarbazine, docetaxel, etoposide, fludarabine, ifosfamide with mesna, tamoxifen, teniposide, or thioguanine. Methods according to the present invention are particularly useful in treating peripheral neuropathy associated with the administration of vincristine, paclitaxel, or cisplatin.
一种治疗药物性周围神经病变的方法包括向药物性周围神经病变患者施用有效量的嘌呤衍生物或类似物、四氢吲哚酮衍生物或类似物或嘧啶衍生物或类似物。如果化合物是嘌呤衍生物,嘌呤分子可以是鸟嘌呤或次黄嘌呤。该化合物可通过神经生长因子(NGF)等神经营养因子的作用诱导外周神经萌发,而不会出现痛觉减退。外周神经萌发可以是痛觉神经萌发。药物诱导的周围神经病变可以是与服用溶瘤药物相关的药物诱导的周围神经病变,如长春花生物碱、顺铂、紫杉醇、苏拉明、阿曲他胺、卡铂、氯霉素、阿糖胞苷、达卡巴嗪、多西他赛、依托泊苷、氟达拉滨、伊福法胺与美司那、他莫昔芬、替尼泊苷或硫鸟嘌呤。根据本发明的方法尤其适用于治疗与长春新碱、紫杉醇或顺铂用药相关的周围神经病变。