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Potential Therapy to Prevent Chemobrain in Cancer Patients

Summary: A new compound prevents cognitive decline associated with chemotherapy treatments in rats, a new study reports.

Source: University of Kansas.

Findings offered by a University of Kansas researcher, identified as one of 20 ‘Must See Presenters’ at the national meeting of the American Chemical Society in early April, suggest a possible therapeutic intervention for “chemobrain,” the cognitive impairment plaguing up to a third of cancer patients following chemotherapy.

“It’s something doctors learned about because patients were complaining,” said Michael Johnson, associate professor of chemistry. “Symptoms include visual and verbal memory loss — so if you have a conversation with somebody, you may have difficulty recalling it. You might have attention deficit, so if you’re trying to do taxes it might be difficult to focus. It also can result in a decline in processing speed, so it may be more difficult to think on your toes. You may have trouble remembering words. A whole array of things that can go wrong.”

Johnson said in model species, biochemical hallmarks of chemobrain include higher levels of hydrogen peroxide in the brain and impaired release and uptake of the neurotransmitters dopamine and serotonin.

“These are the first studies to our knowledge that look at what happens to neurotransmitter release events as a result of these chemotherapeutic agents,” he said. “It hopefully will open up some options for treatments down the road.”

Johnson offered one such possibility for an eventual treatment at his presentation to the national meeting of the ACS. He revealed findings from a just-published behavioral study with rats designed by his colleague David Jarmolowicz of KU’s Department of Applied Behavioral Science (corresponding author on the behavioral study). The experiments showed that “KU-32,” a compound developed by Brian Blagg, KU professor of medicinal chemistry, prevents cognitive decline in rats caused by chemotherapy treatment. KU-32 works by inducing the heat shock response, which protects cells and may counteract the damaging effects of hydrogen peroxide.

“In our preliminary results, we found that hydrogen peroxide temporarily increases in the brains of chemotherapy-treated rats,” Johnson said. “Because hydrogen peroxide is a reactive oxygen species and potentially damaging, it may have an effect on cognitive function. Additionally, we may have a therapy that can serve as a preventative in order to treat it. We found that KU-32 prevents cognitive impairment, and our preliminary neurochemical data suggest that it may prevent increases in hydrogen peroxide production.”

The latest findings build on Johnson’s investigations into chemotherapy-induced cognitive impairment, including a recent paper in ACS Chemical Neuroscience investigating chemotherapy’s influence on the release and uptake of the central nervous system neurotransmitters dopamine and serotonin.

Johnson and his colleagues employed sophisticated electrochemical methods to look at how the chemotherapy agent carboplatin affected sub-second dopamine and serotonin release events in rats, finding a decline of dopamine release by 42 percent in rats receiving the drug and a 55 percent drop in serotonin release.

“Dopamine is found in many regions of the brain but is particularly abundant in the striatum,” Johnson said. “The striatum receives inputs from other parts of the brain, such as the cortex, and filters out the unwanted inputs while amplifying the wanted inputs, which are translated into actions. Dopamine is a key player in how the striatum responds. We felt that alterations in dopamine release due to chemo could potentially play a role in cognitive impairment.”

Image shows a chemo IV.

This is an executive summary of findings by a team headed by Michael Johnson of the University of Kansas. NeuroscienceNews.com image is credited to KU News Service.

Similarly, the KU researchers found serotonin release was impaired in the rats, and carboplatin seemed to alter cognition when researchers measured spatial learning discrimination in the rats.

“Serotonin is implicated in depression and cognitive function,” Johnson said. “We wanted to measure serotonin to see if this was a global effect. It turns out that serotonin is impacted as well, so it’s likely that chemotherapy agents act on neurotransmitter systems other than dopamine as well and also play an important role.”

Johnson said his work could help guide further investigations by scientists and medical researchers to help cancer patients.

“Certainly, it might be important for researchers interested in developing therapies for chemobrain as well as other disorders that might impact cognitive function,” he said.

About this brain cancer research article

Funding: The American Cancer Society supported this work through an institutional grant to the KU Cancer Center. The research was also supported by the KU Center for Molecular Analysis of Disease Pathways, the National Institutes of Health and KU.

Source: Brendan M. Lynch – University of Kansas
Image Source: NeuroscienceNews.com image is credited to KU News Service.
Original Research: Abstract for “KU32 Prevents 5-Fluorouracil Induced Cognitive Impairment” by Michael J. Sofis, David P. Jarmolowicz, Sam V. Kaplan, Rachel C. Gehringer, Shea M. Lemley, Brian S. Blagg, and Michael A. Johnson in Behavioral Brain Research. Published online March 27 2017 doi:10.1016/j.bbr.2017.03.042

Cite This NeuroscienceNews.com Article

University of Kansas “Potential Therapy to Prevent Chemobrain in Cancer Patients.” NeuroscienceNews. NeuroscienceNews, 12 April 2017.
<http://neurosciencenews.com/chemobrain-cancer-6397/>.
University of Kansas (2017, April 12). Potential Therapy to Prevent Chemobrain in Cancer Patients. NeuroscienceNew. Retrieved April 12, 2017 from http://neurosciencenews.com/chemobrain-cancer-6397/
University of Kansas “Potential Therapy to Prevent Chemobrain in Cancer Patients.” http://neurosciencenews.com/chemobrain-cancer-6397/ (accessed April 12, 2017).

Abstract

KU32 Prevents 5-Fluorouracil Induced Cognitive Impairment

Chemotherapy induced cognitive impairment (i.e. Chemobrain) involves acute and long-term deficits in memory, executive function, and processing speed. Animal studies investigating these cognitive deficits have had mixed results, potentially due to variability in the complexity of behavioral tasks across experiments. Further, common chemotherapy treatments such as 5-Fluorouracil (5-FU) break down myelin integrity corresponding to hippocampal neurodegenerative deficits and mitochondrial dysfunction. There is little evidence, however, of pharmacological treatments that may target mitochondrial dysfunction. Using a differential reinforcement of low rates (DRL) task combining spatial and temporal components, the current study evaluated the preventative effects of the pharmacological agent KU32 on the behavior of rats treated with 5-FU (5-FU + Saline vs. 5FU + KU32). DRL performance was analyzed the day after the first set of injections (D1), the day after the second set of injections (D7) and the last day of the experiment (D14). The 5FU + KU32 group earned significantly more reinforcers on the DRL task at D7 and D14 than the 5FU + Saline group. Further, the 5FU + KU32 group showed significantly better temporal discrimination. The 5FU + KU32 showed within-group improvement in temporal discrimination from D7 to D14. No significant differences were observed in spatial discrimination, however, those in the 5FU + Saline group responded more frequently on T3 compared to the 5FU + KU32 group, highlighting temporal discrimination differences between groups. The current data suggest that KU32 shows promise in the prevention of chemotherapy induced impairments in temporal discrimination.

“KU32 Prevents 5-Fluorouracil Induced Cognitive Impairment” by Michael J. Sofis, David P. Jarmolowicz, Sam V. Kaplan, Rachel C. Gehringer, Shea M. Lemley, Brian S. Blagg, and Michael A. Johnson in Behavioral Brain Research. Published online March 27 2017 doi:10.1016/j.bbr.2017.03.042

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