MODERN APPROACHES TO OBJECTIVIZATION OF PERIPHERIC NEUROPATHY AS A CONSEQUENCE OF CHEMICAL THERAPY: THE ROLE OF CLINICAL SCHEMES AND MOLECULAR BIOMARKERS
Abstract
Purpose of the study. To evaluate the diagnostic significance of clinical scales and molecular biomarkers in patients with peripheral neuropathy due to chemotherapy. Materials and methods. The study included 115 subjects: 41 patients with peripheral neuropathy due to chemotherapy, 38 patients without clinical signs of neuropathy, and 36 practically healthy individuals. All subjects underwent a comprehensive clinical and neurological examinat ion using the Total Neuropathy Score (TNS) scale and the visual-analogue pain scale (VASH). The laboratory study included determining the concentration of light chain neurofilament (NfL) in blood serum and evaluating microRNA expression as potential molecu lar biomarkers of peripheral nervous system damage. Research results. Quantitative assessment of neurological disorders showed a significant increase in TNS and VASH indicators in patients with peripheral neuropathy compared to the comparison group and practically healthy individuals (p<0.001).Author Biography
Aziza Dzhurabekova
doctor of medical sciences, professor; head of the neurology department
Elnora Safarova
candidate of the Department of Neurology
References
- Cavaletti G., Marmiroli P., Fabbrica D. et al. Chemotherapy-Induced Peripheral Neuropathy: A Critical Analysis of the Current Neurotoxic Mechanisms and Risk Factors // Journal of Peripheral Nervous System. 2019. Vol. 24. P. S6-S26.
- Boyette-Davis J.A., Cata J.P., Zhang H. et al. Follow -up psychophysical assessment in breast cancer patients with chemotherapy-induced peripheral neuropathy // Pain. 2021. Vol. 153. P. 2658-2663.
- Windebank A.J., Grisold W. Chemotherapy -induced neuropathy // Journal of the Peripheral Nervous System. 2018. Vol. 13. P. 27-46.
- Seretny M., Currie G.L., Sena E.S. et al. Incidence, prevalence, and predictors of chemotherapy -induced peripheral neuropathy: A systematic review and meta-analysis // Pain. 2019. Vol. 155. P. 2461-2470.
- Postma T.J., Aaronson N.K., Heimans J.J. et al. The development of an EORTC quality of life questionnaire to assess chemotherapy-induced peripheral neuropathy // European Journal of Cancer. 2020. Vol. 41. P. 1135-1139.
- Manley P.E., Ren Z., Yan B. et al. Emerging Biomarkers of Chemotherapy -Induced Peripheral Neuropathy // International Journal of Molecular Sciences. 2021. Vol. 22. P. 4370.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.