Oxaliplatin is commonly used anti-cancer drugs, but it frequently causes peripheral neuropathic pain. Recently, we reported that elcatonin, a synthetic analog of eel calcitonin, attenuated the oxaliplatin-and paclitaxel-induced cold and mechanical allodynia in rats. In the present study, we determined whether salmon calcitonin also had anti-allodynic effects on oxaliplatin-induced neuropathy in rats. The rats were treated with a single dose of oxaliplatin (6 mg/kg, intraperitoneally (i.p.)). Oxaliplatin resulted in cold and mechanical allodynia. We assessed the anti-allodynic effects of subcutaneously administered salmon calcitonin (20 U/ kg/d) by cold stimulation (8°C) directly to the hind paw of the rats and by using the von Frey test. Salmon calcitonin almost completely reversed the effects of both cold and mechanical allodynia. These results suggest that salmon calcitonin is also useful for treatment of oxaliplatin-induced neuropathy clinically.Key words oxaliplatin; salmon calcitonin; peripheral neuropathy Platinum-based drugs 1) is commonly administered to patients with various types of cancers. Oxaliplatin is commonly used for the treatment of advanced metastatic colorectal cancer, 2) and is known to induce a specific acute and chronic form of neuropathy. In particular, cold allodynia of the hands, feet, perioral region, and throat appears soon after its administration. Indeed, neurotoxicity as a result of oxaliplatin is often the reason for treatment discontinuation, dose reduction, or hospitalization, rather than tumor progression.
3)Calcitonin is a hormone that occurs naturally in the human body, and inhibits bone resorption through the direct inhibition of osteoclastic activity.4) It is effective against severe pain associated with vertebral fracture, 5,6) postosteoporotic fracture, 5,7) Paget's disease, 7) and lumbago. 8) In addition, calcitonin has been reported to relieve pain that is not related to osteoporosis, such as that of diabetic neuropathy, 9) reflex sympathetic dystrophy, 10,11) migraine, 12) and formalin-induced hyperalgesia and allodynia.13) Recently, we reported that elcatonin, a synthetic analog of eel calcitonin, attenuated oxaliplatin-and paclitaxel-induced cold and mechanical allodynia in rats. 14) Although blockade of the cellular signaling related to transient receptor potential ankyrin-1 (TRPA1) and melastatin-8 (TRPM8) is involved in the anti-allodynic action of elcatonin, it has been still unclear whether stimulation of calcitonin receptors is involved in the underlying mechanisms.
14)Salmon calcitonin is similar to human calcitonin hormone in many ways, and more potent than human calcitonin. Therefore, salmon calcitonin is also widely used to treat postmenopausal osteoporosis. In the present study, to determine whether salmon calcitonin would also show the same effects as elcatonin, and to get a suggestion about the role of calcitonin receptors in the anti-allodynic action of calcitonins, we tested the effect of salmon calcitonin on cold and mechanical allodynia induced by ad...