2008
DOI: 10.1111/j.1476-5829.2007.00142.x
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Cisplatin: a review of toxicities and therapeutic applications

Abstract: Cisplatin is a platinum chemotherapeutic used in a variety of malignancies. The antineoplastic activity occurs from DNA cross-links and adducts, in addition to the generation of superoxide radicals. Nephrotoxicity is the most well-known and potentially most clinically significant toxicity. Unfortunately, the mechanism for cisplatin nephrotoxicity has not been completely elucidated; however, many theories have been developed. Other toxicities include gastrointestinal, myelosuppression, ototoxicity and neurotoxi… Show more

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Cited by 372 publications
(277 citation statements)
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References 123 publications
(141 reference statements)
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“…The anticancer action of these platinum drugs results from their capacity to form DNAplatinum covalent adducts, which ultimately lead to apoptosis of cancer cells [76]. However, tumour resistance and side effects such as nephrotoxicity are often consequences of their clinical applications [5,6,37,66]. The development of anticancer drugs with different mechanisms of action is urgently needed to overcome drug resistance and side Electronic supplementary material The online version of this article (doi:10.1007/s12154-011-0070-x) contains supplementary material, which is available to authorized users.…”
Section: Introductionmentioning
confidence: 99%
“…The anticancer action of these platinum drugs results from their capacity to form DNAplatinum covalent adducts, which ultimately lead to apoptosis of cancer cells [76]. However, tumour resistance and side effects such as nephrotoxicity are often consequences of their clinical applications [5,6,37,66]. The development of anticancer drugs with different mechanisms of action is urgently needed to overcome drug resistance and side Electronic supplementary material The online version of this article (doi:10.1007/s12154-011-0070-x) contains supplementary material, which is available to authorized users.…”
Section: Introductionmentioning
confidence: 99%
“…8 ). The molecular mechanism responsible for the nephrotoxicity is unknown at present but several theories have been postulated 5 . The kidneys play a major role in the homeostasis of body fluid compartments.…”
Section: Introductionmentioning
confidence: 99%
“…After this activation, cisplatin can form bifunctional adducts (the two sites are on the same DNA strand) with preference for the N 7 -positions of adenine and guanine (>90%), the cross-links (the binding sites are located on different DNA strands) are rather rare (<2%) (ref. 5 ). Formation of these adducts and cross-links inhibits the DNA replication, thus, interfering with the cell division by mitosis.…”
Section: Introductionmentioning
confidence: 99%
“…Recent research has aimed at identifying protective molecules and/or mechanisms that could be used to prevent or alleviate CisPt insults and the onset of AKI (Barabas et al, 2008;dos Santos et al, 2012). These pharmacological approaches have mainly focused on discovering compounds of natural origin (Nagwani & Tripathi, 2010;Nitha & Janardhanan, 2008;Sohn et al, 2009), notably issuing from Traditional Chinese Medicine (TCM) remedies.…”
Section: Introductionmentioning
confidence: 99%