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Lansoprazole identified as a prophylactic agent for oxaliplatin-induced peripheral neuropathy using integrated in silico, in vitro, and in vivo analyses - 20/07/25

Doi : 10.1016/j.biopha.2025.118272 
Akihide Kobayashi a, b, Kenji Ikemura a, b, , Manami Ueno c, Eri Wakai d, Fumihiro Yamane c, Masahiro Okuda a, b
a Department of Hospital Pharmacy, Graduate School of Medicine, The University of Osaka, Osaka 5650871, Japan 
b Department of Pharmacy, The University of Osaka Hospital, Osaka 5650871, Japan 
c Department of Hospital Pharmacy, School of Pharmaceutical Sciences, The University of Osaka, Osaka 5650871, Japan 
d Laboratory of Clinical Pharmacy 2, College of Pharmaceutical Sciences, Ritsumeikan University, Shiga 5258577, Japan 

Corresponding author at: Kenji Ikemura, PhD; Department of Pharmacy, The University of Osaka Hospital, 2-15 Yamadaoka, Suita, Osaka 5650871, Japan.Kenji Ikemura, PhD; Department of Pharmacy, The University of Osaka Hospital2-15 YamadaokaSuitaOsaka5650871Japan

Abstract

Oxaliplatin (L-OHP) is a platinum-based anticancer drug used to treat various malignant tumors. However, L-OHP-induced peripheral neuropathy (OIPN) is a major clinical problem that often limits treatment. As OIPN occurs when L-OHP accumulates in the dorsal root ganglion (DRG) via organic cation transporter 2 (OCT2/SLC22A2), drugs with OCT2 inhibitory properties may serve as prophylactic agents for OIPN. This study aimed to explore the potential prophylactic agents for OIPN using integrated model with the quantitative structure–activity relationship screening for human organic cation transporter 2 (hOCT2) inhibitors and two real-world data analyses of the Food and Drug Administration Adverse Event Reporting System and Japanese Adverse Drug Event Report, and subsequently evaluate the protective effects of the identified drugs against OIPN. Our integrated model identified lansoprazole, a proton pump inhibitor, as a potential prophylactic agent. In vitro uptake study using hOCT2-expressing HEK293 cells demonstrated that lansoprazole significantly inhibited the hOCT2-mediated transport of L-OHP. In the OIPN mouse model, concomitant lansoprazole drastically suppressed mechanical allodynia and cold hypersensitivity after repeated L-OHP administration. Moreover, the concentration of L-OHP in the DRG was significantly decreased by the concomitant administration of lansoprazole. In primary cultured mouse DRG neurons, cotreatment with lansoprazole significantly inhibited L-OHP uptake and restored the L-OHP-induced decrease in neurite length. These findings suggest that the concomitant administration of lansoprazole ameliorates OIPN by inhibiting OCT2-mediated L-OHP uptake in the mouse DRG. Our findings provide important insights for the establishment of novel protective approaches against OIPN.

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Graphical Abstract




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Highlights

Lansoprazole inhibited oxaliplatin (L-OHP) uptake via organic cation transporter 2.
Lansoprazole reduced L-OHP-induced peripheral neuropathy in mice.
Lansoprazole inhibited L-OHP uptake in mouse dorsal root ganglion (DRG).
Lansoprazole alleviated L-OHP-induced neurite degeneration in mouse DRG.

El texto completo de este artículo está disponible en PDF.

Keywords : Drug repositioning, Lansoprazole, Organic cation transporter 2, Oxaliplatin-induced peripheral neuropathy, Proton pump inhibitors


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© 2025  The Authors. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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