Experimental Chemotherapy-Induced Mucositis : A Scoping Review Guiding the Design of Suitable Preclinical Models

Mucositis is a common and most debilitating complication associated with the cytotoxicity of chemotherapy. The condition affects the entire alimentary canal from the mouth to the anus and has a significant clinical and economic impact. Although oral and intestinal mucositis can occur concurrently in the same individual, these conditions are often studied independently using organ-specific models that do not mimic human disease. Hence, the purpose of this scoping review was to provide a comprehensive yet systematic overview of the animal models that are utilised in the study of chemotherapy-induced mucositis. A search of PubMed/MEDLINE and Scopus databases was conducted to identify all relevant studies. Multiple phases of filtering were conducted, including deduplication, title/abstract screening, full-text screening, and data extraction. Studies were reported according to the updated Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines. An inter-rater reliability test was conducted using Cohen's Kappa score. After title, abstract, and full-text screening, 251 articles met the inclusion criteria. Seven articles investigated both chemotherapy-induced intestinal and oral mucositis, 198 articles investigated chemotherapy-induced intestinal mucositis, and 46 studies investigated chemotherapy-induced oral mucositis. Among a total of 205 articles on chemotherapy-induced intestinal mucositis, 103 utilised 5-fluorouracil, 34 irinotecan, 16 platinum-based drugs, 33 methotrexate, and 32 other chemotherapeutic agents. Thirteen articles reported the use of a combination of 5-fluorouracil, irinotecan, platinum-based drugs, or methotrexate to induce intestinal mucositis. Among a total of 53 articles on chemotherapy-induced oral mucositis, 50 utilised 5-fluorouracil, 2 irinotecan, 2 methotrexate, 1 topotecan and 1 with other chemotherapeutic drugs. Three articles used a combination of these drugs to induce oral mucositis. Various animal models such as mice, rats, hamsters, piglets, rabbits, and zebrafish were used. The chemotherapeutic agents were introduced at various dosages via three routes of administration. Animals were mainly mice and rats. Unlike intestinal mucositis, most oral mucositis models combined mechanical or chemical irritation with chemotherapy. In conclusion, this extensive assessment of the literature revealed that there was a large variation among studies that reproduce oral and intestinal mucositis in animals. To assist with the design of a suitable preclinical model of chemotherapy-induced alimentary tract mucositis, animal types, routes of administration, dosages, and types of drugs were reported in this study. Further research is required to define an optimal protocol that improves the translatability of findings to humans.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

International journal of molecular sciences - 23(2022), 23 vom: 06. Dez.

Sprache:

Englisch

Beteiligte Personen:

Huang, Junhua [VerfasserIn]
Hwang, Alan Yaw Min [VerfasserIn]
Jia, Yuting [VerfasserIn]
Kim, Brian [VerfasserIn]
Iskandar, Melania [VerfasserIn]
Mohammed, Ali Ibrahim [VerfasserIn]
Cirillo, Nicola [VerfasserIn]

Links:

Volltext

Themen:

5-fluorouracil
7673326042
Animal models
Antineoplastic Agents
Chemotherapy
Fluorouracil
Gastrointestinal mucositis
Intraperitoneal
Intravenous
Irinotecan
Journal Article
Methotrexate
Mucositis
Oral mucositis
Platinum-based drugs
Review
Systematic Review
U3P01618RT
YL5FZ2Y5U1

Anmerkungen:

Date Completed 16.12.2022

Date Revised 21.12.2022

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijms232315434

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM350119686