Abstract

Cancer patients display cognitive impairment due, at least partly, to the treatments. Additionally, chemotherapeutic treatments can lead to organ injury, limiting their use, and are likely to have negative impacts on patients’ quality of life. The aim of this study was to investigate the toxicity of 3-Deazaneplanocin A (DZNep) on several tissues and organs, as well as on cognitive functions. DZNep is an inhibitor of S-adenosylmethionine-dependent methyltransferase (in particular of the histone methyltransferase EZH2) which showed antitumoral functions in preclinical trials but whose effects on behavior and on organs (side effects) are not known.Chronic injections of DZNep were performed intraperitoneally in male NMRI mice (2 mg/kg; i.p.; three times per week) during 8 weeks. A follow-up of body weight was assessed during all experiments. Histological analysis were performed on several organs. EZH2 expression and H3K27me3 were assayed by western-blot. Several behavioral tests were performed during treatment and 2 weeks after. A particular focus was made on spontaneous locomotor activity, cognitive functions (spontaneous alternation and recognition memory), and anxiety- and depression-related behavior. Hematological modifications were also assessed.Chronic DZNep treatment transiently reduced animal growth. It had no effect on most organs but provoked a reversible splenomegaly, and persistent testis reduction and erythropoiesis. DZNep administration did not alter animal behavior.In conclusion, this study is encouraging for the use of DZNep for cancer treatment. Indeed, it has no effect on animal behavior, conferring an advantageous safety, and induces irreversible side effects limited on testis which are unfortunately found in most chemotherapy treatments.

Highlights

  • Cancer treatments, including chemotherapy, may induce side effects on the bone marrow, heart, cardiac, digestive system or testis, and often cause nausea, alopecia, or even cognitive impairments [1]

  • The aim of this study was to investigate the toxicity of 3-Deazaneplanocin A (DZNep) on several tissues and organs, as well as on cognitive functions

  • DZNep is an inhibitor of S-adenosylmethionine-dependent methyltransferase which showed antitumoral functions in preclinical trials but whose effects on behavior and on organs are not known

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Summary

Introduction

Cancer treatments, including chemotherapy, may induce side effects on the bone marrow, heart, cardiac, digestive system or testis, and often cause nausea, alopecia, or even cognitive impairments [1]. These cognitive impairments include alteration of concentration, memory, executive functions, and processing speed, and are often named “chemofog” or “chemobrain” [2, 3]. 3-deazaneplanocin A (DZNep), a cyclopentanyl analog of 3-deazaadenosine, inhibits the activity of S-adenosylhomocysteine hydrolase (SAHH), leading to cellular accumulation of S-adenosylhomocysteine (SAH), which in turn, represses the S-adenosyl-methioninedependent histone lysine methyltransferase activities [4]. DZNep inhibits the Polycomb Repressive Complex 2 (PRC2), and its catalytic subunit Enhancer of Zeste Homolog 2 (EZH2), inhibiting the trimethylation of the lysine 27 on histone H3 (H3K27me3) [5]

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