Dietary Supplements in Chemotherapy-Induced Peripheral Neuropathy: A New Hope?

Nutrients. 2022 Jan 31;14(3):625. doi: 10.3390/nu14030625.

Abstract

Chemotherapy-induced peripheral neuropathy (CIPN) is one of the main and most prevalent side effects of chemotherapy, significantly affecting the quality of life of patients and the course of chemotherapeutic treatment. Nevertheless, despite its prevalence, the management of the CIPN is considered particularly challenging, with this condition often being perceived as very difficult or even impossible to prevent with currently available agents. Therefore, it is imperative to find better options for patients diagnosed with this condition. While the search for the new agents must continue, another opportunity should be taken into consideration-repurposing of the already known medications. As proposed, acetyl-L-carnitine, vitamins (group B and E), extracts of medical plants, including goshajinkigan, curcumin and others, unsaturated fatty acids, as well as the diet composed of so-called "sirtuin-activating foods", could change the typical way of treatment of CIPN, improve the quality of life of patients and maintain the continuity of chemotherapy. This review summarizes currently available data regarding mentioned above agents and evaluates the rationale behind future research focused on their efficacy in CIPN.

Keywords: cancer therapy; chemotherapy; dietary supplements; neurotoxicity; peripheral neuropathy.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / therapeutic use
  • Dietary Supplements
  • Humans
  • Peripheral Nervous System Diseases* / chemically induced
  • Peripheral Nervous System Diseases* / drug therapy
  • Peripheral Nervous System Diseases* / prevention & control
  • Quality of Life
  • Vitamins / therapeutic use

Substances

  • Antineoplastic Agents
  • Vitamins