Paclitaxel, a widely used anticancer drug in treating ovarian, breast, and prostate cancers, triggers neuropathy in approximately 97% of patients with gynecological and urological cancers. Its primary action involves inducing cell death in cancer cells by stabilizing microtubules, thereby halting cell division. However, paclitaxel also impacts cells in both the central and peripheral nervous systems. Its accumulation in the dorsal root ganglia (DRG) leads to notable symptoms such as pain and tingling sensations in the hands and feet. This accumulation disrupts axonal transport, alters mitochondrial structure and function, and prompts inflammation. Consequently, these pathological alterations result in symmetric damage to axons and the loss of nerve fibers.
Paclitaxel-induced animal models are used in neuropathic pain research because they mimic certain aspects of neuropathic pain observed in humans. Paclitaxel can induce neuropathy in animals, leading to symptoms similar to those experienced by humans with neuropathic pain. These models are essential for various reasons outlined hereafter.