Beyond chemotherapy: Exploring tree turmeric root and nano-hydroxyapatite for neuroprotective applications

Document Type : Original Article

Authors

1 Department of Rehabilitation Medicine, Ankang People’s Hospital, Ankang, 725000, China

2 Vinayaka Mission’s Medical College and Hospital, Vinayaka Mission’s Research Foundation (Deemed to be University), Karaikal, Puducherry, India, 609609

3 Department of Chemistry, Nandha Engineering College, Tamil Nadu- 638052, India

10.22038/ijbms.2025.84185.18205

Abstract

Objective(s): To investigate the physicochemical properties, in vitro efficacy, and in vivo therapeutic potential of novel tree turmeric root and nano-hydroxyapatite (TRE@NHA) composites in mitigating chemotherapy-induced peripheral neuropathy (CIPN).
Materials and Methods: TRE@NHA composites were synthesized and characterized using FTIR, XRD, TGA, and HRTEM. In vitro studies using PC12 cells assessed cytotoxicity, anti-inflammatory effects, and neuroprotective properties. An in vivo rat model of CIPN was established using paclitaxel (PTX). Behavioral assessments, histopathological analysis, and oxidative stress markers were evaluated in sciatic nerve tissues.
Results: TRE@NHA composites demonstrated successful integration of TRE into the NHA matrix. In vitro studies revealed significant anti-inflammatory and neuroprotective effects of TRE@NHA-2, particularly in suppressing cytokine production, enhancing cell viability, and mitigating oxidative stress. In vivo, TRE@NHA-2 effectively alleviated PTX-induced neuropathic pain, reduced neuronal damage, and exhibited potent antioxidant properties.
Conclusion: This study demonstrates the successful development and characterization of novel TRE@NHA composites. The findings strongly suggest that TRE@NHA-2 possesses promising therapeutic potential for mitigating CIPN due to its anti-inflammatory, antioxidant, and neuroprotective properties.

Keywords

Main Subjects


1. Jaymand M. Hydrogel-based drug delivery systems for synergistic chemo/hyperthermia therapy of cancer: A comprehensive review. J Drug Del Sci Tech 2024; 12: 105581.
2. Argyriou AA, Bruna J, Park SB, Cavaletti G. Emerging pharmacological strategies for the management of chemotherapy-induced peripheral neurotoxicity (CIPN), based on novel CIPN mechanisms. Expert Rev Neurother 2020; 20: 1005-1016.
3. El‐Fawal HA, Rembisz R, Alobaidi R, Mousa SA. Chemotherapy‐mediated pain and peripheral neuropathy: Impact of oxidative stress and inflammation. Oxidative Stress and Antioxidant Protection: The Science of Free Radical Biology and Disease 2016; 367-88.
4. Hu LY, Mi WL, Wu GC, Wang YQ, Mao-Ying QL. Prevention and treatment for chemotherapy-induced peripheral neuropathy: Therapies based on CIPN mechanisms. Curr Neuropharmacol 2019; 17: 184-96.
5. Hershman DL, Lacchetti C, Dworkin RH, Lavoie Smith EM, Bleeker J, Cavaletti G, et al. Prevention and management of chemotherapy-induced peripheral neuropathy in survivors of adult cancers: American Society of Clinical Oncology Clinical Practice Guideline. J Clin Oncol 2014; 32: 1941-1967.
6. Meng J, Zhang Q, Yang C, Xiao L, Xue Z, Zhu J, et al. Duloxetine, a balanced serotonin-norepinephrine reuptake inhibitor, improves painful chemotherapy-induced peripheral neuropathy by inhibiting activation of p38 MAPK and NF-κB. Front Pharmacol 2019; 10: 365-380.
7. Khandan A, Khosravi M, Roustazadeh D, Aghadavoudi F. Impact of alumina and carbon nanotubes on mechanical properties of a composite: Molecular dynamic (MD) simulation. Iran J Chem Chem Eng 2024; 43: 2866-2877. 
8. Calixto JB, Beirith A, Ferreira J, Santos AR, Filho VC, Yunes RA, et al. Naturally occurring antinociceptive substances from plants. Phytother Res 2000; 14: 401-418.
9. Rengasamy KR, Mahomoodally MF, Joaheer T, Zhang Y. A systematic review of traditionally used herbs and animal-derived products as potential analgesics. Curr Neuropharmacol 2021; 19: 553-588.
10. Painuli S, Semwal P, Cruz-Martins N, Bachheti RK. Medicinal plants of himalayan forests. Non-Timber Forest Products: Food, Healthcare and Industrial Applications 2021;175-212.
11. Tiwari R, Latheef SK, Ahmed I, Iqbal HM, Bule MH, Dhama K, et al. Herbal immunomodulators-a remedial panacea for designing and developing effective drugs and medicines: Current scenario and future prospects. Curr Drug Metab 2018; 19: 264-301.
12. Attaeyan A, Shahgholi M, Khandan A. Fabrication and characterization of novel 3D porous Titanium-6Al-4V scaffold for orthopedic application using selective laser melting technique. Iran J Chem Chem Eng 2023; 43: 21-37.
13. Rao PS, Ramanjaneyulu YS, Prisk VR, Schurgers LJ. A combination of tamarindus indica seeds and curcuma longa rhizome extracts improve knee joint function and alleviates pain in non-arthritic adults following physical activity. Int J Med Sci 2019; 16: 845-853.
14. Bhasin J, Thakur B, Kumar S, Kumar V. Tree turmeric: A super food and contemporary nutraceutical of 21st century–A laconic review. J Am Nutr Assoc 2022; 41: 728-746.
15. Mohd Zaffarin AS, Ng SF, Ng MH, Hassan H, Alias E. Nano-hydroxyapatite as a delivery system for promoting bone regeneration in vivo: A systematic review. Nanomaterials 2021; 11: 2569-2585.
16. Khademi A, Khandan A, Iranmanesh P, Heydari M. Development of a 3D bioprinted alginate-gelatin hydrogel scaffold loaded with calcium phosphates for dental pulp tissue regeneration. Iran J Chem Chem Eng 2024; 44: 1-16.
17. Gu YH, Yan XB, Huang D, Han R, Wu LX. NR2B-siRNA mediated by hydroxyapatite nanoparticles relieves for Malin-induced pain of mice. Adv Mater Res 2012; 343: 926-32.
18. Guo Q, Zhang H, Li X, Quan X. Risk factors for chemotherapy‐induced peripheral neuropathy caused by nanoparticle albumin‐bound paclitaxel in advanced breast cancer. Biomed Res Int 2022; 2022: 9430952-9430959.
19. Pennypacker SD, Fonseca MM, Morgan JW, Dougherty PM, Cubillos-Ruiz JR, Strowd RE, et al. Methods and protocols for chemotherapy-induced peripheral neuropathy (CIPN) mouse models using paclitaxel. Methods Cell Biol 2022; 168: 277-298.
20. Wu BY, Liu CT, Su YL, Chen SY, Chen YH, Tsai MY, et al. A review of complementary therapies with medicinal plants for chemotherapy-induced peripheral neuropathy. Complement Ther Med 2019; 42: 226-32.
21. Oveissi V, Ram M, Bahramsoltani R, Ebrahimi F, Rahimi R, Naseri R, et al. Medicinal plants and their isolated phytochemicals for the management of chemotherapy-induced neuropathy: Therapeutic targets and clinical perspective. DARU 2019; 27: 389-406.
22. Gu S, Zhan H, Ren J, Zhou X. Sol-gel synthesis and characterisation of nano-sized hydroxyapatite powders and hydroxyapatite/poly (D, L-lactide-co-glycolide) composite scaffolds. Polym Polym Compos 2007; 15: 137-44.
23. Prasertsuksri P, Kraokaew P, Pranweerapaiboon K, Sobhon P, Chaithirayanon K. Neuroprotection of andrographolide against neurotoxin MPP+-induced apoptosis in SH-SY5Y cells via activating mitophagy, autophagy, and antioxidant activities. Int J Mol Sci 2023; 24: 8528-8544.
24. Makker PG, Duffy SS, Lees JG, Perera CJ, Tonkin RS, Butovsky O, et al. Characterization of immune and neuroinflammatory changes associated with chemotherapy-induced peripheral neuropathy. PloS One 2017;12: e0170814-170838.
25. Paniagua N, Sánchez-Robles EM, Bagues A, Martín-Fontelles MI, Goicoechea C, Girón R, et al. Behavior and electrophysiology studies of the peripheral neuropathy induced by individual and co-administration of paclitaxel and oxaliplatin in rat. Life Sci 2021; 277: 119397.
26. Carvalho LF, Silva AM, Carvalho AA. The use of antioxidant agents for chemotherapy‐induced peripheral neuropathy treatment in animal models. Clin Exp Pharmacol Physiol 2017; 44: 971-979.
27. Shahid M, Subhan F, Ahmad N, Sewell RD. Efficacy of a topical gabapentin gel in a cisplatin paradigm of chemotherapy-induced peripheral neuropathy. BMC Pharmacol Toxicol 2019; 20: 51-62.
28. Kokova V, Apostolova E. Experimental models and tests for nociceptive and neuropathic pain evaluation. Knowledge Int J 2022; 51: 609-614.
29. Mao-Ying QL, Kavelaars A, Krukowski K, Huo XJ, Zhou W, Price TJ, et al. The antidiabetic drug metformin protects against chemotherapy-induced peripheral neuropathy in a mouse model. PloS One 2014; 9: e100701-100709.
30. Guedes RP, Dal Bosco L, da Rosa Araújo AS, Belló-Klein A, Ribeiro MF, Partata WA, et al. Sciatic nerve transection increases glutathione antioxidant system activity and neuronal nitric oxide synthase expression in the spinal cord. Brain Res Bullet 2009; 80: 422-427.
31. Tagliazucchi D, Verzelloni E, Conte A. Effect of dietary melanoidins on lipid peroxidation during simulated gastric digestion: their possible role in the prevention of oxidative damage. J Agric Food Chem 2010; 58: 2513-2519.
32. Wu YW, Xiao XH, Sun SQ, Liu HX. Study on traditional Chinese medicine extracts of Rhizoma Coptidis by FTIR spectroscopy. Guang Pu Xue Yu Guang Pu Fen Xi 2009; 29: 93-96.
33. Mounika S, Ramakrishnan P. Synthesis and comparison of chemical changes using FTIR spectroscop for copper substituted hydroxyapatite. InE3S Web of Conferences 2024; 477: 00083.
34. Meghavathi P, Vijayalakshmi U. HAp/TiO2 composite coatings and its effective use in biomedical applications. Trends Biomater Artif Organs 2024; 38: 5-13.
35. Khan AA, Hameed M, Sheryar M, Moqaddas A, Iqbal M, Ullah K, et al. In vivo Exploration of antioxidative potential of berberine in rat models. Pak-Euro J Med Life Sci 2024; 7: 217-224.
36. Das S, Das MK, Jarouliya U, Ahire ED. Plant Metabolites as Immunomodulators, InAdvances in Flavonoids for Human Health and Prevention of Diseases, Apple Academic Press 2024; 239-264. 
37. Liccardo D, Valletta A, Spagnuolo G, Vinciguerra C, Lauria MR, Perrotta A, et al. Porphyromonas gingivalis virulence factors induce toxic effects in SH-SY5Y neuroblastoma cells: GRK5 modulation as a protective strategy. J Biotechnol 2024; 393: 7-16.
38. Hu K, Zhu S, Wu F, Zhang Y, Li M, Yuan L, et al. Aureusidin ameliorates 6-OHDA-induced neurotoxicity via activating Nrf2/HO-1 signaling pathway and preventing mitochondria-dependent apoptosis pathway in SH-SY5Y cells and Caenorhabditis elegans. Chem Biol Interact 2024; 387: 110824.
39. Umićević N, Kotur-Stevuljević J, Baralić K, Đukić-Ćosić D, Miljaković EA, Đorđević AB, et al. Increased oxidative stress in shoe industry workers with low-level exposure to a mixture of volatile organic compounds. Arh Hig Rada Toksikol 2024; 75: 51-60.
40. Kaur P, Bhardwaj RD, Kaur J, Kaur S, Grewal SK. Methylglyoxal detoxification pathway in barley genotypes after infection with Bipolaris sorokiniana. Phytoparasitica 2024; 52: 59.