摘要
癌症正在感染越来越多的儿童、青少年和育龄成年男性。男性生殖潜能被化疗药危害,患者可能长期不育。生育能力恢复与化疗药及其剂量有关,因此难以预料。所以强烈需要确定一种能保护男性生育能力且不干扰化疗效果的天然或合成的化合物。一些新程序和新药被研究以评价其保护男性生殖功能免受化疗副作用损害的功效。本文综述了大量定期用于癌症治疗的化疗药及其对男性生育能力的有害作用,并对现有男性生育能力保护药及其化疗下保留和保护男性生殖功能的作用做出了评价。尽管如此,须进行进一步研究以确定一种针对化疗对男性生殖功能的多重副作用的补充治疗。直到发现上述治疗方法为止,在开展治疗前,一切生育能力保存方法须与患者议定以保证生育。
关键词: 抗氧化剂,化疗药,细胞保护药,激素治疗,男性不育。
Current Medicinal Chemistry
Title:Novel Drug Therapies for Fertility Preservation in Men Undergoing Chemotherapy: Clinical Relevance of Protector Agents
Volume: 22 Issue: 29
Author(s): A. Rabaca, M. Sousa, M.G. Alves, P.F. Oliveira and R. Sa
Affiliation:
关键词: 抗氧化剂,化疗药,细胞保护药,激素治疗,男性不育。
摘要: Cancer has been affecting a growing number of children, adolescents and adult males in reproductive age. Male reproductive potential is adversely affected by chemotherapeutic drugs and patients are at risk for prolonged infertility. Fertility recovery is related to the chemotherapeutic agent and dosage used, being thus difficult to predict. As a result, there is a strong need to identify a natural or synthetic compound that is able to preserve male fertility without interfering with the efficacy of the chemotherapeutic regimen. New procedures, as well as several drugs, are being investigated to assess their efficiency in protecting male reproductive functions from the chemotherapy side-effects. This review provides an overview of the wide range of chemotherapeutic drugs regularly used in cancer treatment and their detrimental effects on male fertility. In addition, it also assesses the existing protector agents for male fertility and their usefulness in preserving and protecting male reproductive functions exposed to chemotherapeutics. Several protector agents for male fertility are being studied, and results are promising. Nonetheless, further research must be implemented to identify a supplemental therapy that addresses the multiple side effects of chemotherapy on male reproductive function. Until such therapy is discovered, it is fundamental that all fertility preservation options are discussed with patients, before treatment is initiated, to assure parenthood.
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A. Rabaca, M. Sousa, M.G. Alves, P.F. Oliveira and R. Sa , Novel Drug Therapies for Fertility Preservation in Men Undergoing Chemotherapy: Clinical Relevance of Protector Agents, Current Medicinal Chemistry 2015; 22 (29) . https://dx.doi.org/10.2174/0929867322666150821094334
DOI https://dx.doi.org/10.2174/0929867322666150821094334 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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