Evidence map›Paper›PMID 32877416›Full record

ArticlePloS one2020

Oxaliplatin-induced haematological toxicity and splenomegaly in mice.

Justin G Lees, Daniel White, Brooke A Keating, Mallory E Barkl-Luke, Preet G S Makker, David Goldstein, Gila Moalem-Taylor

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Justin G LeesSchool of Medical Sciences, The University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-0874-2856
Daniel WhiteSchool of Medical Sciences, The University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0001-6614-4793
Brooke A KeatingSchool of Medical Sciences, The University of New South Wales, Sydney, New South Wales, Australia.
Mallory E Barkl-LukeSchool of Medical Sciences, The University of New South Wales, Sydney, New South Wales, Australia.
Preet G S MakkerSchool of Medical Sciences, The University of New South Wales, Sydney, New South Wales, Australia.
David GoldsteinPrince of Wales Clinical School, The University of New South Wales, Sydney, New South Wales, Australia.
Gila Moalem-TaylorSchool of Medical Sciences, The University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-3828-9527
UNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHaematological toxicities occur in patients receiving oxaliplatin. Mild anaemia (grade 1-2) is a common side effect and approximately 90% of recipients develop measurable spleen enlargement. Although generally asymptomatic, oxaliplatin-induced splenomegaly is independently associated with complications following liver resection for colorectal liver metastasis and separately with poorer patient outcomes. Here, we investigated oxaliplatin-induced haematological toxicities and splenomegaly in mice treated with escalating dosages comparable to those prescribed to colorectal cancer patients.

methodsBlood was analysed, and smears assessed using Wright-Giemsa staining. Paw coloration was quantified as a marker of anaemia. Spleen weight and morphology were assessed for abnormalities relating to splenomegaly and a flow cytometry and multiplex cytokine array assessment was performed on splenocytes. The liver was assessed for sinusoidal obstructive syndrome.

resultsBlood analysis showed dose dependent decreases in white and red blood cell counts, and significant changes in haematological indices. Front and hind paws exhibited dose dependent and dramatic discoloration indicative of anaemia. Spleen weight was significantly increased indicating splenomegaly, and red pulp tissue exhibited substantial dysplasia. Cytokines and chemokines within the spleen were significantly affected with temporal upregulation of IL-6, IL-1α and G-CSF and downregulation of IL-1β, IL-12p40, MIP-1β, IL-2 and RANTES. Flow cytometric analysis demonstrated alterations in splenocyte populations, including a significant reduction in CD45+ cells. Histological staining of the liver showed no evidence of sinusoidal obstructive syndrome but there were signs suggestive of extramedullary haematopoiesis.

conclusionChronic oxaliplatin treatment dose dependently induced haematological toxicity and splenomegaly characterised by numerous physiological and morphological changes, which occurred independently of sinusoidal obstructive syndrome.

Indexed as

Hematologic TestsAnimalsCytokinesDose-Response Relationship, DrugLiverMaleMiceOrgan SizeOxaliplatinPhenotypeSpleenSplenomegalyTime FactorsCytokinesOxaliplatin

Identifiers

PMID32877416
PMCPMC7467301
OpenAlexW3081789443

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.