Evidence map›Paper›PMID 42363989›Full record

ArticleMolecular biology reports2026

Ex vivo modulation of monocyte/macrophage phenotypes by all-trans retinoic acid in chemotherapy-induced peripheral neuropathy.

Talar Ahmad Merza Mohammad

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Article in Molecular biology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

1 author.

Talar Ahmad Merza MohammadCollege of Pharmacy, Hawler Medical University, Kurdistan Region, Erbil, Iraq. talarahmadmerza55@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChemotherapy-induced peripheral neuropathy (CIPN) is a common and debilitating complication associated with chemotherapeutic agents such as paclitaxel, oxaliplatin, and cisplatin. Persistent inflammation and oxidative stress are key contributors to neuronal damage in CIPN. All-trans retinoic acid (ATRA) possesses antioxidant and immunomodulatory properties, suggesting potential therapeutic value in modulating immune cell responses in CIPN.

methodsPeripheral blood mononuclear cells (PBMCs) were isolated from peripheral blood of eight patients with CIPN, and CD14⁺ monocytes were purified using fluorescence-activated cell sorting. Monocytes were treated with different concentrations of ATRA, and cell viability and apoptosis were evaluated using MTT and Annexin V-FITC/PI assays. Expression of inflammation-associated microRNAs was measured using qRT-PCR. Cytokine levels and antioxidant enzyme activities (superoxide dismutase and catalase) were assessed using ELISA. Monocytes were differentiated into macrophages using M-CSF, and macrophage polarization was evaluated using CD86 (M1) and CD206 (M2) markers. Additionally, apoptosis-related proteins and inflammatory signaling markers were analyzed by flow cytometry.

resultsATRA inhibited monocyte proliferation and induced apoptosis. Treatment increased anti-inflammatory microRNAs (miR-144-5p and miR-125b) while suppressing pro-inflammatory miR-155. ATRA reduced pro-inflammatory cytokine levels, enhanced anti-inflammatory mediator production, and increased antioxidant enzyme activity. Furthermore, ATRA promoted macrophage polarization toward the anti-inflammatory M2 phenotype and modulated apoptosis- and inflammation-related signaling proteins.

conclusionsATRA regulates inflammation-associated microRNAs, reduces pro-inflammatory cytokine expression, enhances antioxidant defenses, and promotes M2 macrophage polarization. These findings suggest that ATRA can shift monocyte and macrophage function toward a potentially protective, anti-inflammatory phenotype, contributing to the development of future therapeutic strategies for CIPN.

Indexed as

MacrophagesMonocytesPeripheral Nervous System DiseasesTretinoinAntineoplastic AgentsAntioxidantsApoptosisCell DifferentiationCell ProliferationCell SurvivalCytokinesFemaleHumansLeukocytes, MononuclearMaleMicroRNAsAntineoplastic AgentsAntioxidantsCytokinesMicroRNAsPaclitaxelTretinoinATRACIPNCytokineMacrophageMonocyte

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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.