HMN 2025: How A promising molecule against chemotherapy induced neuropathies

A promising molecule against chemotherapy-induced neuropathies
Microscope images showing fine nerve endings in the hind leg skin of rats following a treatment with two molecules: paclitaxel, a chemotherapy drug, and Carba1, a molecule that protects the nerves. The nerve fibers (in green, indicated by white arrows) extend from the deep layers to the surface of the skin. Their number decreases significantly after treatment with paclitaxel, a chemotherapy drug known to damage nerves. However, these fibers are largely preserved when the neuroprotective molecule (Carba1) is administered at the same time as the paclitaxel. Credit: Science Advances (2025). DOI: 10.1126/sciadv.adw6328

Currently incurable, peripheral neuropathies are common neurological complications of chemotherapy, causing persistent pain, tingling and burning sensations in the feet and hands, sometimes even after treatment has ended. In the hope of offering a therapeutic option to affected patients, a research team led by a CNRS researcher has identified a molecule capable of preventing the onset of such side effects.

This molecule stimulates the production of a compound essential for cellular energy production, on which the survival of all our cells depends, and promotes the resilience of nerve cells to damage caused by chemotherapy treatments, such as paclitaxel. This mechanism is described in a study published in Science Advances.

Tested on and on rodents, this newly discovered molecule has been shown to limit the degradation of nerve cells usually affected in the extremities, thereby reducing painful symptoms without altering the anti-tumor action.

At a time when chemotherapy-related neuropathies affect 80% of patients and persist in nearly a quarter of them—often forcing a reduction in cancer treatment—this discovery offers real hope. Within a few years, the molecule will undergo , the first step towards possible therapeutic application, once the regulatory preclinical stages have been validated.

More information:
Lauriane Bosc et al, Preventing neuropathy and improving anticancer chemotherapy with a carbazole-based compound, Science Advances (2025). DOI: 10.1126/sciadv.adw6328


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