Evidence map›Paper›PMID 41567032›Full record

ArticleCNS neuroscience & therapeutics2026

PACAP Alleviates Paclitaxel-Induced Peripheral Neuropathy by Targeting Oxidative Stress and Mitochondrial Damage via the PGC-1α Pathway.

Ruyue Mo, Chuanming Wang, Haibei Hu, Shuqi Shi, Di Cao, Zhenhui Luo, Hua Yang, Mingzhu Zhai, Wuping Sun

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Norepinephrine regulates hippocampal mitochondrial biogenesis via β2-adrenergic receptor signaling and PGC-1α.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  2. Review
  3. Article
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

9 authors.

Ruyue MoDepartment of Clinical Laboratory Medicine, Fifth Affiliated Hospital, Southern Medical University, Guangzhou, China.
Chuanming WangDepartment of Pain Medicine, Shenzhen Nanshan People's Hospital and the 6th Affiliated Hospital of Shenzhen University Medical School, Shenzhen, China.
Haibei HuCenter for Medical Experiments (CME), Shenzhen Guangming District People's Hospital, Shenzhen, China.ORCID 0000-0002-2673-7508
Shuqi ShiDepartment of Clinical Laboratory Medicine, Fifth Affiliated Hospital, Southern Medical University, Guangzhou, China.
Di CaoDepartment of Pain Medicine, Shenzhen Nanshan People's Hospital and the 6th Affiliated Hospital of Shenzhen University Medical School, Shenzhen, China.
Zhenhui LuoDepartment of Pain Medicine, Shenzhen Nanshan People's Hospital and the 6th Affiliated Hospital of Shenzhen University Medical School, Shenzhen, China.
Hua YangSchool of Medical Technology, North Minzu University, Yinchuan, China.
Mingzhu ZhaiCenter for Medical Experiments (CME), Shenzhen Guangming District People's Hospital, Shenzhen, China.
Wuping SunDepartment of Clinical Laboratory Medicine, Fifth Affiliated Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0003-2543-4369

Funding

Medical-Engineering Interdisciplinary Research Foundation of Shenzhen University 2023YG031National Natural Science Foundation of China 82171378National Natural Science Foundation of China 82401438Science, Technology and Innovation Commission of Shenzhen Municipality JCYJ20240813114512016Science, Technology and Innovation Commission of Shenzhen Municipality JCYJ20240813152049062Shenzhen Nanshan District Healthcare System Science and Technology Key Projects NSZD2023003
6 · The paper itself

Abstract

backgroundPaclitaxel-induced peripheral neuropathy (PIPN) is a severe and dose-limiting side effect. This study investigated the therapeutic potential of Pituitary Adenylate Cyclase-Activating Polypeptide (PACAP) and its underlying mechanism.

methodsA murine PIPN model was established. Behavioral tests assessed neuropathic pain. Molecular and cellular analyzes, including western blot, ELISA, and transmission electron microscopy, evaluated oxidative stress, mitochondrial function, and key protein expression in dorsal root ganglia (DRG) and SH-SY5Y cells. The PGC-1α inhibitor SR-18292 was used for mechanistic validation.

resultsHigh-dose PACAP (100 μg/kg) significantly alleviated PTX-induced mechanical allodynia and thermal/cold hyperalgesia. It reduced oxidative stress (lowered ROS/MDA, increased SOD) and restored mitochondrial function (improved membrane potential, ATP, and ultrastructure) in DRG neurons. PACAP upregulated PGC-1α and HO-1 expression, and its protective effects were abolished by PGC-1α inhibition. Crucially, PACAP did not interfere with PTX's antitumor efficacy.

conclusionPACAP alleviates PIPN by activating the PGC-1α pathway to improve mitochondrial function and counteract oxidative stress, presenting a promising adjunct therapy that does not compromise chemotherapy.

Indexed as

Antineoplastic Agents, PhytogenicMitochondriaOxidative StressPaclitaxelPeripheral Nervous System DiseasesPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaPituitary Adenylate Cyclase-Activating PolypeptideAnimalsCell Line, TumorGanglia, SpinalHumansMaleMiceSignal TransductionAntineoplastic Agents, PhytogenicPaclitaxelPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaPituitary Adenylate Cyclase-Activating PolypeptidePpargc1a protein, mousemitochondrial damageoxidative stresspaclitaxelpainpituitary adenylate cyclase‐activating peptide

Identifiers

PMID41567032
PMCPMC12824529

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

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 Socratic graph.