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Several mechanisms contributing to cisplatin-induced neurotoxicity have been suggested (Figure 2), including the loss of peripheral sensory neurons, changes in cell signaling cascades, changes to calcium homeostasis and signaling, oxidative stress, mitochondrial dysfunction and induction of apoptosis as a result of DNA platination (Meijer et al., 1999)

Disruption of this central regulatory system, including alterations in TRH, CRH, and GnRH secretion, provides a mechanistic explanation for the broader physiological consequences of mycotoxin exposure (177), such as growth retardation, reproductive disorders, and appetite dysregulation (178180)