Oxaliplatin-induced hyperexcitation of rat sciatic nerve fibers: an intra-axonal study

A Kagiava, EK Kosmidis… - Anti-Cancer Agents in …, 2013 - ingentaconnect.com
Anti-Cancer Agents in Medicinal Chemistry (Formerly Current …, 2013ingentaconnect.com
Oxaliplatin is an agent that is used extensively in gastrointestinal cancer chemotherapy. The
agent's major dose-limiting toxicity is peripheral neuropathy that can manifest as a chronic or
an acute syndrome. Oxaliplatin-induced acute neuropathy is purportedly caused by an
alteration of the biophysical properties of voltage-gated sodium channels. However, sodium
channel blockers have not been successful at preventing acute neuropathy in the clinical
setting. We report intra-axonal recordings from the isolated rat sciatic nerve preparation …
Oxaliplatin is an agent that is used extensively in gastrointestinal cancer chemotherapy. The agent's major dose-limiting toxicity is peripheral neuropathy that can manifest as a chronic or an acute syndrome. Oxaliplatin-induced acute neuropathy is purportedly caused by an alteration of the biophysical properties of voltage-gated sodium channels. However, sodium channel blockers have not been successful at preventing acute neuropathy in the clinical setting. We report intra-axonal recordings from the isolated rat sciatic nerve preparation under the effect of oxaliplatin. The depolarization phase of single action potentials remains intact with a duration of 0.52 ± 0.02 ms (n=68) before and 0.55 ± 0.01 ms (n=68) after 1-5 h of exposure to 150 μM oxaliplatin (unpaired t-test, P>0.05) whereas there is a significant broadening of the repolarization phase (2.16 ± 0.10 ms, n=68, before and 5.90 ± 0.32 ms after, n=68, unpaired t-test, P
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