Morphologic features and glial activation in rat oxaliplatin-dependent neuropathic pain

Lorenzo Di Cesare Mannelli1, Alessandra Pacini, Laura Bonaccini

  • 1Department of Neurosciences, Psychology, Drug Research and Child Health (Neurofarba), Pharmacology and Toxicology Section, University of Florence, Florence, Italy.

The Journal of Pain
|October 19, 2013
PubMed
Abstract

Insights

Oxaliplatin chemotherapy causes neurotoxicity, affecting nerves and dorsal root ganglia. Glial cells, particularly astrocytes in specific brain regions, play a key role in this chemotherapy-induced neuropathy.

Area of Science:

  • Neuroscience
  • Toxicology
  • Oncology

Background:

  • Oxaliplatin is a crucial chemotherapy drug for various cancers.
  • Neurotoxicity is a significant dose-limiting side effect of oxaliplatin treatment.
  • This neurotoxicity manifests as sensory loss, pain, and reduced quality of life.

Purpose of the Study:

  • To investigate the morphologic and molecular changes in the nervous system during oxaliplatin-induced neuropathy in a rat model.
  • To identify specific nervous system components and brain regions involved in oxaliplatin neurotoxicity.

Main Methods:

  • Rats received daily intraperitoneal injections of oxaliplatin (2.4 mg/kg).
  • Behavioral tests assessed pain threshold and hypersensitivity over 21 days.
  • Morphometric analysis and gene expression (activating transcription factor 3, neurofilament heavy-chain) were performed on nerves and dorsal root ganglia.
  • Glial cell populations (astrocytes, microglia) were quantified in the spinal cord and specific brain areas.

Main Results:

  • Oxaliplatin treatment progressively reduced pain threshold and increased hypersensitivity.
  • Morphometric alterations were observed in dorsal root ganglia by day 21.
  • Activating transcription factor 3 and neurofilament (heavy-chain) expression increased in nerves and ganglia.
  • Satellite cells in ganglia showed signs of activation.
  • Spinal astrocytes increased numerically, while microglial populations remained unchanged.
  • Specific brain areas, including the anterior cingulate cortex and somatosensory cortex, showed increased astrocyte numbers by day 21.

Conclusions:

  • Glial cell modulation, especially astrocyte activation in pain-related brain areas, is central to oxaliplatin-induced neurotoxicity.
  • These findings underscore the role of glial cells and specific brain regions in chemotherapy-induced neuropathy.

Related Concept Videos