Characterization in Dual Activation by Oxaliplatin, a Platinum-Based Chemotherapeutic Agent of

Wei-Ting Chang1,2,3, Zi-Han Gao4, Shih-Wei Li4

  • 1Division of Cardiovascular Medicine, Chi-Mei Medical Center, Tainan 71004, Taiwan.

Insights

Oxaliplatin (OXAL) increases neuronal membrane currents (Ih and IMEP) in a dose-dependent manner. This platinum-based anti-neoplastic agent may enhance neuronal excitability, potentially contributing to peripheral neuropathy.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Cell Biology

Background:

  • Oxaliplatin (OXAL) is a platinum-based chemotherapy agent.
  • Peripheral neuropathy is a known side effect of long-term Oxaliplatin administration.
  • The precise mechanisms by which Oxaliplatin affects neuronal ion channels remain largely unknown.

Purpose of the Study:

  • To investigate the effects of Oxaliplatin on hyperpolarization-activated cation current (Ih) and membrane electroporation-induced current (IMEP).
  • To explore the interaction of Oxaliplatin with specific ion currents in pituitary cells and olfactory neurons.
  • To elucidate potential mechanisms underlying Oxaliplatin-induced neurotoxicity.

Main Methods:

  • Electrophysiological recordings in pituitary GH3 and R1220 cells, and Rolf B1.T olfactory sensory neurons.
  • Concentration-dependent application of Oxaliplatin to measure changes in Ih and IMEP.
  • Assessment of Oxaliplatin's effects on current-voltage relationships and voltage-dependent hysteresis.

Main Results:

  • Oxaliplatin significantly increased the amplitude and activation rate of Ih in GH3 cells (EC50/KD: 3.2/6.4 μM), an effect partially reversible by ivabradine, protopine, or dexmedetomidine.
  • Oxaliplatin also increased IMEP amplitude in GH3 cells (EC50: 1.3 μM) and olfactory neurons, an effect not attenuated by the same drugs.
  • Oxaliplatin induced a rightward shift in Ih activation and altered voltage-dependent hysteresis and IMEP current-voltage relations.

Conclusions:

  • Oxaliplatin enhances neuronal membrane currents, Ih and IMEP, suggesting increased neuronal excitability.
  • These synergistic effects may contribute to the development of Oxaliplatin-induced peripheral neuropathy.
  • Further in vivo studies are warranted to confirm these findings and their clinical implications.

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