The influence of cisplatin on the sensitivity of the rat sciatic nerve
to local hyperthermia was investigated Rats received 1.7 mg/kg cispla
tin i.p., twice a week for 6 weeks, up to a cumulative dose of 20.4 mg
/kg. After termination of cisplatin treatment, a 5 mm segment of the n
erve was locally heated ata temperature of 45-degrees-C (5-30 min). Lo
ss of motor function was assessed by means of the toe-spreading test,
24 h post heating. The calculated ED50 for control nerves was signific
antly (p < 0.01) larger than the ED50 for cisplatin treated rats; 16.3
+/- 1.1 min vs. 10.9 +/- 1.1 min. This indicates that nerves from cis
platin treated rats were more sensitive to heat than nerves from contr
ol rats (dose modifying factor = 1.5 +/- 0.2). Histopathological inves
tigation of nerves after heat alone or after heat preceded by cisplati
n confirmed these differences and showed that edema, vascular damage a
nd axonal degenerative changes of axons and myelin sheaths occurred at
lower heat doses when compared to control nerves. Recovery studies sh
owed that cisplatin treatment before hyperthermia caused a delay in re
covery from motor function loss of about 6 days. Cisplatin treatment a
fter hyperthermia had no influence on recovery from motor function los
s. (C) 1993 Intox Press, Inc.