Influence of cis-dichlorodiammineplatinum on the structure of the immature rat cerebellum.

Groups of 6- to 7-day-old and 10- to 11-day-old rats received cis-dichlorodiammineplatinum (cis-DDP) or inactive trans-DDP subcutaneously and were killed after 1, 6, 10, 15, or 21 days. In both age groups the acute effect (postinjection day 1) was most obvious in the germinal external granular layer (EGL), where many cells underwent shrinkage necrosis (pyknosis, apoptosis); the latter were more frequent within the fissures than on the surface of the cerebellar folia. Cell debris were often seen to be engulfed by macrophages, Bergmann cell fibers, and meningocytes. Bergmann cell bodies were swollen and the nuclei of Purkinje cells as well as of surviving cells of the EGL were enlarged. No comparable effects were observed in animals that had received an injection of trans-DDP in the same dose. Toward postinjection (p.i.) day 6, pyknotic cells disappeared from the EGL or, after the larger doses of cis-DDP, substantially decreased in number. Small nests of pyknotic cells appeared, however, at some places of the internal granular layer (IGL). The EGL was discontinuous or thinner in both age groups. In the IGL and molecular layer (ML) multiple focal fresh hemorrhages appeared together with some macrophages. The packing cell density in the IGL was less than in the controls, especially at the top of the cerebellar folia, i.e., contrary to the distribution of the primary damage in the EGL. Later, at p.i. day 10, ectopic nests of the IGL occurred occasionally in animals injected when 10 to 11 days old and severe atrophy of the ML and Purkinje cell population was observed at some places. At p.i. days 15 to 21, invasion of microglia-like cells appeared in the IGL and in some regions of the ML. Occasionally, subpial hemorrhages occurred at this interval. The acute damage caused by cis-DDP is thus similar to the effect of X rays or some, but not all, drugs with a cytostatic action. In addition, a more profound influence on dividing cells of the EGL within the fissures and distinct capillary lesions, indicated by hemorrhages, were found after cis-DDP. As in other experimental models, the acute cis-DDP damage of the immature cerebellum was partly repaired within a few p.i. days. Spatial difference of the repair process was inferred from the packing cell density in the IGL measured at the top and bottom of the cerebellar folia.