Platinum-based anticancer drugs cause peripheral neurotoxicity by damaging sensory neurons within the dorsal root ganglia (DRG), but the mechanisms are incompletely understood. The roles of platinum DNA binding, transcription inhibition and altered cell size were investigated in primary cultures of rat DRG cells. Click chemistry quantitative fluorescence imaging of RNAincorporated 5-ethynyluridine showed high, but wide ranging, global levels of transcription in individual neurons that correlated with their cell body size. Treatment with platinum drugs reduced neuronal transcription and cell body size to an extent that corresponded to the amount of preceding platinum DNA binding, but without any loss of neuronal cells. The effects of platinum drugs on neuronal transcription and cell body size were inhibited by blocking platinum DNA binding with sodium thiosulfate, and mimicked by treatment with a model transcriptional inhibitor, actinomycin D. In vivo oxaliplatin treatment depleted the total RNA content of DRG tissue concurrently with altering DRG neuronal size. These findings point to a mechanism of chemotherapy-induced peripheral neurotoxicity, whereby platinum DNA damage induces global transcriptional arrest leading in turn to neuronal atrophy. DRG neurons may be particularly vulnerable to this mechanism of toxicity because of their requirements for high basal levels of global transcriptional activity. Keywords: anticancer drug toxicity, DNA damage, DRG neurons, global transcription, neuronal atrophy, neurotoxicity. The platinum-based anticancer drugs, cisplatin, carboplatin and oxaliplatin, are used clinically for the routine treatment of a wide range of human cancers. Their mechanism of action involves platinum binding to DNA at the N7 position of purine bases to form bifunctional 1,2-and 1,3-intrastrand crosslinks on the DNA template, which inhibit DNA replication and transcription, leading to tumour cell cycle arrest and apoptosis (Wang and Lippard 2005). Platinum drugs also cause peripheral neurotoxicity by damaging postmitotic dorsal root ganglia (DRG) sensory neurons (Avan et al. 2015). In the clinic, the resulting neurological symptoms and functional deficits can interfere with the delivery of cancer chemotherapy or persist long after completion of treatment, thereby compromising patient quality of life and the chance of cancer control or cure. Abbreviations used: AUC, area under the concentration-time curve; DACH, diaminocyclohexane; DNA-PK, DNA-dependent protein kinase; DRG, dorsal root ganglia; EU, 5-ethynyluridine; IQR, interquartile range; PARP-1, poly(ADP-ribose) polymerase 1; TUNEL, terminal deoxynucleotidyl transferase-mediated dUTP nick end labelling.