Oxaliplatin has widely been used as a key drug in the treatment of colorectal cancer. However, it causes severe acute and chronic peripheral neuropathies. Acute neuropathy includes acral paresthesias and dysesthesia triggered or enhanced by exposure to cold, and it appears soon after administration (1). After multiple cycles of treatment, the patients develop chronic neuropathy characterized by sensory and motor dysfunction. This chronic neuropathy is a dose-limiting toxicity and a major clinical problem in oxaliplatin chemotherapy (2).Antidepressant drugs have been recommended to be used as first-line drugs for the treatment of neuropathic pain (3,4), and in particular, amitriptyline is demonstrated to possess an analgesic activity for neuropathic pain in many randomized controlled trials (5).Recently, we reported that repeated administration of oxaliplatin induced cold hyperalgesia in the early phase and mechanical allodynia in the late phase in rats (6), and spinal NR2B-containing N-methyl-D-aspartate (NMDA) receptors are involved in the oxaliplatin-induced mechanical allodynia (7). However, the effect of amitriptyline on the oxaliplatin-induced neuropathy remains unexplored. Accordingly, we investigated the effect of amitriptyline on the oxaliplatin-induced cold hyperalgesia and mechanical allodynia in rats. Moreover, we examined the effect of amitriptyline on the oxaliplatininduced increase in the expression of NR2B protein and mRNA in the rat spinal cord.Male Sprague-Dawley rats (Kyudo Co., Tosu) were used. Rats were housed in groups of four to five per cage, with lights on from 7:00 AM to 7:00 PM. Animals had free access to food and water in their home cages. All experiments were approved by the Experimental Animal Care and Use Committee of Kyushu University ( Fukuoka) according to the National Institutes of Health guidelines, and we followed the International Association for the Study of Pain (IASP) Committee for Research and Ethical Issues guidelines for animal research (8).Oxaliplatin (Elplat ® ) was obtained from Yakult Co., Ltd. (Tokyo) and was dissolved in 5% glucose solution. Amitriptyline was provided by Wako Pure Chemical Industries, Ltd. (Osaka) and was dissolved in distilled water. Oxaliplatin (4 mg/kg) or vehicle (5% glucose solution) was injected intraperitoneally (i.p.) in volumes of 1 mL/kg, twice a week for 4 weeks (days 1, 2, 8, 9, 15, 16, 22, and 23). Amitriptyline (5 and 10 mg/kg) was administered p.o. once a day for 27 days (from day 1). The doses of these drugs were chosen based on previous reports (6,7,9). Behavioral tests were performed blindly with respect to drug administration.The cold hyperalgesia was assessed by acetone test described by Flatters and Bennett (10). The acetone test was performed before the first drug administration (on day 0) and on days 4, 7, 11, 14, 18, 21, and Pharmacy, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan Received January 6, 2012; Accepted February 17, 2012 Abstract. Oxaliplatin is a key drug in the treatme...