Lidocaine Stimulates the Function of Natural Killer Cells in Different Experimental Settings

Juan P Cata1,2, Maria F Ramirez2,3, Jose F Velasquez2,4

  • 1Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, U.S.A. jcata@mdanderson.org.

Anticancer Research
|September 6, 2017
PubMed
Abstract

Insights

Lidocaine enhances natural killer (NK) cell function and stimulates anti-cancer activity. This suggests lidocaine may be beneficial perioperatively to mitigate surgery-induced NK cell impairment.

Area of Science:

  • Immunology
  • Cancer Biology
  • Pharmacology

Background:

  • Natural killer (NK) cells are crucial for eliminating cancer cells.
  • NK cell activity is regulated by surface receptors, and lidocaine is known to stimulate NK cell function.
  • The impact of lidocaine on NK cell receptor expression and function in cancer patients remains unclear.

Purpose of the Study:

  • To investigate lidocaine's effect on NK cell surface receptor expression.
  • To determine if lidocaine uniformly stimulates NK cells across various cancer cell lines.
  • To assess lidocaine's enhancement of NK cell function in patients undergoing oncological surgery.

Main Methods:

  • NK cells were isolated from healthy donors and cancer patients.
  • NK cell function was assessed using lactate dehydrogenase release assays.
  • Flow cytometry analyzed lidocaine's impact on NK cell receptors (CD57, NKG2A, NKG2D).

Main Results:

  • Lidocaine increased NKG2D receptor expression and NK cell function against ovarian and pancreatic cancer cell lines.
  • Lidocaine enhanced the cytolytic activity of NK cells from most oncological surgery patients, excluding orthopedic procedures.

Conclusions:

  • Lidocaine demonstrates significant NK cell stimulatory activity.
  • Lidocaine may serve as a perioperative agent to counteract surgery-induced NK cell suppression.

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