Related Experiment Video
Updated: Jun 30, 2025

An In Vivo Mouse Model of Total Intravenous Anesthesia During Cancer Resection Surgery
Published on: June 8, 2021
Trial watch: local anesthetics in cancer therapy
Killian Carnet Le Provost1,2, Oliver Kepp1,2, Guido Kroemer1,2,3
1Equipe Labellisée Par La Ligue Contre Le Cancer, Université de Paris, Sorbonne Université, Centre de Recherche des Cordeliers, Institut Universitaire de France, Paris, France.
Abstract:
Preclinical evidence indicates potent antitumor properties of local anesthetics. Numerous underlying mechanisms explaining such anticancer effects have been identified, suggesting direct cytotoxic as well as indirect immunemediated effects that together reduce the proliferative, invasive and migratory potential of malignant cells. Although some retrospective and correlative studies support these findings, prospective randomized controlled trials have not yet fully confirmed the antineoplastic activity of local anesthetics, likely due to the intricate methodology required for mitigating confounding factors. This trial watch aims at compiling all published preclinical and clinical research, along with completed and ongoing trials, that explore the potential antitumor effects of local anesthetics.
Insights
Local anesthetics show promising antitumor effects by directly killing cancer cells and boosting immunity. Further clinical trials are needed to confirm their anticancer potential in humans.
Area of Science:
- Oncology
- Pharmacology
- Immunology
Background:
- Preclinical studies suggest local anesthetics possess significant antitumor properties.
- Mechanisms include direct cytotoxicity and immune-mediated effects, reducing cancer cell proliferation, invasion, and migration.
Discussion:
- While preclinical data is robust, prospective clinical trials are limited.
- Methodological challenges in controlling confounding factors may explain the lack of definitive clinical confirmation.
Key Insights:
- Local anesthetics demonstrate dual action: direct cancer cell killing and immune system modulation.
- Evidence suggests a reduction in malignant cell proliferative, invasive, and migratory capabilities.
Outlook:
- This review compiles preclinical and clinical research on local anesthetics' antitumor potential.
- It includes completed and ongoing trials to assess their efficacy in cancer treatment.
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