Exposure to lidocaine in early life does not cause negative long-term behavioural changes in mice

Sonja Buratovic1, Gaetan Philippot1, Bo Stenerlöw2

  • 1Toxicology and Drug Safety, Department of Pharmaceutical biosciences, Uppsala University, Uppsala, Sweden.

Insights

Neonatal exposure to the local anesthetic lidocaine did not cause long-term behavioral issues in mice. This study provides reassurance for using lidocaine to treat seizures in premature infants.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Pharmacology

Background:

  • Lidocaine is a local anesthetic frequently used in neonatal intensive care units for treating seizures in premature infants.
  • Concerns exist regarding potential long-term behavioral effects of early-life exposure to antiepileptic drugs, based on animal model studies.
  • Limited data exists on the long-term behavioral outcomes of neonatal lidocaine exposure.

Purpose of the Study:

  • To investigate the long-term behavioral effects of neonatal lidocaine exposure in a mouse model.
  • To assess potential adverse behavioral outcomes following early-life exposure to lidocaine during a critical brain development period.

Main Methods:

  • Neonatal mice were administered subcutaneous injections of saline (control) or varying doses of lidocaine (0.5, 4, or 12 mg/kg) on postnatal day 10.
  • A sensitive behavioral test was employed at 2 and 6 months of age to detect long-term alterations.
  • The behavioral test assessed habituation to a novel home environment.

Main Results:

  • All animals survived the study period without acute toxicity.
  • Lidocaine exposure did not lead to any observable negative behavioral effects at either 2 or 6 months of age.
  • No significant differences in habituation to a new environment were noted between lidocaine-exposed and saline-treated groups.

Conclusions:

  • Neonatal exposure to lidocaine does not appear to induce negative long-term behavioral effects in mice when administered during early life.
  • These findings are reassuring for the clinical practice of using intravenous lidocaine to manage seizures in premature infants.
  • Further research may explore other sensitive behavioral domains or different exposure paradigms.
Abstract