在试验室中重新评估利多卡因作为电穿孔敏感剂
Anja Blažič1, Rok Šmerc1, Tamara Polajžer1
1Faculty of Electrical Engineering, University of Ljubljana, Ljubljana, 1000, Slovenia.
Scientific reports
|July 15, 2025
概括
利多卡因在高度下可能会增强电穿孔,但这些水平超过了临床相关性. 需要进一步的研究,以了解医疗应用的药物电解相互作用.
科学领域:
- 生物物理学的生物物理.
- 生物医学工程 生物医学工程
- 药理学 药理学是指药理学的学科.
背景情况:
- 电穿孔使用电场来增加细胞膜的透性,用于诸如电化学疗法 (ECT) 等医疗应用.
- 了解药物如何影响电穿孔至关重要,因为这些技术在临床环境中取得了进展.
- 利多卡因是一种局部麻醉剂,正在作为提高电穿孔功效的敏感剂进行研究.
研究的目的:
- 研究利多卡因在电穿孔过程中对膜透和细胞活性的影响.
- 评估利多卡因作为增强电孔治疗的敏感剂的潜力.
主要方法:
- 在四个细胞系 (黑色素瘤,肌细胞,CHO-K1,NS-HEK) 上测试了利多卡因的作用,使用标准的8 × 100μs电化学疗法 (ECT) 脉冲.
- 在不同的利多卡因度 (10mM和35mM) 下评估了膜透性和细胞活力.
主要成果:
- 10毫米的利多卡因对电穿孔结果的影响很小.
- 35毫米的利多卡因在黑色素瘤细胞中将不可逆转电穿孔的电场值降低了25-40%.
- 有效的利多卡因度 (≥10毫米) 超过了局部管理后通常在组织中发现的度.
结论:
- 利多卡因的电孔敏感化作用发生在可能不具有临床意义的度下.
- 这项研究强调了在评估临床转化药物电解相互作用时,需要严格的实验条件.
- 需要进一步的研究来澄清利多卡因的作用,并优化药物电解协议.
相关概念视频
Local Anesthetics: Differential Sensitivity of Nerve Fibers
940
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
940
Local Anesthetics: Mechanism of Action
2.5K
Local anesthetics (LAs) block sensory and motor impulses by inhibiting the sodium channels on the nerve cell membranes. This induces temporary loss of sensation, relieving pain in a specific body area.
Local anesthetics are amphiphilic molecules consisting of a hydrophobic aromatic part linked to a hydrophilic group by an ester or amide linkage. They are weak bases and are usually available as salts, which increases their solubility and stability. Once administered, LAs exist in the body either...
Local anesthetics are amphiphilic molecules consisting of a hydrophobic aromatic part linked to a hydrophilic group by an ester or amide linkage. They are weak bases and are usually available as salts, which increases their solubility and stability. Once administered, LAs exist in the body either...
2.5K
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
1.2K
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
1.2K
Depolarizing Blockers: Pharmocokinetics
384
Depolarizing blockers are administered through intravenous injection. Succinylcholine is the most common choice of depolarizing blockers in emergency clinical practices. Although they have a rapid onset, they readily diffuse away from the motor end plate into the extracellular fluid. They are metabolized by enzymes such as liver butyrylcholinesterase and plasma pseudocholinesterases. This produces a short duration of action, typically 5-10 minutes long, unlike nondepolarizing blockers, which...
384


