Inoue Takutoshi, Sugiyama Tomoaki, Ikoma Toshiyuki, Shimazu Hideaki, Wakita Ryo, Fukayama Haruhisa
Section of Anesthesiology and Clinical Physiology, Department of Oral Restitution, Division of Oral Health Science, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University.
J Med Dent Sci. 2016;63(4):71-77. doi: 10.11480/jmds.630402.
The present study investigates how effectively lidocaine ions are transported across a cellophane membrane through the application of either a direct current (DC) or alternating current (AC). The cellophane membrane was set on a parallelplate- type acrylic cell with platinum electrodes at both ends, filled with a donor cell of a 1 % aqueous solution of lidocaine and a receptor cell with distilled water. Lidocaine concentrations were measured for 60 min while the following voltages were applied, with changes every 10 min: 3 V DC and 7.5 V sine wave AC; frequency at 1 kHz. As a result, lidocaine concentrations in the receptor cell increased in a time-dependent manner. Significant increases in lidocaine concentrations were observed in groups where the voltage combination consisted of DC 30 min/AC 30 min, DC 50 min/AC 10 min, DC 60 min and AC 10 min/DC 50 min, compared with the passive diffusion group or in groups where voltage application was performed for 20, 30 , 40, 50 and 60 min. Significant increases were also observed in groups where the voltage combination consisted of A C 6 0 min, D C 10 min/AC 5 0 min, AC 3 0 min/ DC 30 min and AC 50 min/DC 10 min, compared with the passive diffusion group or in groups where voltage application was performed for 40, 50 and 60 min. These results suggest that lidocaine was delivered more rapidly with DC than with AC, and that its ions are transported faster when voltage is switched from DC to AC than from AC to DC, which is presumably due to the contribution of electrorepulsion by DC voltage application and the vibration energy infiltration mechanism owning to AC. Iontophoresis in combination with DC and AC was found to enable highly efficient drug delivery that shares the benefits of both forms of current application.
本研究调查了通过施加直流电(DC)或交流电(AC),利多卡因离子跨玻璃纸膜的运输效率。玻璃纸膜置于两端带有铂电极的平行板型丙烯酸细胞上,分别填充有1%利多卡因水溶液的供体细胞和蒸馏水的受体细胞。在施加以下电压的同时,测量利多卡因浓度60分钟,每10分钟变化一次:3V直流电和7.5V正弦波交流电;频率为1kHz。结果,受体细胞中的利多卡因浓度呈时间依赖性增加。与被动扩散组或施加电压20、30、40、50和60分钟的组相比,在电压组合为DC 30分钟/AC 30分钟、DC 50分钟/AC 10分钟、DC 60分钟和AC 10分钟/DC 50分钟的组中,观察到利多卡因浓度显著增加。与被动扩散组或施加电压40、50和60分钟的组相比,在电压组合为AC 60分钟、DC 10分钟/AC 50分钟、AC 30分钟/DC 30分钟和AC 50分钟/DC 10分钟的组中也观察到显著增加。这些结果表明,利多卡因通过直流电传输比交流电更快,并且当电压从直流电切换到交流电时,其离子传输速度比从交流电切换到直流电时更快,这可能是由于施加直流电时的电排斥作用以及交流电的振动能量渗透机制。发现直流电和交流电联合离子导入能够实现高效的药物递送,兼具两种电流应用形式的优点。