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优化的纳米脂质载体:一种改善布比卡因麻醉效果的纳米技术方法。

Optimised NLC: a nanotechnological approach to improve the anaesthetic effect of bupivacaine.

作者信息

Rodrigues da Silva Gustavo H, Ribeiro Lígia N M, Mitsutake Hery, Guilherme Viviane A, Castro Simone R, Poppi Ronei J, Breitkreitz Márcia C, de Paula Eneida

机构信息

Department of Biochemistry and Tissue Biology, Institute of Biology, University of Campinas, UNICAMP, Campinas, São Paulo, Brazil.

Department of Analytical Chemistry, Institute of Chemistry, University of Campinas, UNICAMP, Campinas, São Paulo, Brazil.

出版信息

Int J Pharm. 2017 Aug 30;529(1-2):253-263. doi: 10.1016/j.ijpharm.2017.06.066. Epub 2017 Jun 24.

Abstract

The short time of action and systemic toxicity of local anaesthetics limit their clinical application. Bupivacaine is the most frequently used local anaesthetic in surgical procedures worldwide. The discovery that its S(-) enantiomeric form is less toxic than the R(+) form led to the introduction of products with enantiomeric excess (S75:R25 bupivacaine) in the market. Nevertheless, the time of action of bupivacaine is still short; to overcome that, bupivacaine S75:R25 (BVC) was encapsulated in nanostructured lipid carriers (NLC). In this work, we present the development of the formulation using chemometric tools of experimental design to study the formulation factors and Raman mapping associated with Classical Least Squares (CLS) to study the miscibility of the solid and the liquid lipids. The selected formulation of the nanostructured lipid carrier containing bupivacaine S75:R25 (NLC) was observed to be stable for 12 months under room conditions regarding particle size, polydispersion, Zeta potential and encapsulation efficiency. The characterisation by DSC, XDR and TEM confirmed the encapsulation of BVC in the lipid matrix, with no changes in the structure of the nanoparticles. The in vivo analgesic effect elicited by NLC was twice that of free BVC. Besides improving the time of action no statistical difference in the blockage of the sciatic nerve of rats was found between 0.125% NLC and 0.5% free BVC. Therefore, the formulation allows a reduction in the required anaesthesia dose, decreasing the systemic toxicity of bupivacaine, and opening up new possibilities for different clinical applications.

摘要

局部麻醉药作用时间短和具有全身毒性限制了它们的临床应用。布比卡因是全球外科手术中最常用的局部麻醉药。其S(-)对映体形式的毒性低于R(+)形式这一发现,促使市场上出现了具有对映体过量(S75:R25布比卡因)的产品。然而,布比卡因的作用时间仍然较短;为克服这一问题,将布比卡因S75:R25(BVC)封装在纳米结构脂质载体(NLC)中。在这项工作中,我们展示了使用实验设计的化学计量工具来研究配方因素,并结合经典最小二乘法(CLS)进行拉曼映射以研究固体和液体脂质的混溶性,从而开发该配方。所选择的含有布比卡因S75:R25的纳米结构脂质载体配方(NLC)在室温条件下,在粒径、多分散性、Zeta电位和包封效率方面观察到12个月稳定。通过差示扫描量热法(DSC)、X射线衍射(XDR)和透射电子显微镜(TEM)进行的表征证实了BVC被封装在脂质基质中,纳米颗粒的结构没有变化。NLC引发的体内镇痛效果是游离BVC的两倍。除了延长作用时间外,在大鼠坐骨神经阻滞方面,0.125%的NLC和0.5%的游离BVC之间未发现统计学差异。因此,该配方可以减少所需的麻醉剂量,降低布比卡因的全身毒性,并为不同的临床应用开辟新的可能性。

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