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控释麻醉剂以实现麻醉与间充质基质细胞治疗的整合。

Control Release Anesthetics to Enable an Integrated Anesthetic-mesenchymal Stromal Cell Therapeutic.

作者信息

Maguire T, Davis M, Marrero-Berrios I, Zhu C, Gaughan C, Weinberg J, Manchikalapati D, SchianodiCola J, Kamath H, Schloss R, Yarmush J

机构信息

Rutgers Department of Biomedical Engineering, Rutgers, The State University of New Jersey, Piscataway, New Jersey, USA.

BeauRidge Pharmaceuticals, LLC, New York, USA.

出版信息

Int J Anesthesiol Pain Med. 2016;2(1). doi: 10.21767/2471-982X.100012. Epub 2016 Aug 2.

Abstract

While general anesthetics control pain via consciousness regulation, local anesthetics (LAs) act by decreasing sensation in the localized area of administration by blocking nerve transmission to pain centers. Perioperative intra-articular administration of LAs is a commonly employed practice in orthopedic procedures to minimize patient surgical and post-surgical pain and discomfort. LAs are also co-administered with cellular mesenchymal stromal cell (MSC) therapies for a variety of tissue regenerative and inflammatory applications including osteoarthritis (OA) treatment; however, LAs can affect MSC viability and function. Therefore, finding an improved method to co-administer LAs with cells has become critically important. We have developed a sustained release LA delivery model that could enable the co-administration of LAs and MSCs. Encapsulation of liposomes within an alginate matrix leads to sustained release of bupivacaine as compared to bupivacaine-containing liposomes alone. Furthermore, drug release is maintained for a minimum of 4 days and the alginate-liposome capsules mitigated the adverse effects of bupivacaine on MSC viability.

摘要

全身麻醉药通过调节意识来控制疼痛,而局部麻醉药(LAs)则通过阻断神经向疼痛中枢的传导,降低给药局部区域的感觉来发挥作用。围手术期关节内注射局部麻醉药是骨科手术中常用的方法,以尽量减轻患者手术中和术后的疼痛与不适。局部麻醉药还与细胞间充质基质细胞(MSC)疗法联合应用于多种组织再生和炎症应用,包括骨关节炎(OA)的治疗;然而,局部麻醉药会影响间充质基质细胞的活力和功能。因此,找到一种改进的方法来将局部麻醉药与细胞联合给药变得至关重要。我们开发了一种局部麻醉药缓释递送模型,该模型能够实现局部麻醉药与间充质基质细胞的联合给药。与单独含布比卡因的脂质体相比,将脂质体包裹在藻酸盐基质中可实现布比卡因的缓释。此外,药物释放至少维持4天,藻酸盐 - 脂质体胶囊减轻了布比卡因对间充质基质细胞活力的不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84dd/6519947/96a35f87cb4b/nihms-994615-f0001.jpg

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本文引用的文献

1
The effect of local anesthetic on pro-inflammatory macrophage modulation by mesenchymal stromal cells.
Int Immunopharmacol. 2016 Apr;33:48-54. doi: 10.1016/j.intimp.2016.01.019. Epub 2016 Feb 6.
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Effect of Local Anesthetics on Human Mesenchymal Stromal Cell Secretion.
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