Department of Biosciences, Piracicaba Dental School, University of Campinas-UNICAMP, Piracicaba, São Paulo, Brazil.
Health Sciences, University of Mogi das Cruzes-UMC, Mogi das Cruzes, São Paulo, Brazil.
PLoS One. 2021 Feb 11;16(2):e0246760. doi: 10.1371/journal.pone.0246760. eCollection 2021.
To determine whether the permeation capacity and analgesic efficacy of articaine (ATC) could be increased and cytotoxicity decreased by encapsulation in poly(ɛ-caprolactone) nanocapsules (ATCnano), aiming at local or topical anesthesia in dentistry. Cellular viability was evaluated (using the MTT test and fluorescence microscopy) after 1 h and 24 h exposure of HaCaT cells to ATC, ATCnano, ATC with epinephrine (ATCepi), and ATC in nanocapsules with epinephrine (ATCnanoepi). The profiles of permeation of 2% ATC and 2% ATCnano across swine esophageal epithelium were determined using Franz-type vertical diffusion cells. Analgesic efficacy was evaluated with a von Frey anesthesiometer in a postoperative pain model in rats, comparing the 2% ATC, 2% ATCnano, 2% ATCepi, and 2% ATCnanoepi formulations to 4% ATCepi (a commercially available formulation). We show that use of the nanocapsules decreased the toxicity of articaine (P<0.0001) and increased its flux (P = 0.0007). The 2% ATCepi and 4% ATCepi formulations provided higher analgesia success and duration (P<0.05), compared to 2% ATC, 2% ATCnano, and 2% ATCnanoepi. Articaine-loaded poly(ɛ-caprolactone) nanocapsules constitute a promising formulation for intraoral topical anesthesia (prior to local anesthetic injection), although it is not effective when injected in inflamed tissues for pain control, such as irreversible pulpitis.
为了确定将阿替卡因(ATC)封装在聚(ε-己内酯)纳米胶囊(ATCnano)中是否可以提高渗透能力和镇痛效果,同时降低细胞毒性,从而应用于牙科的局部或表面麻醉。通过 MTT 试验和荧光显微镜观察,评估 HaCaT 细胞在 1 h 和 24 h 暴露于 ATC、ATCnano、含肾上腺素的 ATC(ATCepi)和含肾上腺素的 ATC 纳米胶囊(ATCnanoepi)后的细胞活力。使用 Franz 型垂直扩散细胞测定 2%ATC 和 2%ATCnano 穿过猪食管上皮的渗透曲线。在大鼠术后疼痛模型中,使用 von Frey 麻醉测痛仪评估镇痛效果,比较 2%ATC、2%ATCnano、2%ATCepi 和 2%ATCnanoepi 制剂与 4%ATCepi(一种市售制剂)的效果。结果表明,纳米胶囊的使用降低了阿替卡因的毒性(P<0.0001),并增加了其通量(P = 0.0007)。与 2%ATC、2%ATCnano 和 2%ATCnanoepi 相比,2%ATCepi 和 4%ATCepi 制剂提供了更高的镇痛成功率和持续时间(P<0.05)。载有阿替卡因的聚(ε-己内酯)纳米胶囊构成了一种有前途的口腔表面麻醉制剂(局部麻醉注射前),但在用于控制疼痛的炎症组织(如不可逆性牙髓炎)中注射时无效。