Yang Yang, Sun Jiaxiao, Peng Fei, Liu Haibei, Zhao Guoyan, Chen Junjie, Zhang Wensheng, Qiu Feng
Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Laboratory of Anesthesia and Critical Care Medicine, National-Local Joint Engineering Research Centre of Translational Medicine of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Front Pharmacol. 2022 Apr 21;13:770892. doi: 10.3389/fphar.2022.770892. eCollection 2022.
Although local anesthetics (LAs) such as lidocaine have been traditionally used for pain relief, their antitumor activity has attracted more and more attentions in recent years. However, since nearly all LAs used in clinic are in their hydrochloride forms with small molecular weight and high water-solubility, their fast absorption and clearance greatly limit their antitumor activity . To better exploit the antitumor activity of LAs, lidocaine nanoparticles (LNPs) are prepared by using a self-assembling peptide to encapsulate the hydrophobic base form of lidocaine. In cultured A375 human melanoma cells, the LNPs show much higher cellular uptake level than the clinic formulation of lidocaine hydrochloride, which leads to enhanced efficacy in inhibiting the proliferation, migration and invasion of the cells, as well as in inducing cell apoptosis. Compared with lidocaine hydrochloride, LNPs can also significantly slow down the release rate of lidocaine. In nude mice, LNPs can effectively inhibit the development of solid tumors from seeded A375 cells and prevent the recurrence of tumors after surgical excision. These results indicate that by using self-assembling peptide to fabricate nanoparticle formulations of local anesthetics, their antitumor activity can be significantly enhanced, suggesting a potential postoperative treatment to prevent tumor recurrence after surgical excision.
尽管传统上诸如利多卡因之类的局部麻醉剂(LAs)一直用于缓解疼痛,但近年来它们的抗肿瘤活性已引起越来越多的关注。然而,由于临床上几乎所有使用的局部麻醉剂都是盐酸盐形式,分子量小且水溶性高,它们的快速吸收和清除极大地限制了其抗肿瘤活性。为了更好地发挥局部麻醉剂的抗肿瘤活性,通过使用自组装肽来包裹利多卡因的疏水碱形式制备了利多卡因纳米颗粒(LNPs)。在培养的A375人黑素瘤细胞中,LNPs显示出比盐酸利多卡因临床制剂更高的细胞摄取水平,这导致在抑制细胞增殖、迁移和侵袭以及诱导细胞凋亡方面增强了功效。与盐酸利多卡因相比,LNPs还可以显著减慢利多卡因的释放速率。在裸鼠中,LNPs可以有效抑制接种的A375细胞实体瘤的发展,并防止手术切除后肿瘤的复发。这些结果表明,通过使用自组装肽来制备局部麻醉剂的纳米颗粒制剂,可以显著增强其抗肿瘤活性,这表明一种潜在的术后治疗方法可用于防止手术切除后肿瘤复发。