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布比卡因及其磺丁基醚-β-环糊精包合物在口腔颌面疼痛中的镇痛作用。

Antinociceptive effects of bupivacaine and its sulfobutylether-β-cyclodextrin inclusion complex in orofacial pain.

机构信息

Laboratory of Inflammation and Immunology, Guarulhos University, Guarulhos, São Paulo, Brazil.

Department of Pharmacology, Biological Sciences Sector, Federal University of Parana, Curitiba, Parana, Brazil.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2022 Nov;395(11):1405-1417. doi: 10.1007/s00210-022-02278-4. Epub 2022 Aug 1.

DOI:10.1007/s00210-022-02278-4
PMID:35909169
Abstract

Bupivacaine hydrochloride (BVC) represents an option to produce long-lasting analgesia, and complexation in cyclodextrins has shown improvements in biopharmaceutical properties. This study aimed to characterize and test the cytotoxicity and antinociceptive effects of BVC complexed in sulfobutylether-β-cyclodextrin (SBEβCD). The kinetics and stoichiometry of complexation and BVC-SBEβCD association constant were evaluated by phase solubility study and Job's plot. Evidence of the BVC-SBEβCD complex formation was obtained from scanning electron microscopy (SEM), infrared spectroscopy (FTIR), and differential scanning calorimetry (DSC). The cytotoxicity was evaluated in keratinocyte (HaCaT) and neuroblastoma (SH-SY5Y). Antinociceptive effects were registered via orofacial pain models: the formalin test, carrageenan-induced hyperalgesia, and postoperative pain (intraoral incision). The complex formation occurred at a 1:1 BVC-SBEβCD molar ratio, with a low association constant (13.2 M). SEM, DSC, and FTIR results demonstrated the host-guest interaction. The IC values determined in SH-SY5Y were 216 µM and 149 µM for BVC and BVC-SBEβCD, respectively (p < 0.05). There was no difference in HaCaT IC. In orofacial pain model, BVC-SBEβCD significantly prolonged antinociceptive effect, in about 2 h, compared to plain BVC. SBEβCD can be used as a drug delivery system for bupivacaine, whereas the complex showed long-lasting analgesic effects.

摘要

盐酸布比卡因(BVC)是一种可产生长效镇痛效果的药物,其与环糊精形成复合物后可改善生物药剂学性质。本研究旨在对盐酸布比卡因与磺丁基醚-β-环糊精(SBEβCD)形成的复合物进行特征描述和细胞毒性及镇痛效果检测。通过相溶解度研究和 Job 作图评估了复合物形成的动力学和化学计量学以及 BVC-SBEβCD 结合常数。通过扫描电子显微镜(SEM)、红外光谱(FTIR)和差示扫描量热法(DSC)获得了 BVC-SBEβCD 复合物形成的证据。在角质细胞(HaCaT)和神经母细胞瘤(SH-SY5Y)中评估了细胞毒性。通过口腔疼痛模型(福尔马林试验、角叉菜胶诱导的痛觉过敏和术后疼痛(口腔内切口))记录了镇痛效果。复合物形成的 BVC-SBEβCD 摩尔比为 1:1,结合常数较低(13.2 M)。SEM、DSC 和 FTIR 结果表明存在主体-客体相互作用。在 SH-SY5Y 中测定的 IC 值分别为 216 µM 和 149 µM(p<0.05)。在 HaCaT 中,BVC 和 BVC-SBEβCD 的 IC 值没有差异。在口腔疼痛模型中,与 BVC 相比,BVC-SBEβCD 可显著延长约 2 小时的镇痛效果。SBEβCD 可用作布比卡因的药物递送系统,而该复合物显示出持久的镇痛效果。

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