Geronimo Gabriela, Rodrigues da Silva Gustavo H, de Moura Ludmilla D, de Carvalho Fabíola V, Mendonça Talita C, Olivo Laura B, Verlindo de Araújo Bibiana, Dalla Costa Teresa C, Lavareze Luccas, Mariano Fernanda V, de Paula Eneida
Department of Biochemistry and Tissue Biology, Institute of Biology, University of Campinas─UNICAMP, Campinas, SP 13083-862, Brazil.
Brazilian Biosciences National Laboratory, Brazilian Center for Research in Energy and Materials, Campinas, SP 13083-970, Brazil.
Mol Pharm. 2025 Jun 2;22(6):3351-3365. doi: 10.1021/acs.molpharmaceut.5c00254. Epub 2025 May 1.
Recent studies have highlighted the potential of local anesthetics (LA) as adjuvants in cancer treatment, specifically by increasing survival rates when used in surgical excisions. However, the clinical use of LA is restricted due to their systemic toxicity. The development of drug delivery systems could address this issue and advance the utilization of these molecules. In this research, we explored the pharmacokinetics (using microdialysis probes) and antitumor properties of a nanostructured lipid carrier (NLC) formulation containing the commercially available enantiomeric excess form of bupivacaine (BVC). This NLC was prepared with lavender oil (NLC-L-BVC), an excipient with inherent antitumor properties. We compared this formulation to a control (NLC-BVC) using synthetic lipids. Pharmacokinetic assessments of the NLCs confirmed the sustained release of BVC within the tumor, characterized by a reduced elimination rate constant and longer half-life (∼6×). The encapsulation of BVC within nanoparticles (whether natural or synthetic) enhanced its effectiveness in treating the primary tumor, resulting in the inhibition of tumor growth (70% with NLC-L-BVC and 72% with NLC-BVC), outperforming free BVC (17% inhibition). However, the association of lavender oil with BVC in an NLC did not yield synergistic properties. Furthermore, all BVC treatments (whether free or encapsulated) improved animal survival rates. These findings confirm that encapsulation of bupivacaine in NLC can prolong drug action at the local site, contributing to improved local antitumor therapy while mitigating systemic effects.
近期研究强调了局部麻醉药(LA)作为癌症治疗佐剂的潜力,特别是在手术切除中使用时可提高生存率。然而,由于其全身毒性,LA的临床应用受到限制。药物递送系统的发展可以解决这个问题,并推动这些分子的利用。在本研究中,我们探索了一种包含市售布比卡因(BVC)对映体过量形式的纳米结构脂质载体(NLC)制剂的药代动力学(使用微透析探针)和抗肿瘤特性。这种NLC是用薰衣草油(NLC-L-BVC)制备的,薰衣草油是一种具有固有抗肿瘤特性的辅料。我们将这种制剂与使用合成脂质的对照(NLC-BVC)进行了比较。对NLC的药代动力学评估证实了BVC在肿瘤内的持续释放,其特征是消除速率常数降低和半衰期延长(约6倍)。BVC包裹在纳米颗粒中(无论是天然的还是合成的)都增强了其治疗原发性肿瘤的有效性,导致肿瘤生长受到抑制(NLC-L-BVC为70%,NLC-BVC为72%),优于游离BVC(17%抑制)。然而,薰衣草油与NLC中的BVC结合并没有产生协同特性。此外,所有BVC治疗(无论是游离的还是包裹的)都提高了动物生存率。这些发现证实,将布比卡因包裹在NLC中可以延长药物在局部的作用时间,有助于改善局部抗肿瘤治疗,同时减轻全身影响。