SUN Fengrun, LI Mohan, HE Yumiao, WANG Tao, MA Chao, HUANG Yuguang. Application of Extended-release Local Anesthetics Based on Composite Polymer Materials in an Animal Model of Chronic Pain[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(3): 433-439. DOI: 10.12290/xhyxzz.2022-0086
Citation: SUN Fengrun, LI Mohan, HE Yumiao, WANG Tao, MA Chao, HUANG Yuguang. Application of Extended-release Local Anesthetics Based on Composite Polymer Materials in an Animal Model of Chronic Pain[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(3): 433-439. DOI: 10.12290/xhyxzz.2022-0086

Application of Extended-release Local Anesthetics Based on Composite Polymer Materials in an Animal Model of Chronic Pain

Funds: 

National Natural Science Foundation of China 81771205

Postdoctoral Science Foundation of China 2020M680453

More Information
  • Corresponding author:

    MA Chao, E-mail: machao@ibms.cams.cn

    HUANG Yuguang, E-mail: garypumch@163.com

  • Received Date: February 24, 2022
  • Accepted Date: April 10, 2022
  • Issue Publish Date: May 29, 2022
  •   Objective  To evaluate the release characteristics and analgesic effect of extended-release composite polymers of local anesthetics.
      Methods  Polymer extended-release film containing bupivacaine hydrochloride was prepared via electrospinning (nanomembrane, group M), and was furthermore loaded intoPLGA-PEG-PLGA thermo-sensitive gel forming composite extended-release carrier (group G). The in vitro release profile, analgesic effect and safety in vivo were evaluated.
      Results  In vitro, the cumulative release of bupivacaine hydrochloride reached more than 5 d in the group M and 10 d in the group G. In vivo, the analgesic effect in the model of chronic compression injury of sciatic nerve lasted for 14 d in the group M and group G. There was no significant difference between the two groups (P > 0.05). The peak plasma concentration of bupivacaine hydrochloride in the group M was (0.294±0.029)μg/L one day after drug administration, while (0.192±0.064)μg/L in the group G three days after drug administration, which were far below the toxic plasma level of bupivacaine chloride. Meanwhile, there were no significant pathological changes in the heart, liver, spleen, lung and kidney of the two groups.
      Conclusions  In this study, the composite extended-release drug delivery prepared by bupivacaine hydrochloride electrospinning film as the basis and PLGA-PEG-PLGA thermo-sensitive gel can further prolong the release time of bupivacaine chloride and exhibit long-term analgesic effect without toxicity.
  • [1]
    Hernandez-Boussard T, Graham LA, Desai K, et al. The Fifth Vital Sign: Postoperative Pain Predicts 30-day Readmissions and Subsequent Emergency Department Visits[J]. Ann Surg, 2017, 266: 516-524. DOI: 10.1097/SLA.0000000000002372
    [2]
    Cohen SP, Vase L, Hooten WM. Chronic pain: an update on burden, best practices, and new advances[J]. Lancet, 2021, 39: 2082-2097.
    [3]
    Mitra S, Carlyle D, Kodumudi G, et al. New Advances in Acute Postoperative Pain Management[J]. Curr Pain Headache Rep, 2018, 22: 35. DOI: 10.1007/s11916-018-0690-8
    [4]
    Ward EN, Quaye AN, Wilens TE. Opioid Use Disorders: Perioperative Management of a Special Population[J]. Anesth Analg, 2018, 127: 539-547. DOI: 10.1213/ANE.0000000000003477
    [5]
    Kalkman GA, Kramers C, Van Dongen RT, et al. Trends in use and misuse of opioids in the Netherlands: a retrospec-tive, multi-source database study[J]. Lancet Public Health, 2019, 4: e498-e505. DOI: 10.1016/S2468-2667(19)30128-8
    [6]
    Fallon M. When morphine does not work[J]. Support Care Cancer, 2008, 16: 771-775. DOI: 10.1007/s00520-008-0402-8
    [7]
    He Y, Qin L, Huang Y, et al. Advances of Nano-Structured Extended-Release Local Anesthetics[J]. Nanoscale Res Lett, 2020, 15: 13. DOI: 10.1186/s11671-019-3241-2
    [8]
    Sekimoto K, Tobe M, Saito S. Local anesthetic toxicity: acute and chronic management[J]. Acute Med Surg, 2017, 4: 152-160. DOI: 10.1002/ams2.265
    [9]
    He YM, Qin LN, Fang YH, et al. Electrospun PLGA nanomembrane: A novel formulation of extended-release bupivacaine delivery reducing postoperative pain[J]. Mater Des, 2020, 193: 108768. DOI: 10.1016/j.matdes.2020.108768
    [10]
    Alejo T, Uson L, Landa G, et al. Nanogels with High Loading of Anesthetic Nanocrystals for Extended Duration of Sciatic Nerve Block[J]. ACS Appl Mater Interfaces, 2021, 13: 17220-17235. DOI: 10.1021/acsami.1c00894
    [11]
    Kaye AD, Armstead-Williams C, Hyatali F, et al. Exparel for Postoperative Pain Management: a Comprehensive Review[J]. Curr Pain Headache Rep, 2020, 24: 73. DOI: 10.1007/s11916-020-00905-4
    [12]
    Balocco AL, Van Zundert PGE, Gan SS, et al. Extended release bupivacaine formulations for postoperative analgesia[J]. Curr Opin Anaesthesiol, 2018, 31: 636-642. DOI: 10.1097/ACO.0000000000000648
    [13]
    Kharitonov V. A review of the compatibility of liposome bupivacaine with other drug products and commonly used implant materials[J]. Postgrad Med, 2014, 12: 129-138.
    [14]
    El-Say KM, El-Sawy HS. Polymeric nanoparticles: Promis-ing platform for drug delivery[J]. Int J Pharm, 2017, 528: 675-691. DOI: 10.1016/j.ijpharm.2017.06.052
    [15]
    Zhang W, Ning C, Xu W, et al. Precision-guided long-acting analgesia by Gel-immobilized bupivacaine-loaded microsphere[J]. Theranostics, 2018, 8: 3331-3347. DOI: 10.7150/thno.25276
    [16]
    Padmakumar S, Joseph J, Neppalli MH, et al. Electrospun Polymeric Core-sheath Yarns as Drug Eluting Surgical Sutures[J]. ACS Appl Mater Interfaces, 2016, 8: 6925-6934. DOI: 10.1021/acsami.6b00874
    [17]
    Weldon CB, Tsui JH, Shankarappa SA, et al. Electrospun drug-eluting sutures for local anesthesia[J]. J Control Release, 2012, 161: 903-939. DOI: 10.1016/j.jconrel.2012.05.021
    [18]
    Sadeghi-Avalshahr A, Nokhasteh S, Molavi AM, et al. Synthesis and characterization of collagen/PLGA biodegradable skin scaffold fibers[J]. Regen Biomater, 2017, 4: 309-314. DOI: 10.1093/rb/rbx026
    [19]
    Wang T, Hurwitz O, Shimada SG, et al. Anti-nociceptive effects of bupivacaine-encapsulated PLGA nanoparticles applied to the compressed dorsal root ganglion in mice[J]. Neurosci Lett, 2018, 668: 154-158. DOI: 10.1016/j.neulet.2018.01.031
    [20]
    Bennett GJ, Xie YK. A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man[J]. Pain, 1988, 33: 87-107. DOI: 10.1016/0304-3959(88)90209-6
    [21]
    Wu C, Xu J, Kang S. Animal Models of Postoperative Pain[J]. Anim Models Pain, 2011, 49: 181-200.
    [22]
    Gaudette F, Benito J, Steagall P, et al. Assessment of tandem mass spectrometry and high-resolution mass spectro-metry for the analysis of bupivacaine in plasma[J]. Biomed Chromatogr, 2015, 29: 1724-1730. DOI: 10.1002/bmc.3485
    [23]
    Finnerup NB, Kuner R, Jensen TS. Neuropathic Pain: From Mechanisms to Treatment[J]. Physiol Rev, 2021, 101: 259-301. DOI: 10.1152/physrev.00045.2019
    [24]
    Mir M, Ahmed N, Rehman AU. Recent applications of PLGA based nanostructures in drug delivery[J]. Colloids Surf B Biointerfaces, 2017, 159: 217-231. DOI: 10.1016/j.colsurfb.2017.07.038
    [25]
    Zorzetto L, Brambilla P, Marcello E, et al. From micro-to nanostructured implantable device for local anesthetic delivery[J]. Int J Nanomedicine, 2016, 11: 2695-2709.
    [26]
    Mcalvin JB, Reznor G, Shankarappa SA, et al. Local toxicity from local anesthetic polymeric microparticles[J]. Anesth Analg, 2013, 116: 794-803. DOI: 10.1213/ANE.0b013e31828174a7
    [27]
    Schmidt B, Ohri R, Wang JC, et al. Local pathology and systemic serum bupivacaine after subcutaneous delivery of slow-releasing bupivacaine microspheres[J]. Anesth Analg, 2015, 120: 36-44. DOI: 10.1213/ANE.0000000000000507
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