Effect of encapsulation in liposomes on toxic effect of bupivacaine on spinal cord in rats
10.3760/cma.j.issn.0254-1416.2012.02.011
- VernacularTitle:脂质体包裹对布比卡因致大鼠脊髓神经毒性的影响
- Author:
Lin CHEN
;
Xianwei ZHANG
;
Shimin WU
- Publication Type:Journal Article
- Keywords:
Bupivacaine;
Liposomes;
Neurotoxicity Syndromes;
Spinal Cord
- From:
Chinese Journal of Anesthesiology
2012;32(2):173-176
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the toxic effect of bupivacaine encapsulated in liposomes on spinal cord in rats.MethodsOne hundred and eight SD rats (200-225 g) in which intrathecal (IT) catheter was successfully implanted without complications were randomly divided into 6 groups ( n =18 each):control group (group C) ; liposome group (group L) ; 0.5% and 1.0% bupivacaine groups (groups B1 and B2 ) and 0.5% and 1.0% bupivacaine encapsulated in liposomes groups (groups LB1 and LB2 ).In groups L,B1,B2,LB1 and LB2,liposome,0.5 % bupivacaine,1.0 % bupivacaine,0.5 % liposomal bypivacaine and 1.0 % liposomal bupivacaine 20 μl were injected IT respectively once a day for 7 consecutive days,while in group C nothing was injected IT.Pain threshold was measured by mechanical stimulation of the plantar surface of hindpaw.Motor function of the hindlimbs was also assessed.The animals were sacrificed at 8 day after IT injection.The lumbar segment of the spinal cord was removed for microscopic examination,detection of neuronal apoptosis (by flow cytometry) and Fos protein expression (by immuno-histochemistry).Results1.0% bupivacaine IT significantly increased the percentage of apoptotic neurons in group B2 as compared with control group.0.5% and 1.0% bupivacaine IT significantly increased the number Fos protein positive cells in group B1 and B2 as compared with group C.1.0% bupivacaine IT induced severe histologic damage including shrinkage of nucleus and vacuole formation in mitochondria.Encapsulation of bupivacaine in liposomes significantly attenuated bupivacaine-induced increase in apoptosis and Fos protein expression and histologic damage in group LB2 as compared with group B2.ConclusionThe encapsulation in liposomes can decrease the neurotoxicity of 1.0 % bupivacaine administered IT in rats.