1. Long-term sciatic nerve block led by a supramolecular arrangement of self-delivery local anesthetic nano systems.
- Author
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Tang, Lei, Qin, Feng, Gong, Deying, Dong, Yu, Pan, LiLi, Zhou, Changcui, Yin, Qinqin, Song, Xinghai, Ling, Rui, Huang, Junlong, Fan, Qin, Yi, Wenhao, Wu, Fengbo, Wu, Xiaoai, Zhang, Weiyi, Yang, Jun, and Wang, Ji-Yu
- Subjects
SCIATIC nerve ,NERVE block ,LOCAL anesthetics ,COUNTER-ions ,NEURONS ,TRANSVERSUS abdominis muscle ,BUPIVACAINE ,ANESTHETICS - Abstract
Classical local anesthetics are unsuitable to treat regional pain lasting several days due to their limited duration and systemic toxicity. Self-delivery nano systems without excipients were designed for long-term sensory blocks. 1a self-assembled into different vehicles with different fractions of intermolecular π–π stacking, transported itself into nerve cells, and released single molecules slowly to achieve long-term duration for rats' sciatic nerve block for 11.6 h in water, 12.1 h in water with CO
2 and 3.4 h in NS (normal saline). After the counter ions were changed to SO4 2− , 1e can self-assemble into vesicles and prolong the duration to 43.2 h, which was much longer than the 3.8 h led by (s)-bupivacaine hydrocloride (0.75%). This was mainly caused by the enhancement of self-release and counter ion exchange inside nerve cells, which were affected by the gemini surfactant structure, pKa of the counter ions and π–π stacking interactions. [ABSTRACT FROM AUTHOR]- Published
- 2023
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