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Study on Neurotoxicity of Lidocaine

Research Project

Project/Area Number 10671426
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionMiyazaki Medical College

Principal Investigator

KATSUKI Hiroshi  Miyazaki Medical College, Department of Anesthesiology, Instructor, 医学部, 助手 (80194786)

Co-Investigator(Kenkyū-buntansha) TAKASAKI Mayumi  Miyazaki Medical College, Department of Anesthesiology, Professor, 医学部, 教授 (30094212)
Project Period (FY) 1998 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥3,700,000 (Direct Cost: ¥3,700,000)
Fiscal Year 1999: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1998: ¥2,600,000 (Direct Cost: ¥2,600,000)
Keywordslidocaine / neurotoxicity / 閾値
Research Abstract

The purpose of this study is to clarify the mechanism underlying the two types of lidocaine induced irreversible block observed previously in crayfish giant axon. As to the irreversible but not cell death type block was not due to threshold change which was confirmed by measurement of chronaxy in crayfish giant axon before and after lidocaine application. We supposed abrupt and serious damage took place in voltage gated Na channels by lidocaine, but further acknowledgement was not acquired. On the other hand, we considered that the cell death type irreversible block was due to membrane destruction, provably membrane lysis. To examine the provability of membrane lysis induced by lidocaine and other local anesthetics, the ability of hemolysis and the formation of micelle were determined with some local anesthetics and compared to those of detergents. Potency of micelle formation was expressed as critical micelle concentration (CMC) measured by dye solubilization method. Degree of hemolysis was determined as 90% hemolytic concentration (ECィイD290ィエD2) in vitro. CMC was measured with all test anesthetics except for bupivacaine. ECィイD290ィエD2 values were 1/2-1/5 of CMC with local anesthetics and this relation was same with detergents (hexadecyl trimethyl ammonium C1, Triton-X100), which means that the local anesthetics and detergents affects erythrocyte membrane in same manner, that is membrane lysis.

Report

(3 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report

URL: 

Published: 1998-04-01   Modified: 2016-04-21  

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