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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/27945


    標題: The use of carbetapentane for spinal anesthesia and use-dependent block of sodium currents
    作者: Leung, Yuk-Man
    Tzeng, Jann-Inn
    Kuo, Chang-Shin
    Chen, Yu-Wen
    Chu, Chin-Chen
    Wang, Jhi-Joung
    貢獻者: 食品科技系
    關鍵字: Intrathecal
    Carbetapentane
    Lidocaine
    Sodium Currents
    Spinal Anesthesia
    日期: 2013-08
    上傳時間: 2014-05-26 10:50:05 (UTC+8)
    出版者: Elsevier Science Bv
    摘要: Although carbetapentane produces skin (peripheral) infiltrative analgesia, the underlying mechanism of carbetapentane in local anesthesia is not well understood. The purpose of the study was to examine the effect of carbetapentane on voltage-gated Na+ channels and its efficacy on spinal (central) anesthesia. We evaluated the effects of carbetapentane on rat motor and pain behavior (when administered intrathecally) and on voltage-gated sodium channels in differentiated neuronal NG108-15 cells. Carbetapentane exhibited dose-dependent spinal blockade with a more sensory-selective action over motor blockade (P < 0.05). Carbetapentane was more potent than lidocaine (P < 0.05) in spinal anesthesia. Intrathecal 5% dextrose (vehicle) elicited no spinal anesthesia. Lidocaine, used as a positive control, demonstrated concentration- and state-dependent effects on tonic block of voltage-gated Na+ currents (IC50 of 49.6 and 194.6 mu M at holding potentials of -70 and -100 mV, respectively). Carbetapentane was more potent (IC50 of 36.3 and 62.2 mu M at holding potentials of -70 and -100 mV, respectively). Carbetapentane showed a much stronger frequency-dependence of block than lidocaine: with high frequency stimulation (3.33 Hz), 50 mu M lidocaine produced an additional 30% blockade, while the same concentration of carbetapentane produced 70% more block. These results revealed carbetapentane had a more potent and prolonged spinal blockade with a more sensory/nociceptive-selective action over motor blockade in comparison with lidocaine. Spinal anesthesia with carbetapentane could be through inhibition of voltage-gated Na+ currents. (C) 2013 Elsevier B.V. All rights reserved.
    關聯: European Journal of Pharmacology, v.714 n.1-3 pp.366-372
    Appears in Collections:[ 食品科技系 ] 期刊論文

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