Antinociceptive effects of bupivacaine and its sulfobutylether-β-cyclodextrin inclusion complex in orofacial pain

Naunyn Schmiedebergs Arch Pharmacol. 2022 Nov;395(11):1405-1417. doi: 10.1007/s00210-022-02278-4. Epub 2022 Aug 1.

Abstract

Bupivacaine hydrochloride (BVC) represents an option to produce long-lasting analgesia, and complexation in cyclodextrins has shown improvements in biopharmaceutical properties. This study aimed to characterize and test the cytotoxicity and antinociceptive effects of BVC complexed in sulfobutylether-β-cyclodextrin (SBEβCD). The kinetics and stoichiometry of complexation and BVC-SBEβCD association constant were evaluated by phase solubility study and Job's plot. Evidence of the BVC-SBEβCD complex formation was obtained from scanning electron microscopy (SEM), infrared spectroscopy (FTIR), and differential scanning calorimetry (DSC). The cytotoxicity was evaluated in keratinocyte (HaCaT) and neuroblastoma (SH-SY5Y). Antinociceptive effects were registered via orofacial pain models: the formalin test, carrageenan-induced hyperalgesia, and postoperative pain (intraoral incision). The complex formation occurred at a 1:1 BVC-SBEβCD molar ratio, with a low association constant (13.2 M-1). SEM, DSC, and FTIR results demonstrated the host-guest interaction. The IC50% values determined in SH-SY5Y were 216 µM and 149 µM for BVC and BVC-SBEβCD, respectively (p < 0.05). There was no difference in HaCaT IC50%. In orofacial pain model, BVC-SBEβCD significantly prolonged antinociceptive effect, in about 2 h, compared to plain BVC. SBEβCD can be used as a drug delivery system for bupivacaine, whereas the complex showed long-lasting analgesic effects.

Keywords: Bupivacaine; Cytotoxicity; Drug delivery; Hyperalgesia; Orofacial pain; Sulfobutylether-β-cyclodextrin.

MeSH terms

  • Analgesics / pharmacology
  • Analgesics / therapeutic use
  • Biological Products*
  • Bupivacaine / pharmacology
  • Carrageenan
  • Cyclodextrins* / chemistry
  • Facial Pain / chemically induced
  • Facial Pain / drug therapy
  • Humans
  • Neuroblastoma*
  • Solubility
  • beta-Cyclodextrins

Substances

  • Analgesics
  • Biological Products
  • Cyclodextrins
  • beta-Cyclodextrins
  • SBE4-beta-cyclodextrin
  • Carrageenan
  • Bupivacaine