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      Fresh Carrier for an Old Topical Local Anesthetic: Benzocaine in Nanostructured Lipid Carriers

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          Abstract

          Nanostructured lipid carriers (NLC) have emerged as innovative drug delivery systems, offering distinct advantages over other lipid-based carriers, such as liposomes and solid lipid nanoparticles. Benzocaine (BZC), the oldest topical local anesthetic in use, undergoes metabolism by pseudocholinesterase, leading to the formation of p-aminobenzoic acid, a causative agent for allergic reactions associated with prolonged BZC usage. In order to mitigate adverse effects and enhance bioavailability, BZC was encapsulated within NLC. Utilizing a 2 3 factorial design, formulations comprising cetyl palmitate (solid lipid), propylene glycol monocaprylate (liquid lipid), and Pluronic F68 as surfactants were systematically prepared, with variations in the solid/liquid lipid mass ratios (60:40–80:20%), total lipid contents (15–25%), and BZC concentrations (1–3%). The optimized formulation underwent characterization by dynamic light scattering, differential scanning calorimetry, Raman imaging, X-ray diffraction, small-angle neutron scattering, nanotracking analysis, and transmission electron microscopy (TEM)/cryo-TEM, providing insights into the nanoparticle structure and the incorporation of BZC into its lipid matrix. NLC BZC exhibited a noteworthy encapsulation efficiency (%EE = 96%) and a 1 year stability when stored at 25 °C. In vitro kinetic studies and in vivo antinociceptive tests conducted in mice revealed that NLC BZC effectively sustained drug release for over 20 h and prolonged the anesthetic effect of BZC for up to 18 h. We therefore propose the use of NLC BZC to diminish the effective anesthetic concentration of benzocaine (from 20 to 3% or less), thus minimizing allergic reactions that follow the topical administration of this anesthetic and, potentially, paving the way for new routes of BZC administration in pain management.

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          The current International Association for the Study of Pain (IASP) definition of pain as "An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage" was recommended by the Subcommittee on Taxonomy and adopted by the IASP Council in 1979. This definition has become accepted widely by health care professionals and researchers in the pain field and adopted by several professional, governmental, and nongovernmental organizations, including the World Health Organization. In recent years, some in the field have reasoned that advances in our understanding of pain warrant a reevaluation of the definition and have proposed modifications. Therefore, in 2018, the IASP formed a 14-member, multinational Presidential Task Force comprising individuals with broad expertise in clinical and basic science related to pain, to evaluate the current definition and accompanying note and recommend whether they should be retained or changed. This review provides a synopsis of the critical concepts, the analysis of comments from the IASP membership and public, and the committee's final recommendations for revisions to the definition and notes, which were discussed over a 2-year period. The task force ultimately recommended that the definition of pain be revised to "An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage," and that the accompanying notes be updated to a bulleted list that included the etymology. The revised definition and notes were unanimously accepted by the IASP Council early this year.
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            Solid lipid nanoparticles (SLN) introduced in 1991 represent an alternative carrier system to traditional colloidal carriers, such as emulsions, liposomes and polymeric micro- and nanoparticles. SLN combine advantages of the traditional systems but avoid some of their major disadvantages. This paper reviews the present state of the art regarding production techniques for SLN, drug incorporation, loading capacity and drug release, especially focusing on drug release mechanisms. Relevant issues for the introduction of SLN to the pharmaceutical market, such as status of excipients, toxicity/tolerability aspects and sterilization and long-term stability including industrial large scale production are also discussed. The potential of SLN to be exploited for the different administration routes is highlighted. References of the most relevant literature published by various research groups around the world are provided.
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              In this paper we review the mathematical models used to determine the kinetics of drug release from drug delivery systems. The quantitative analysis of the values obtained in dissolution/release rates is easier when mathematical formulae are used to describe the process. The mathematical modeling can ultimately help to optimize the design of a therapeutic device to yield information on the efficacy of various release models.
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                Author and article information

                Journal
                ACS Biomater Sci Eng
                ACS Biomater Sci Eng
                ab
                abseba
                ACS Biomaterials Science & Engineering
                American Chemical Society
                2373-9878
                29 July 2024
                12 August 2024
                : 10
                : 8
                : 4958-4969
                Affiliations
                []Departamento de Bioquímica e Biologia Tecidual, Instituto de Biologia, Universidade Estadual de Campinas (Unicamp) , ZIP 13083-862 Campinas, São Paulo, Brazil
                []Laboratório Nacional de Biociências, Centro Nacional de Pesquisa em Energia e Materiais , ZIP 13083-100 Campinas, São Paulo, Brazil
                [§ ]Niels Bohr Institute, University of Copenhagen , ZIP 2100 Copenhagen, Denmark
                []Departamento de Química Analítica, Instituto de Química, Unicamp , ZIP 13083-862 Campinas, São Paulo, Brazil
                []Departamento de Física, Universidade Federal do Paraná (UFPR) , ZIP 81531-980 Curitiba, Paraná, Brazil
                [# ]Instituto de Pesquisas Energéticas e Nucleares, IPEN-CNEN/SP , ZIP 05508-000 São Paulo, São Paulo, Brazil
                Author notes
                Author information
                https://orcid.org/0000-0001-6097-5449
                https://orcid.org/0000-0002-8769-0301
                https://orcid.org/0000-0003-0750-0553
                https://orcid.org/0000-0003-4504-5723
                Article
                10.1021/acsbiomaterials.4c00585
                11322916
                39074333
                2169ad34-b76d-43c4-96cb-6fa4b373269d
                © 2024 The Authors. Published by American Chemical Society

                Permits the broadest form of re-use including for commercial purposes, provided that author attribution and integrity are maintained ( https://creativecommons.org/licenses/by/4.0/).

                History
                : 27 March 2024
                : 20 June 2024
                : 17 June 2024
                Funding
                Funded by: Fundação de Amparo à Pesquisa do Estado de São Paulo, doi 10.13039/501100001807;
                Award ID: 2019/17784-0
                Funded by: Conselho Nacional de Desenvolvimento Científico e Tecnológico, doi 10.13039/501100003593;
                Award ID: 309625/2017
                Funded by: Carlsbergfondet, doi 10.13039/501100002808;
                Award ID: CF19-0521
                Categories
                Article
                Custom metadata
                ab4c00585
                ab4c00585

                benzocaine,nanostructured lipid carriers,local anesthetic,experimental design,drug delivery

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