Article
JM25-1, a Lidocaine Analog Combining Airway Relaxant and Antiinflammatory Properties: Implications for New Bronchospasm Therapy
Registro en:
SERRA, Magda F, et al. JM25-1, a Lidocaine Analog Combining Airway Relaxant and Antiinflammatory Properties: Implications for New Bronchospasm Therapy. Anesthesiology, v.124, p.109-20, 2016.
0003-3022
1528-1175
Autor
Serra, Magda F.
Neves, Josiane S.
Couto, Gina C.
Cotias, Amanda C.
Pão, Camila R.
Olsen, Priscilla C.
Carvalho, Katharinne I. Moraes de
Anjos Valotta, Edna A.
Faria, Robson X.
Costa, Jorge C. S.
Cordeiro, Renato S. B.
Silva, Patricia M. R.
Martins, Marco A.
Resumen
Background: Inhaled lidocaine antagonized bronchospasm in animal models and patients, but adverse effects limited its
efficacy. This study evaluated the antibronchospasm potential of the analog JM25-1, exploring in vitro mechanisms and translation
to an animal model.
Methods: The effectiveness of JM25-1 was assessed in GH3 cells, rat tracheal rings, mouse lymphocytes, and human eosinophil
systems in vitro, assessing changes in Na+ current, contraction, proliferation, and survival, respectively. Lung function and
inflammatory changes were studied in ovalbumin-sensitized mice.
Results: The efficacy of JM25-1 was higher than lidocaine in inhibiting carbachol-induced and calcium-induced tracheal contractions
(maximum effect inhibition at 1 mM [%]: 67 ± 10 [JM25-1] vs. 41 ± 11 [lidocaine] [P < 0.001] for carbachol; 100 ± 3
[JM25-1] vs. 36 ± 26 [lidocaine] [P < 0.001] for Ca2+; mean ± SD; n = 9 each) but lower in Na+ current (50% inhibitory concentration
= 151.5, n = 8 vs. 0.2 mM; n = 5; P < 0.001). JM25-1 also inhibited eosinophil survival (dead cells [%]: 65 ± 6; n = 4;
P < 0.001 at 1 mM) and lymphocyte proliferation (cells in phase S + G2 [%]: 94 ± 10; n = 6; P < 0.001) at 0.6 mM. Aerosolized
JM25-1 (1%) decreased lung eosinophil numbers from 13.2 ± 2.4 to 1.7 ± 0.7 × 104/μm2 (n = 6; P < 0.001) and neutrophils
from 1.9 ± 0.4 to 0.2 ± 0.1 × 104/μm2 (n = 7; P < 0.001). Other parameters, including airway hyperreactivity, cytokines, mucus,
and extracellular matrix deposition, were also sensitive to aerosolized JM25-1.
Conclusion: These findings highlight the potential of JM25-1, emphasizing its putative value in drug development for clinical
conditions where there is bronchospasm. 2030-01-01