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논문 기본 정보

자료유형
학술저널
저자정보
Ryunosuke Abe (Kurume University Hospital) Hiroki Ohzono (Kurume University Hospital) Masafumi Gotoh (Kurume University Hospital) Yosuke Nakamura (Kurume University Hospital) Hirokazu Honda (Kurume University Hospital) Hidehiro Nakamura (Kurume University Hospital) Shinichiro Kume (Kurume University Hospital) Takahiro Okawa (Kurume University Hospital) Naoto Shiba (Kurume University Hospital)
저널정보
대한견주관절의학회 대한견주관절의학회지 대한견주관절의학회지 제24권 제4호
발행연도
2021.12
수록면
224 - 230 (7page)

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Background: Local anesthetics often are used in rotator cuff tears as therapeutic tools, although some cases have reported that they have detrimental effects. Neurotropin (NTP) is used widely in Japan as a treatment for various chronic pain conditions and is shown to have protective effects on cartilage and nerve cells. In this study, we investigated the protective effect of NTP against lidocaine-induced cytotoxicity.
Methods: Tenocytes from rotator cuff tendons were incubated with lidocaine, NTP, lidocaine with NTP, and a control medium. Cell viability was evaluated using the WST-8 assay. Cell apoptosis was detected via annexin V staining using flow cytometry. The expression of BCL-2 and cytochrome c, which are involved in the intrinsic mitochondrial pathway of apoptosis, was evaluated via Western blotting and immunohistochemical staining.
Results: In the cell viability assay, lidocaine decreased cell viability in a dose-dependent manner, and NTP did not affect cell viability. Moreover, NTP significantly inhibited the cytotoxic effect of lidocaine. The flow cytometry analysis showed that lidocaine significantly induced apoptosis in tenocytes, and NTP considerably inhibited this lidocaine-induced apoptosis. Western blotting experiments showed that lidocaine decreased the protein expression of BCL-2, and that NTP conserved the expression of BCL-2, even when used with lidocaine. Immunohistochemical staining for cytochrome c showed that 0.1% lidocaine increased cytochrome c-positive cells, and NTP suppressed lidocaine-induced cytochrome c expression.
Conclusions: NTP suppresses lidocaine-induced apoptosis of tenocytes by inhibiting the mitochondrial apoptotic pathway. Intra-articular/bursal injection of NTP with lidocaine could protect tenocytes in rotator cuff tendons against lidocaine-induced apoptosis.

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INTRODUCTION
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