PMID- 32739615 OWN - NLM STAT- MEDLINE DCOM- 20211130 LR - 20220202 IS - 1528-8447 (Electronic) IS - 1526-5900 (Print) IS - 1526-5900 (Linking) VI - 22 IP - 2 DP - 2021 Feb TI - Injectable PLGA-Coated Ropivacaine Produces A Long-Lasting Analgesic Effect on Incisional Pain and Neuropathic Pain. PG - 180-195 LID - S1526-5900(20)30058-4 [pii] LID - 10.1016/j.jpain.2020.03.009 [doi] AB - The management of persistent postsurgical pain and neuropathic pain remains a challenge in the clinic. Local anesthetics have been widely used as simple and effective treatment for these 2 disorders, but the duration of their analgesic effect is short. We here reported a new poly lactic-co-glycolic acid (PLGA)-coated ropivacaine that was continuously released in vitro for at least 6 days. Perisciatic nerve injection of the PLGA-coated ropivacaine attenuated paw incision-induced mechanical allodynia and heat hyperalgesia during the incisional pain period, and spared nerve injury-induced mechanical and cold allodynia for at least 7 days postinjection. This effect was dose-dependent. Perisciatic nerve injection of the PLGA-coated ropivacaine did not produce detectable inflammation, tissue irritation, or damage in the sciatic nerve and surrounding muscles at the injected site, dorsal root ganglion, spinal cord, or brain cortex, although the scores for grasping reflex were mildly and transiently reduced in the higher dosage-treated groups. PERSPECTIVE: Given that PLGA is an FDA-approved medical material, and that ropivacaine is used currently in clinical practice, the injectable PLGA-coated ropivacaine represents a new and highly promising avenue in the management of postsurgical pain and neuropathic pain. CI - Copyright (c) 2020 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Tian, Xue AU - Tian X AD - Department of Anesthesiology, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey; Department of Anesthesiology, Peking University People's Hospital, Beijing, China. FAU - Zhu, He AU - Zhu H AD - Department of Chemical and Materials Engineering, New Jersey Institute of Technology, Newark, New Jersey. FAU - Du, Shibin AU - Du S AD - Department of Anesthesiology, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey. FAU - Zhang, Xue-Qing AU - Zhang XQ AD - Engineering Research Center of Cell & Therapeutic Antibody Ministry of Education, School of Pharmacy, Shanghai Jiao Tong University, Shanghai, China. FAU - Lin, Fuqing AU - Lin F AD - Department of Anesthesiology, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey. FAU - Ji, Fengtao AU - Ji F AD - Department of Anesthesiology, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey. FAU - Tsou, Yung-Hao AU - Tsou YH AD - Department of Chemical and Materials Engineering, New Jersey Institute of Technology, Newark, New Jersey. FAU - Li, Zhongyu AU - Li Z AD - Department of Chemical and Materials Engineering, New Jersey Institute of Technology, Newark, New Jersey. FAU - Feng, Yi AU - Feng Y AD - Department of Anesthesiology, Peking University People's Hospital, Beijing, China. FAU - Ticehurst, Kathryn AU - Ticehurst K AD - Department of Anesthesiology, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey. FAU - Hannaford, Stephen AU - Hannaford S AD - Department of Anesthesiology, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey. FAU - Xu, Xiaoyang AU - Xu X AD - Department of Chemical and Materials Engineering, New Jersey Institute of Technology, Newark, New Jersey; Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, New Jersey. FAU - Tao, Yuan-Xiang AU - Tao YX AD - Department of Anesthesiology, New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, New Jersey. Electronic address: yuanxiang.tao@njms.rutgers.edu. LA - eng GR - UL1 TR003017/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20200730 PL - United States TA - J Pain JT - The journal of pain JID - 100898657 RN - 0 (Anesthetics, Local) RN - 0 (Biocompatible Materials) RN - 1SIA8062RS (Polylactic Acid-Polyglycolic Acid Copolymer) RN - 7IO5LYA57N (Ropivacaine) SB - IM MH - Anesthetics, Local/*administration & dosage MH - Animals MH - *Biocompatible Materials MH - Disease Models, Animal MH - Drug Delivery Systems MH - Hyperalgesia/etiology/prevention & control MH - Male MH - Neuralgia/*drug therapy/etiology MH - Pain, Postoperative/*drug therapy/etiology MH - *Polylactic Acid-Polyglycolic Acid Copolymer MH - Rats MH - Rats, Sprague-Dawley MH - Ropivacaine/*administration & dosage MH - Sciatic Nerve PMC - PMC7855452 MID - NIHMS1617078 OTO - NOTNLM OT - Microparticles OT - long-lasting analgesia OT - neuropathic pain OT - poly lactic-co-glycolic acid OT - postsurgical pain OT - ropivacaine COIS- Conflicts of interests The authors declare no competing interests. EDAT- 2020/08/03 06:00 MHDA- 2021/12/01 06:00 PMCR- 2022/02/01 CRDT- 2020/08/03 06:00 PHST- 2019/07/22 00:00 [received] PHST- 2020/02/27 00:00 [revised] PHST- 2020/03/22 00:00 [accepted] PHST- 2020/08/03 06:00 [pubmed] PHST- 2021/12/01 06:00 [medline] PHST- 2020/08/03 06:00 [entrez] PHST- 2022/02/01 00:00 [pmc-release] AID - S1526-5900(20)30058-4 [pii] AID - 10.1016/j.jpain.2020.03.009 [doi] PST - ppublish SO - J Pain. 2021 Feb;22(2):180-195. doi: 10.1016/j.jpain.2020.03.009. Epub 2020 Jul 30.