PMID- 37667787 OWN - NLM STAT- MEDLINE DCOM- 20230906 LR - 20230906 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 17 DP - 2023 TI - Recent Research Advances in Nano-Based Drug Delivery Systems for Local Anesthetics. PG - 2639-2655 LID - 10.2147/DDDT.S417051 [doi] AB - From a clinical perspective, local anesthetics have rather widespread application in regional blockade for surgery, postoperative analgesia, acute/chronic pain control, and even cancer treatments. However, a number of disadvantages are associated with traditional local anesthetic agents as well as routine drug delivery administration ways, such as neurotoxicity, short half-time, and non-sustained release, thereby limiting their application in clinical practice. Successful characterization of drug delivery systems (DDSs) for individual local anesthetic agents can support to achieve more efficient drug release and prolonged duration of action with reduced systemic toxicity. Different types of DDSs involving various carriers have been examined, including micromaterials, nanomaterials, and cyclodextrin. Among them, nanotechnology-based delivery approaches have significantly developed in the last decade due to the low systemic toxicity and the greater efficacy of non-conventional local anesthetics. Multiple nanosized materials, including polymeric, lipid (solid lipid nanoparticles, nanostructured lipid carriers, and nanoemulsions), metallic, inorganic non-metallic, and hybrid nanoparticles, offer a safe, localized, and long-acting solution for pain management and tumor therapy. This review provides a brief synopsis of different nano-based DDSs for local anesthetics with variable sizes and structural morphology, such as nanocapsules and nanospheres. Recent original research utilizing nanotechnology-based delivery systems is particularly discussed, and the progress and strengths of these DDSs are highlighted. A specific focus of this review is the comparison of various nano-based DDSs for local anesthetics, which can offer additional indications for their further improvement. All in all, nano-based DDSs with unique advantages provide a novel direction for the development of safer and more effective local anesthetic formulations. CI - (c) 2023 Ma et al. FAU - Ma, He AU - Ma H AD - Department of Anesthesiology, The Second Hospital of Jilin University, Changchun, People's Republic of China. FAU - Pan, Zhenxiang AU - Pan Z AD - Department of Anesthesiology, The Second Hospital of Jilin University, Changchun, People's Republic of China. FAU - Lai, Bingjie AU - Lai B AD - Department of Intensive Care Unit, The Second Hospital of Jilin University, Changchun, People's Republic of China. FAU - Zan, Chunfang AU - Zan C AD - Department of Nuclear Medicine, First Hospital of Shanxi Medical University, Taiyuan, People's Republic of China. AD - Collaborative Innovation Center for Molecular Imaging of Precision Medicine, Shanxi Medical University, Taiyuan, People's Republic of China. FAU - Liu, He AU - Liu H AD - Department of Orthopedics, The Second Hospital of Jilin University, Changchun, People's Republic of China. LA - eng PT - Journal Article PT - Review DEP - 20230830 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Anesthetics, Local) RN - 0 (Lipids) SB - IM MH - *Anesthetics, Local MH - *Anesthesia, Local MH - Pain Management MH - Drug Delivery Systems MH - Lipids PMC - PMC10475288 OTO - NOTNLM OT - drug delivery system OT - local anesthetics OT - nanocarriers OT - nanoparticles OT - nanotechnology OT - pain COIS- All the authors declare no competing interests in this work. EDAT- 2023/09/05 06:42 MHDA- 2023/09/06 06:42 PMCR- 2023/08/30 CRDT- 2023/09/05 03:37 PHST- 2023/04/13 00:00 [received] PHST- 2023/08/01 00:00 [accepted] PHST- 2023/09/06 06:42 [medline] PHST- 2023/09/05 06:42 [pubmed] PHST- 2023/09/05 03:37 [entrez] PHST- 2023/08/30 00:00 [pmc-release] AID - 417051 [pii] AID - 10.2147/DDDT.S417051 [doi] PST - epublish SO - Drug Des Devel Ther. 2023 Aug 30;17:2639-2655. doi: 10.2147/DDDT.S417051. eCollection 2023.