Apr 1, 1977

The pH-dependent rate of action of local anesthetics on the node of Ranvier

The Journal of General Physiology
B Hille

Abstract

Local anesthetic solutions were applied suddenly to the outside of single myelinated nerve fibers to measure the time course of development of block of sodium channels. Sodium currents were measured under voltage clamp with test pulses applied several times per second during the solution change. The rate of block was studied by using drugs of different lipid solubility and of different charge type, and the external pH was varied from pH 8.3 to pH 6 to change the degree of ionization of the amine compounds. At pH 8.3 the half-time of action of amine anesthetics such as lidocaine, procaine, tetracaine, and others was always less than 2 s and usually less than 1 s. Lowering the pH to 6.0 decreased the apparent potency and slowed the rate of action of these drugs. The rate of action of neutral benzocaine was fast (1 s) and pH independent. The rate of action of cationic quaternary QX-572 was slow (greater than 200 s) and also pH independent. Other quaternary anesthetic derivatives showed no action when applied outside. The result is that neutral drug forms act much more rapidly than charged ones, suggesting that externally applied local anesthetics must cross a hydrophobic barrier to reach their receptor. A model representing diffus...Continue Reading

  • References14
  • Citations147

Mentioned in this Paper

Rana pipiens
Salientia
Potassium
Pontocaine
Receptors, Drug
Topical anesthetic
Ranvier's Nodes
Sodium
Lidocaine Monohydrochloride, Monohydrate
Procaina Serra

About this Paper

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