Effect of Lidocaine and Epinephrine on Human Erythrocyte Shape and Vesiculability of Blood Cells

The effect of local anesthetic composed of lidocaine and epinephrine on vesiculability of blood cells and erythrocyte shape was studied. Whole blood and plasma were incubated with lidocaine/epinephrine. Extracellular vesicles were isolated by centrifugation and washing and counted by flow cytometry....

Full description

Saved in:
Bibliographic Details
Main Authors: Tanja Slokar, Carlos Lopez-Mariscal, Judita Lea Krek, Roman Štukelj, Oskar Zupanc, Veronika Kralj-Iglič
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Advances in Condensed Matter Physics
Online Access:http://dx.doi.org/10.1155/2015/870602
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832556934356533248
author Tanja Slokar
Carlos Lopez-Mariscal
Judita Lea Krek
Roman Štukelj
Oskar Zupanc
Veronika Kralj-Iglič
author_facet Tanja Slokar
Carlos Lopez-Mariscal
Judita Lea Krek
Roman Štukelj
Oskar Zupanc
Veronika Kralj-Iglič
author_sort Tanja Slokar
collection DOAJ
description The effect of local anesthetic composed of lidocaine and epinephrine on vesiculability of blood cells and erythrocyte shape was studied. Whole blood and plasma were incubated with lidocaine/epinephrine. Extracellular vesicles were isolated by centrifugation and washing and counted by flow cytometry. Lidocaine/epinephrine and each component alone were added to diluted blood. Shape changes were recorded by micrographs. An ensemble of captured frames was analyzed for populations of discocytes, echinocytes, and stomatocytes by using statistical methods. Incubation of whole blood and blood plasma with lidocaine/epinephrine considerably increased concentration of extracellular vesicles in isolates (for an average factor 3.4 in blood and 2.8 in plasma). Lidocaine/epinephrine caused change of erythrocyte shape from mainly discocytic to mainly stomatocytic (higher than 50%). Lidocaine alone had even stronger stomatocytic effect (the percent of stomatocytes was higher than 95%) while epinephrine had echinocytic effect (the percent of echinocytes was higher than 80%). The differences were highly statistically significant p<10-8 with statistical power P=1. Lidocaine/epinephrine induced regions of highly anisotropically curved regions indicating that lidocaine and epinephrine interact with erythrocyte membrane. It was concluded that lidocaine/epinephrine interacts with cell membranes and increases vesiculability of blood cells in vitro.
format Article
id doaj-art-0b4bcaa5437b42d2aa6c2d8703ec7fa0
institution Kabale University
issn 1687-8108
1687-8124
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Advances in Condensed Matter Physics
spelling doaj-art-0b4bcaa5437b42d2aa6c2d8703ec7fa02025-02-03T05:43:58ZengWileyAdvances in Condensed Matter Physics1687-81081687-81242015-01-01201510.1155/2015/870602870602Effect of Lidocaine and Epinephrine on Human Erythrocyte Shape and Vesiculability of Blood CellsTanja Slokar0Carlos Lopez-Mariscal1Judita Lea Krek2Roman Štukelj3Oskar Zupanc4Veronika Kralj-Iglič5Department of Orthopaedic Surgery, Ljubljana University Medical Centre, Zaloška 9, SI-1000 Ljubljana, SloveniaLaboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Zdravstvena 5, SI-1000 Ljubljana, SloveniaLaboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Zdravstvena 5, SI-1000 Ljubljana, SloveniaLaboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Zdravstvena 5, SI-1000 Ljubljana, SloveniaDepartment of Orthopaedic Surgery, Ljubljana University Medical Centre, Zaloška 9, SI-1000 Ljubljana, SloveniaLaboratory of Clinical Biophysics, Faculty of Health Sciences, University of Ljubljana, Zdravstvena 5, SI-1000 Ljubljana, SloveniaThe effect of local anesthetic composed of lidocaine and epinephrine on vesiculability of blood cells and erythrocyte shape was studied. Whole blood and plasma were incubated with lidocaine/epinephrine. Extracellular vesicles were isolated by centrifugation and washing and counted by flow cytometry. Lidocaine/epinephrine and each component alone were added to diluted blood. Shape changes were recorded by micrographs. An ensemble of captured frames was analyzed for populations of discocytes, echinocytes, and stomatocytes by using statistical methods. Incubation of whole blood and blood plasma with lidocaine/epinephrine considerably increased concentration of extracellular vesicles in isolates (for an average factor 3.4 in blood and 2.8 in plasma). Lidocaine/epinephrine caused change of erythrocyte shape from mainly discocytic to mainly stomatocytic (higher than 50%). Lidocaine alone had even stronger stomatocytic effect (the percent of stomatocytes was higher than 95%) while epinephrine had echinocytic effect (the percent of echinocytes was higher than 80%). The differences were highly statistically significant p<10-8 with statistical power P=1. Lidocaine/epinephrine induced regions of highly anisotropically curved regions indicating that lidocaine and epinephrine interact with erythrocyte membrane. It was concluded that lidocaine/epinephrine interacts with cell membranes and increases vesiculability of blood cells in vitro.http://dx.doi.org/10.1155/2015/870602
spellingShingle Tanja Slokar
Carlos Lopez-Mariscal
Judita Lea Krek
Roman Štukelj
Oskar Zupanc
Veronika Kralj-Iglič
Effect of Lidocaine and Epinephrine on Human Erythrocyte Shape and Vesiculability of Blood Cells
Advances in Condensed Matter Physics
title Effect of Lidocaine and Epinephrine on Human Erythrocyte Shape and Vesiculability of Blood Cells
title_full Effect of Lidocaine and Epinephrine on Human Erythrocyte Shape and Vesiculability of Blood Cells
title_fullStr Effect of Lidocaine and Epinephrine on Human Erythrocyte Shape and Vesiculability of Blood Cells
title_full_unstemmed Effect of Lidocaine and Epinephrine on Human Erythrocyte Shape and Vesiculability of Blood Cells
title_short Effect of Lidocaine and Epinephrine on Human Erythrocyte Shape and Vesiculability of Blood Cells
title_sort effect of lidocaine and epinephrine on human erythrocyte shape and vesiculability of blood cells
url http://dx.doi.org/10.1155/2015/870602
work_keys_str_mv AT tanjaslokar effectoflidocaineandepinephrineonhumanerythrocyteshapeandvesiculabilityofbloodcells
AT carloslopezmariscal effectoflidocaineandepinephrineonhumanerythrocyteshapeandvesiculabilityofbloodcells
AT juditaleakrek effectoflidocaineandepinephrineonhumanerythrocyteshapeandvesiculabilityofbloodcells
AT romanstukelj effectoflidocaineandepinephrineonhumanerythrocyteshapeandvesiculabilityofbloodcells
AT oskarzupanc effectoflidocaineandepinephrineonhumanerythrocyteshapeandvesiculabilityofbloodcells
AT veronikakraljiglic effectoflidocaineandepinephrineonhumanerythrocyteshapeandvesiculabilityofbloodcells