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Figure 1.

The effect of increasing concentrations of bupivacaine on SH-SY5Y cell viability.

SH-SY5Y cells were exposed to different concentrations of bupivacaine (0.1, 0.5, 0.75, 1, 2, 5, and 10 mM). The viability of the cells declined with increasing bupivacaine concentration.

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Figure 2.

SH-SY5Y cell viability following treatment with 1 mM bupivacaine (%, mean±S.D, n = 6).

aP<0.05 vs. S group; bP<0.05 vs. S+NNC 100 group; cP<0.05 vs. S+B group; dP<0.05 vs. S+B+NNC 10 group; eP<0.05 vs. time point of 6 hours; fP<0.05 vs. time point of 12 h.

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Figure 3.

Bupivacaine treatment leads to the release of LDH.

SH-SY5Y cells were either pretreated with the indicated concentrations of NNC 55-0396 dihydrochloride or left untreated prior to 1 mM bupivaine treatment for 24 h. LDH release was determined by the level of LDH activity present in the culture media. (%, mean±S.D, n = 6). aP<0.05 vs. S group; bP<0.05 vs. S+NNC100 group; cP<0.05 vs. S+B group; dP<0.05 vs. S+B+NNC 10 group; eP<0.05 vs. time point of 6 h; fP<0.05 vs. time point of 12 h.

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Figure 4.

Bupivacaine treatment leads to an increase in cytosolic Ca2+ ([Ca2+]i).

SH-SY5Y cells were either pretreated with the indicated concentrations of NNC 55-0396 dihydrochloride or left untreated prior to 1 mM bupivaine treatment for 24 h. [Ca2+]i levels were measured by Quest Fluo-8 AM ester (mean±SD, n = 6)). A: Representative image of Quest Fluo-8 AM ester flow cytometry analysis. B: [Ca2+]i levels in the different treatment groups. aP<0.05 vs. S group; bP<0.05 vs. S+NNC 100 group; cP<0.05 vs. S+B group; dP<0.05 vs. S+B+NNC 10 group.

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Figure 5.

NNC 55-0396 dihydrochloride protects SH-SY5Y cells from bupivacaine-induced apoptosis.

Cells were either treated with the indicated concentrations of NNC 55-0396 dihydrochloride or left untreated prior to 1 mM bupivaine treatment for 24 h. Apoptosis was measured by Annexin-V staining with flow cytometry (%, mean±SD, n = 6). A: Representative image from the flow cytometric analysis. B: Rates of apoptosis in the different treatment groups. aP<0.05 vs. S group; bP<0.05 vs. S+NNC 100 group; cP<0.05 vs. S+B group; dP<0.05 vs. S+B+NNC 10 group.

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Figure 6.

NNC 55-0396 dihydrochloride protects SH-SY5Y cells from bupivacaine-induced nuclear alterations during apoptosis.

Cells were either treated with the indicated concentrations of NNC 55-0396 dihydrochloride or left untreated prior to 1 mM bupivaine treatment for 24 h. Nuclear morphology was evaluated by Hoechst 33258 staining (×200). Apoptotic cells were observed to have condensed or segmented nuclei accompanied by bright blue fluorescence.

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Table 1.

Apoptosis measured by Hoechst 33258 staining (%, mean±S.D, n = 6).

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Figure 7.

Inhibition of T-type calcium channels prevents bupivacaine-induced cleavage of caspase-3.

SH-SY5Y cells were either pretreated with the indicated concentrations of NNC 55-0396 dihydrochloride or left untreated prior to 1 mM bupivaine exposure for 24 h. Procaspase-3 (inactive form) and cleaved caspase-3 (active form) expression was measured by western blot analysis (mean+S.D, n = 6). Lane 1 = S group; Lane 2 = S+NNC 100 group; Lane 3 = S+B group; Lane 4 = S+B+ NNC 10 group; Lane 5 = S+B+NNC 50 group; Lane 6 = S+B+NNC 100 group. aP<0.05 vs. S group; bP<0.05 vs. S+NNC 100 group; cP<0.05 vs. S+B group; dP<0.05 vs. S+B+NNC 10 group.

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