Dibucaine, a local anesthetic known to intersect with cell membranes,
induced apoptosis in SK-N-MC human neuroblastoma cells in a dose-depen
dent manner. Apoptosis was demonstrated by direct visualization of mor
phological nuclear changes using a DAPI staining technique and confirm
ed by the production of characteristic ladder patterns of DNA fragment
ation on gel electrophoresis. At concentrations which induced apoptosi
s, dibucaine significantly altered membrane fluidity, indicating that
fluidity may be a major target for the cytotoxic action of dibucaine,
Also, dibucaine increased intracellular calcium levels more effectivel
y in calcium-containing Krebs-Ringer buffer than in calcium-free Krebs
-Ringer buffer, Removal of extracellular calcium or addition of antiox
idants or protein synthesis inhibitor effectively blocked dibucaine-in
duced apoptosis, These results suggest that membrane damage, intracell
ular calcium levels, and oxygen free radicals may be involved in the a
poptosis induced by dibucaine. (C) 1997 Academic Press.