Block of Na channels in the membrane of myelinated nerve by benzocaine.

The actions of the neutral local anesthetic benzocaine on Na channels were studied in voltage-clamp experiments on single myelinated nerve fibres of the frog by measurements of sodium currents, asymmetry currents, and sodium current fluctuations. 2. 1 mM benzocaine reduced the peak Na currents during various depolarizations V between 20 and 120 nV to 63% of their control values but did not change the time constant of Na activation. 3. 1 mM benzocaine altered asymmetry currents during 1 ms pulses V between 20 and 120 mV in the same was as the early Na currents: It reduced the amplitude to 64% but did not affect the kinetics of the currents. 4. The charge displacement of the asymmetry current during the pulse (Qon) was compared with the charge displacement after the pulse (Qoff). Without benzocaine the relative charge Qoff/Qon Declined to a constant level (0.42 at V = 40mV, 0.25 at V = 100 mV) with increasing pulse durations. In the presence of 1 mM benzocaine the charges Qoff after pulses to V = 40 or 100 mV are almost independent of pulse duration and approximately equal to the control Qoff values after 5.6 ms pulses. Thus, the immobilizations caused by Na inactivation and benzocaine are not additive. 5. Na currents and Na-current fluctuations were recorded during depolarizations V between 24 and 48 mV in the presence of 0.1 mM benzocaine and 7 microM Anemonia toxin II. A lower limit of 8.6 pS was derived for the conductance of a single Na channel. The value agrees with other estimates of the conductance of Na channels which had not been treated by local anesthetics. This suggests an "all-or-none blocking" of Na channels by benzocaine.