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Updated: Aug 20, 2026

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Published on: May 31, 2024
Pathogenesis of quinolone-induced arthropathy: a review of hypotheses
T Maślanka1, J J Jaroszewski, M Chrostowska
1Section of Pharmacology, Department of Pathology and Pharmacology, Faculty of Veterinary Medicine, University of Warmia and Mazury in Olsztyn, Oczapowskiego 13, 10-718 Olsztyn, Poland. tomasz.maslanka@moskit.uwm.edu.pl
Abstract:
The arthropathogenic effects of quinolones have been described in juvenile animals of multiple species such as dogs, rats, non-human primates, rabbits and guinea pigs. Several studies have been performed to clarify the exact mechanism leading to cartilage damage. In these studies, the investigators focused on the inhibitory effects of quinolones on DNA, collagen and proteoglycan synthesis and on the formation of oxygen-derived reactive molecules. Recently, it was suggested that quinolone-induced arthropathy is possibly associated with the magnesium-chelating properties of quinolones. However, the exact mechanism of quinolone-induced arthropathy is still unkown. This article reviews and summarizes several possible mechanisms for quinolone-induced arthropathy.
Insights
Quinolone antibiotics can harm cartilage in young animals. This review explores potential mechanisms, including effects on DNA, collagen, and magnesium binding, to understand quinolone-induced arthropathy.
Area of Science:
- Pharmacology
- Toxicology
- Biochemistry
Background:
- Quinolones are known to cause arthropathic effects in juvenile animals across various species.
- Previous research has investigated quinolone mechanisms, focusing on DNA, collagen, and proteoglycan synthesis inhibition, as well as reactive oxygen species formation.
Purpose of the Study:
- To review and summarize the proposed mechanisms underlying quinolone-induced arthropathy.
- To consolidate current understanding of how quinolones affect cartilage development and integrity.
Main Methods:
- Literature review of studies investigating quinolone effects on cartilage.
- Analysis of proposed biochemical and molecular mechanisms of quinolone-induced cartilage damage.
Main Results:
- Quinolones impact cartilage through various pathways, including inhibition of essential synthesis processes.
- Emerging evidence suggests magnesium chelation by quinolones may play a role in arthropathy.
Conclusions:
- The precise mechanism of quinolone-induced arthropathy remains undetermined.
- Further research is needed to elucidate the complex interactions between quinolones and cartilage, potentially involving magnesium homeostasis.
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