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Updated: Jun 19, 2026

High Throughput, Real-time, Dual-readout Testing of Intracellular Antimicrobial Activity and Eukaryotic Cell Cytotoxicity
Published on: November 16, 2016
Cytogenetic genotoxicity of amoxicillin
Erman Salih Istifli1, Mehmet Topaktaş
1Department of Biology, Institute of Basic and Applied Sciences, Cukurova University, Adana, Turkey. esistifli@cu.edu.tr
Abstract:
Amoxicillin (AMO), a drug used in the treatment of infections caused by susceptible bacteria, has been evaluated for its ability to induce genotoxicity in human peripheral blood lymphocytes. The potential genotoxic effects of AMO were investigated in vitro by the sister chromatid exchange (SCE), chromosomal aberration (CA), and micronucleus (MN) tests. The cells were treated with 400, 600, 800, and 1,000 microg/ml AMO in the presence and absence of a metabolic activator (S9 mix), respectively. In this study, AMO did not induce SCEs or CAs in human peripheral blood lymphocytes both in the presence and absence of the metabolic activator. AMO concentration-dependently decreased the proliferation index (PI) in the absence of the metabolic activation for 24-hr treatment period. Mitotic index (MI) was generally found to have been reduced when compared with the negative control but not with the solvent control in cultures treated with AMO for 24 hr. AMO did not decrease the PI and MI in the presence of the metabolic activator. Furthermore, AMO neither induced the formation of MN nor decreased the nuclear division index in human peripheral blood lymphocytes both in the presence and absence of the metabolic activator. According to the present results, we suggest that AMO does not pose genotoxic risk for patients who are under therapy against bacterial infections.
Insights
Amoxicillin (AMO) did not show genotoxic effects in human blood cells during in vitro testing. This antibiotic is unlikely to pose a genotoxic risk to patients undergoing bacterial infection treatment.
Area of Science:
- Toxicology
- Genetics
- Pharmacology
Background:
- Amoxicillin (AMO) is a widely used antibiotic for bacterial infections.
- Assessing the genotoxic potential of pharmaceuticals is crucial for patient safety.
Purpose of the Study:
- To evaluate the in vitro genotoxicity of Amoxicillin (AMO) in human peripheral blood lymphocytes.
- To determine if AMO induces chromosomal aberrations, sister chromatid exchanges, or micronuclei formation.
Main Methods:
- In vitro tests including sister chromatid exchange (SCE), chromosomal aberration (CA), and micronucleus (MN) assays were performed.
- Human peripheral blood lymphocytes were exposed to AMO (400–1,000 microg/ml) with and without metabolic activation (S9 mix).
- Proliferation index (PI) and mitotic index (MI) were assessed to evaluate cytotoxicity.
Main Results:
- Amoxicillin (AMO) did not induce SCEs or CAs in lymphocytes, with or without S9 mix.
- AMO reduced the proliferation index (PI) concentration-dependently in the absence of S9 mix.
- No induction of micronuclei (MN) or decrease in nuclear division index was observed with AMO treatment.
Conclusions:
- Amoxicillin (AMO) demonstrated no genotoxic activity in human peripheral blood lymphocytes under the tested conditions.
- The antibiotic did not induce chromosomal damage or mutations in vitro.
- Current findings suggest Amoxicillin (AMO) does not present a genotoxic risk for patients.
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