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Published on: July 13, 2018
Prevention of gentamicin-induced apoptosis with the mitochondria-targeted antioxidant mitoquinone
Carolyn P Ojano-Dirain1, Patrick J Antonelli
1Department of Otolaryngology, University of Florida College of Medicine, Gainesville, Florida, USA. carolyn.ojano-dirain@ent.ufl.edu
Objectives/Hypothesis:
Antioxidants have been shown to protect against aminoglycoside-induced hearing loss. Mitoquinone (MitoQ) is a mitochondria-targeted derivative of the antioxidant ubiquinone. MitoQ is attached to a lipophilic triphenylphosphonium (TPP) cation, which enables its accumulation inside the mitochondria several hundred-fold over the untargeted antioxidant. The goals of this study were to determine if MitoQ attenuates gentamicin-induced activation of caspase-3/7 activity as a marker of apoptosis and to determine if MitoQ impacts aminoglycoside antimicrobial efficacy.
Study Design:
Prospective and controlled.
Methods:
Antibiotic efficacy and minimum inhibitory concentrations (MICs) of gentamicin against three strains each of Staphylococcus aureus, Haemophilus influenzae, and Pseudomonas aeruginosa were evaluated with and without MitoQ using broth dilution methods. Apoptosis was assessed by caspase-3/7 activity in untreated HEI-OC1 cells and cells exposed to 2 mM gentamicin for 24 hours, with and without a 24-hour preincubation with 0.5 μM each of MitoQ, idebenone (an untargeted ubiquinone), or decylTPP (positive control).
Results:
Gentamicin MICs for P aeruginosa and H influenzae were not affected by MitoQ at pharmacological levels. MICs for S aureus were enhanced by MitoQ. Cell viability was significantly lower in the gentamicin-treated cells. A significant increase in caspase-3/7 activity was observed in cells treated with gentamicin or with idebenone + gentamicin (P = .005). Preincubation with MitoQ decreased the gentamicin-induced apoptosis of HEI-OC1 cells to a greater extent compared to idebenone (P = .002).
Conclusions:
MitoQ attenuates gentamicin-induced apoptosis in HEI-OC1 cells and does not compromise gentamicin antibiotic efficacy. MitoQ holds promise as a means of preventing aminoglycoside ototoxicity.
Insights
Mitoquinone (MitoQ) reduces gentamicin-induced cell death by decreasing apoptosis. This mitochondria-targeted antioxidant does not impact gentamicin
Area of Science:
- Cell Biology
- Pharmacology
- Ototoxicity Research
Background:
- Aminoglycosides, like gentamicin, can cause hearing loss through ototoxicity.
- Antioxidants show potential in protecting against aminoglycoside-induced hearing loss.
- Mitoquinone (MitoQ) is a mitochondria-targeted antioxidant derivative of ubiquinone, designed for enhanced mitochondrial accumulation.
Purpose of the Study:
- To evaluate if MitoQ can reduce gentamicin-induced apoptosis by measuring caspase-3/7 activity.
- To assess the impact of MitoQ on the antimicrobial effectiveness of gentamicin.
Main Methods:
- Prospective, controlled study design.
- Broth dilution methods were used to determine gentamicin's minimum inhibitory concentrations (MICs) against Staphylococcus aureus, Haemophilus influenzae, and Pseudomonas aeruginosa, with and without MitoQ.
- Apoptosis was assessed via caspase-3/7 activity in HEI-OC1 cells treated with gentamicin, with or without preincubation with MitoQ, idebenone, or decylTPP.
Main Results:
- MitoQ did not alter gentamicin MICs for P. aeruginosa and H. influenzae but enhanced MICs for S. aureus.
- Gentamicin treatment significantly reduced cell viability and increased caspase-3/7 activity, indicating apoptosis.
- Preincubation with MitoQ significantly attenuated gentamicin-induced apoptosis more effectively than idebenone.
Conclusions:
- MitoQ effectively reduces gentamicin-induced apoptosis in HEI-OC1 cells.
- MitoQ does not compromise the antibiotic efficacy of gentamicin.
- MitoQ shows promise for preventing aminoglycoside-induced ototoxicity.
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