Ampicillin alone and in combination with riboflavin modulates Staphylococcus aureus infection induced septic

Pinky Mal1, Deboshree Ghosh, Debasish Bandyopadhyay

  • 1Department of Physiology, Immunology Laboratory, University Colleges of Science and Technology, University of Calcutta, 92 APC Road, Kolkata 700 009, India.

Insights

Combining the antibiotic ampicillin (Amp) with the antioxidant riboflavin (Ribo) effectively treated Staphylococcus aureus septic arthritis in mice. This combination eradicated bacteria and reduced inflammation and oxidative stress.

Area of Science:

  • Microbiology
  • Immunology
  • Pharmacology

Background:

  • Septic arthritis caused by Staphylococcus aureus infection leads to significant joint inflammation and oxidative stress.
  • Current treatments may not fully address the multifaceted pathology of staphylococcal arthritis.

Purpose of the Study:

  • To investigate the efficacy of combined ampicillin and riboflavin treatment on Staphylococcus aureus-induced septic arthritis in a mouse model.
  • To evaluate the impact of this combination therapy on bacterial eradication, inflammatory markers, and oxidative stress.

Main Methods:

  • Mice were infected with Staphylococcus aureus and treated with ampicillin (100 mg/kg) followed by riboflavin (20 mg/kg).
  • Bacterial load, arthritis severity, serum and synovial cytokine levels (TNF-alpha, IFN-gamma, IL-6), and antioxidant status (glutathione, SOD, catalase) were assessed at 3, 9, and 15 days post-infection.

Main Results:

  • Combined ampicillin and riboflavin treatment eradicated Staphylococcus aureus from blood, spleen, and synovial tissue.
  • Significant reduction in gross arthritis, serum TNF-alpha and IFN-gamma levels, and synovial TNF-alpha and IL-6 was observed.
  • The treatment ameliorated the disturbed antioxidant status, restoring reduced glutathione and antioxidant enzyme levels.

Conclusions:

  • Combined antibiotic and antioxidant therapy demonstrates protective effects against staphylococcal arthritis.
  • This combination approach may be a promising strategy to mitigate oxidative stress induced by Staphylococcus aureus infections.

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