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Bactericidal antibiotics induce mitochondrial dysfunction and oxidative damage in Mammalian cells
Sameer Kalghatgi1, Catherine S Spina1,2,3, James C Costello1
1Howard Hughes Medical Institute, Department of Biomedical Engineering and Center of Synthetic Biology, Boston University, Boston, Massachusetts 02215, USA.
Abstract:
Prolonged antibiotic treatment can lead to detrimental side effects in patients, including ototoxicity, nephrotoxicity, and tendinopathy, yet the mechanisms underlying the effects of antibiotics in mammalian systems remain unclear. It has been suggested that bactericidal antibiotics induce the formation of toxic reactive oxygen species (ROS) in bacteria. We show that clinically relevant doses of bactericidal antibiotics-quinolones, aminoglycosides, and β-lactams-cause mitochondrial dysfunction and ROS overproduction in mammalian cells. We demonstrate that these bactericidal antibiotic-induced effects lead to oxidative damage to DNA, proteins, and membrane lipids. Mice treated with bactericidal antibiotics exhibited elevated oxidative stress markers in the blood, oxidative tissue damage, and up-regulated expression of key genes involved in antioxidant defense mechanisms, which points to the potential physiological relevance of these antibiotic effects. The deleterious effects of bactericidal antibiotics were alleviated in cell culture and in mice by the administration of the antioxidant N-acetyl-l-cysteine or prevented by preferential use of bacteriostatic antibiotics. This work highlights the role of antibiotics in the production of oxidative tissue damage in mammalian cells and presents strategies to mitigate or prevent the resulting damage, with the goal of improving the safety of antibiotic treatment in people.
Insights
Bactericidal antibiotics like quinolones, aminoglycosides, and β-lactams cause cell damage via reactive oxygen species (ROS). Antioxidants or bacteriostatic antibiotics can prevent this antibiotic-induced oxidative stress and tissue damage.
Area of Science:
- Biomedical Science
- Pharmacology
- Cell Biology
Background:
- Prolonged antibiotic use causes side effects like ototoxicity and nephrotoxicity.
- Mechanisms of antibiotic toxicity in mammals are not fully understood.
- Bactericidal antibiotics may induce reactive oxygen species (ROS) in bacteria.
Purpose of the Study:
- Investigate if bactericidal antibiotics cause mitochondrial dysfunction and ROS overproduction in mammalian cells.
- Determine if these effects lead to oxidative damage.
- Explore strategies to mitigate antibiotic-induced oxidative stress.
Main Methods:
- Treatment of mammalian cells and mice with clinically relevant doses of bactericidal antibiotics (quinolones, aminoglycosides, β-lactams).
- Assessment of mitochondrial function, ROS production, and oxidative damage markers (DNA, proteins, lipids).
- Evaluation of N-acetyl-l-cysteine (antioxidant) and bacteriostatic antibiotics for protective effects.
Main Results:
- Bactericidal antibiotics induced mitochondrial dysfunction and ROS overproduction in mammalian cells.
- Observed oxidative damage to cellular components (DNA, proteins, lipids).
- Mice showed increased oxidative stress markers, tissue damage, and antioxidant gene expression.
Conclusions:
- Bactericidal antibiotics contribute to oxidative tissue damage in mammalian cells.
- N-acetyl-l-cysteine and bacteriostatic antibiotics can mitigate or prevent this damage.
- Findings suggest strategies to improve antibiotic safety and reduce patient side effects.
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