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Polymyxin B sulfate-induced pH-dependent increase in calcium influx in cultured fibroblasts

Biochemical Medicine and Metabolic Biology
|February 1, 1986
PubMed

Insights

Polymyxin B sulfate increases calcium influx in cells, potentially explaining side effects like neuromuscular blockade and kidney dysfunction. This cellular effect is dose- and time-dependent and requires protein synthesis.

Area of Science:

  • Cell Biology
  • Pharmacology

Background:

  • Polymyxin B sulfate is an antibiotic used to treat infections.
  • The precise mechanisms underlying Polymyxin B sulfate's side effects remain incompletely understood.

Purpose of the Study:

  • To investigate the effect of Polymyxin B sulfate on calcium influx in mammalian fibroblasts.
  • To explore the potential link between altered calcium influx and Polymyxin B sulfate-induced toxicity.

Main Methods:

  • Primary mouse fibroblasts (3T6) and normal human skin fibroblasts were treated with varying concentrations of Polymyxin B sulfate.
  • Calcium influx was measured using standard assays.
  • The role of protein synthesis was assessed by co-administering cycloheximide or actinomycin D.

Main Results:

  • Polymyxin B sulfate treatment significantly increased calcium influx in both cell types in a dose- and time-dependent manner.
  • The observed increase in calcium influx was dependent on extracellular pH but not on the electrochemical gradient of calcium.
  • Inhibition of protein synthesis with cycloheximide or actinomycin D markedly reduced the effect of Polymyxin B sulfate on calcium influx.

Conclusions:

  • Polymyxin B sulfate induces an increase in intracellular calcium levels in fibroblasts.
  • This mechanism, dependent on protein synthesis, may contribute to the known side effects of Polymyxin B sulfate therapy, including neuromuscular blockade and nephrotoxicity.

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