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Mechanism of nitrofurantoin toxicity and oxidative stress in mitochondria

D Carbonera1, A Angrilli, G F Azzone

  • 1C.N.R. Unit for Physiology of Mitochondria, University of Padova, Italy.

Insights

Nitrofurantoin alters mitochondrial membrane permeability by affecting ion transport and respiration. Its effects are concentration-dependent and involve free radical mechanisms, potentially explaining its biological activity.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Pharmacology

Background:

  • Mitochondrial inner membrane permeability is crucial for cellular energy production.
  • Dysregulation of mitochondrial function is implicated in various pathologies.
  • 5-Nitrofurans are a class of compounds with known antimicrobial properties.

Purpose of the Study:

  • To investigate the effects of nitrofurantoin on mitochondrial inner membrane permeability.
  • To elucidate the mechanisms underlying nitrofurantoin-induced mitochondrial dysfunction.
  • To explore the role of free radicals in nitrofurantoin's action.

Main Methods:

  • Assessment of mitochondrial transmembrane potential.
  • Measurement of K+ efflux rate.
  • Determination of basal respiratory rate.
  • Evaluation of nitrofurantoin's interaction with hydroperoxides and diamide.
  • Inclusion of free-radical scavengers to assess mechanism.

Main Results:

  • Nitrofurantoin modulates inner mitochondrial membrane permeability in a concentration- and time-dependent manner.
  • At low concentrations, it protects against hydroperoxide- or diamide-induced damage; at higher concentrations, it enhances this damage.
  • Nitrofurantoin potentiates Ca2+ plus Pi-induced membrane damage at all concentrations.
  • High nitrofurantoin concentrations induce membrane damage independently of external agents.
  • Free-radical scavengers abolish the observed effects, suggesting a free-radical mechanism.

Conclusions:

  • Nitrofurantoin's effects on mitochondrial membranes are mediated by free radical generation, initiated by its reduction to a nitro anion radical.
  • These findings align with the known redox cycling of nitrofurans and provide insight into their mechanism of action.
  • The study highlights the complex interplay between nitrofurantoin, oxidative stress, and mitochondrial integrity.

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