A new aminoglycoside etimicin shows low nephrotoxicity and ototoxicity in zebrafish embryos

Weihao Shao1, Dan Zhong1, Haowei Jiang1

  • 1Engineering Research Center of Cell & Therapeutic Antibody, Ministry of Education, School of Pharmacy, Shanghai Jiao Tong University, Shanghai, China.

Insights

Etimicin, a novel aminoglycoside antibiotic, shows reduced kidney and inner ear toxicity compared to gentamicin and amikacin in zebrafish embryos. This suggests etimicin may be a safer alternative for treating infections.

Area of Science:

  • Pharmacology
  • Toxicology
  • Developmental Biology

Background:

  • Aminoglycoside antibiotics are crucial for treating severe infections but can cause kidney and inner ear damage.
  • Etimicin is a new semisynthetic aminoglycoside with broad-spectrum activity, but its toxicity is not well-characterized.
  • Understanding the comparative toxicity of aminoglycosides is essential for developing safer therapeutic options.

Purpose of the Study:

  • To compare the in vivo toxic effects of etimicin, gentamicin, and amikacin in zebrafish embryos.
  • To evaluate the embryotoxicity, nephrotoxicity, and ototoxicity of these aminoglycosides.
  • To elucidate the mechanisms underlying differential aminoglycoside-induced ototoxicity.

Main Methods:

  • Zebrafish embryos were exposed to gentamicin, amikacin, and etimicin.
  • Embryonic development, kidney function, and neuromast hair cell damage were assessed.
  • Fluorescently conjugated aminoglycosides were used to track cellular uptake and intracellular effects, including reactive oxygen species (ROS) generation and apoptosis.

Main Results:

  • Etimicin and amikacin displayed higher developmental toxicity in early zebrafish embryos than gentamicin.
  • At subtoxic doses, etimicin and amikacin showed significantly lower toxicity to kidneys and neuromast hair cells.
  • Gentamicin induced higher ROS generation and apoptosis within hair cells compared to etimicin and amikacin.

Conclusions:

  • Differential intracellular cytotoxicity, particularly ROS generation and apoptosis, explains the varying ototoxicity of these aminoglycosides.
  • Etimicin demonstrates a reduced risk of nephrotoxicity and ototoxicity, positioning it as a promising alternative aminoglycoside antibiotic.

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