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Unveiling Xenobiotic Transport and Effects in Isolated Mitochondria: Insights from Respirometric and Enzymatic Assays
Published on: March 7, 2025
Direct Effects of Clinically Relevant Antibiotics on Mitochondrial Respiration
Judith Sailer1, Sabine Schmitt2, Hans Zischka1,3
1Institute of Toxicology and Environmental Hygiene, TUM School of Medicine and Health, Technical University Munich (TUM), 80802 Munich, Germany.
Abstract:
Antibiotics are indispensable in medical patient care, yet they may elicit off-target effects, particularly by affecting mitochondrial function. This study investigates three commonly used antibiotics, gentamicin, ciprofloxacin, and amoxicillin, for their direct effects on mitochondrial respiration and membrane potential. Using high-resolution respirometry, we show that gentamicin and ciprofloxacin markedly increase mitochondrial leak respiration in permeabilized human embryonic kidney cells, suggesting alterations in the mitochondrial inner membrane. This is supported by a gentamicin-induced decrease in mitochondrial membrane potential. Especially gentamicin, but also ciprofloxacin, dose- and time-dependently inhibit oxidative phosphorylation and the mitochondrial electron transfer capacity, pronouncedly in the NADH-linked but also in the succinate-linked pathway. Furthermore, gentamicin decreases Complex IV (CIV) activity in a time-dependent fashion. In contrast, amoxicillin has no significant effect on mitochondrial respiration. These findings emphasize the importance of evaluating the potential direct toxicity of antibiotics on mitochondria, as they are most critical off-target sites. High-resolution respirometry provides a powerful approach to characterize such effects early in the drug development process.
Insights
Common antibiotics like gentamicin and ciprofloxacin can harm mitochondria, affecting cellular respiration. Amoxicillin showed no significant mitochondrial effects, highlighting the need to study antibiotic toxicity during drug development.
Area of Science:
- Biochemistry
- Pharmacology
- Cell Biology
Background:
- Antibiotics are crucial for treating infections but can cause unintended side effects.
- Mitochondria are vital for cellular energy production and are potential targets for antibiotic toxicity.
Purpose of the Study:
- To investigate the direct impact of gentamicin, ciprofloxacin, and amoxicillin on mitochondrial respiration and membrane potential.
- To assess the potential of these antibiotics to cause off-target mitochondrial toxicity.
Main Methods:
- High-resolution respirometry was used to measure mitochondrial function in permeabilized human embryonic kidney cells.
- Mitochondrial respiration, membrane potential, and specific enzyme activities (Complex IV) were analyzed.
Main Results:
- Gentamicin and ciprofloxacin increased mitochondrial leak respiration and inhibited oxidative phosphorylation and electron transfer capacity.
- Gentamicin decreased mitochondrial membrane potential and Complex IV activity.
- Amoxicillin demonstrated no significant effects on mitochondrial respiration.
Conclusions:
- Gentamicin and ciprofloxacin exhibit direct mitochondrial toxicity, impacting key respiratory functions.
- Mitochondrial dysfunction represents a critical off-target effect of certain antibiotics.
- High-resolution respirometry is a valuable tool for early detection of antibiotic-induced mitochondrial toxicity.
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