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.

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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