Evidence map›Paper›PMID 26624249›Full record

ArticleInternational forum of allergy & rhinology2016

Bactericidal antibiotics promote reactive oxygen species formation and inflammation in human sinonasal epithelial cells.

Michael A Kohanski, Anuj Tharakan, Andrew P Lane, Murugappan Ramanathan

Abstract read
In one paragraph

Article in International forum of allergy & rhinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
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  5. Article
  6. Article
  7. Effects ofViruses · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Antibiotics Affect ROS Production and Fibroblast Migration in anFrontiers in cellular and infection microbiology · 2020
    Article
  13. Review
  14. Observational
  15. Article
  16. Impact of antibiotics on smell dysfunction.World journal of otorhinolaryngology - head and neck surgery · 2018
    Article
  17. Article
  18. Observational
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Michael A KohanskiDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Anuj TharakanDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Andrew P LaneDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Murugappan RamanathanDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

Immune Responses of the Epithelium in Chronic Rhinosinusitis with PolypsR01AI072502 · NIAID · JOHNS HOPKINS UNIVERSITY · PI LANE, ANDREW P · 2007 to 2016
$3.9M
Role of the Indoor Environment on Oxidative Stress Related Sinonasal InflammationK23ES020859 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI RAMANATHAN, MURUGAPPAN · 2011 to 2015
$1.2M
NIAID NIH HHS AI072502NIAID NIH HHS R01 AI072502NIEHS NIH HHS ES020859NIEHS NIH HHS K23 ES020859NIEHS NIH HHS L30 ES022003
6 · The paper itself

Abstract

backgroundBactericidal antibiotics have been shown to stimulate reactive oxygen species (ROS) formation in mammalian cells through mitochondrial dysfunction. This results in oxidative tissue damage that may have negative consequences for long-term antibiotic use. Antibiotics are widely and heavily used in the treatment of acute and chronic sinusitis; however, the relationship between antibiotics and ROS formation in sinonasal epithelial cells (SNECs) has not yet been demonstrated.

methodsHuman SNECs were collected from patients during endoscopic sinus surgery and grown in culture at the air-liquid interface. Differentiated SNECs were stimulated with the bactericidal antibiotics amoxicillin and levofloxacin and the bacteriostatic antibiotic clarithromycin for 24 hours. ROS were quantified via fluorescence. Cell death was quantified by lactate dehydrogenase (LDH) secretion. Expression of inflammatory markers such as tumor necrosis factor α (TNF-α) and nuclear factor erythroid 2-related factor 2 (Nrf2)-mediated antioxidant genes were measured by real-time polymerase chain reaction (RT-PCR).

resultsCultured SNECs treated with the bactericidal antibiotics amoxicillin and levofloxacin resulted in a significant increase in production of ROS (p < 0.05) and secretion of LDH (p < 0.05). The increase in ROS formation correlated with an increase in expression of Nrf2-mediated antioxidant genes as well as the expression and production of proinflammatory cytokine TNF-α, and interleukin 1 β (IL-1β) (p < 0.05). SNECs treated with clarithromycin did not demonstrate statistically significant increases in ROS or proinflammatory cytokine production.

conclusionIn this study, we show that treatment of cultured human SNECs with bactericidal antibiotics leads to formation of ROS with an associated increase in inflammatory and antioxidant gene expression and cell death. This suggests that long-term or inappropriate antibiotic use in the treatment of sinusitis may result in oxidative tissue damage to the sinonasal epithelium. Future studies will explore the clinical implications of such damage to the sinonasal epithelium.

Indexed as

Anti-Bacterial AgentsAnti-Infective AgentsCell DeathCells, CulturedEpithelial CellsHumansInflammationInflammation MediatorsNF-E2-Related Factor 2Oxidative StressParanasal SinusesReactive Oxygen SpeciesTumor Necrosis Factor-alphaAnti-Bacterial AgentsAnti-Infective AgentsInflammation MediatorsNFE2L2 protein, humanNF-E2-Related Factor 2Reactive Oxygen SpeciesTumor Necrosis Factor-alphaantibioticsinflammasomeinnate immunityrhinosinusitisROSTNF

Identifiers

PMID26624249
PMCPMC4752881
OpenAlexW2189582159

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.