Evidence map›Paper›PMID 34380260›Full record

ArticleThe Science of the total environment2021

Environmental impacts of COVID-19 treatment: Toxicological evaluation of azithromycin and hydroxychloroquine in adult zebrafish.

Juliana Moreira Mendonça-Gomes, Amanda Pereira da Costa Araújo, Thiarlen Marinho da Luz, Ives Charlie-Silva, Helyson Lucas Bezerra Braz, Roberta Jeane Bezerra Jorge, Mohamed Ahmed Ibrahim Ahmed, Rafael Henrique Nóbrega, Christoph F A Vogel, Guilherme Malafaia

RetractedOpen access · greenAbstract readRetracted Publication
In one paragraph

Article in The Science of the total environment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

3 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 3 countries.

Juliana Moreira Mendonça-GomesDepartamento de Imunologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil.
Amanda Pereira da Costa AraújoLaboratório de Pesquisas Biológicas, Instituto Federal Goiano, Urutaí, GO, Brazil; Programa de Pós-Graduação em Ciências Ambientais, Universidade Federal de Goiás, Goiânia, GO, Brazil.
Thiarlen Marinho da LuzLaboratório de Pesquisas Biológicas, Instituto Federal Goiano, Urutaí, GO, Brazil.
Ives Charlie-SilvaDepartamento de Farmacologia, Instituto de Ciências Biomédicas, Universidade de São Paulo, São Paulo, SP, Brazil.
Helyson Lucas Bezerra BrazDrug Research and Development Center, Federal University of Ceará, Brazil.
Roberta Jeane Bezerra JorgeDrug Research and Development Center, Federal University of Ceará, Brazil; Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceará, Brazil.
Mohamed Ahmed Ibrahim AhmedPlant Protection Department, Faculty of Agriculture, Assiut University, Assiut 71526, Egypt.
Rafael Henrique NóbregaReproductive and Molecular Biology Group, Department of Structural and Functional Biology, Institute of Biosciences, São Paulo State University, Botucatu, SP, Brazil.
Christoph F A VogelDepartment of Environmental Toxicology and Center for Health and the Environment, University of California, Davis, USA.
Guilherme MalafaiaLaboratório de Pesquisas Biológicas, Instituto Federal Goiano, Urutaí, GO, Brazil; Programa de Pós-Graduação em Biotecnologia e Biodiversidade, Universidade Federal de Goiás, Goiânia, GO, Brazil; Programa de Pós-Graduação em Ecologia e Conservação de Recursos Naturais, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil; Programa de Pós-Graduação em Conservação de Recursos Naturais do Cerrado, Instituto Federal Goiano, Urutaí, GO, Brazil. Electronic address: guilhermebioufop@yahoo.com.br.
Instituto Federal Goiano · BRUniversidade de São Paulo · BRUniversidade Federal do Ceará · BRAssiut University · EGUniversidade Estadual Paulista (Unesp) · BRUniversidade Federal de Uberlândia · BRUniversity of California, Davis · US

Funding

UC Davis Environmental Health Sciences Core CenterP30ES023513 · NIEHS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Irva Hertz-Picciotto · 2015 to 2026
$26.0M
NIEHS NIH HHS P30 ES023513
6 · The paper itself

Abstract

One of the most impact issues in recent years refers to the COVID-19 pandemic, the consequences of which thousands of deaths recorded worldwide, are still inferior understood. Its impacts on the environment and aquatic biota constitute a fertile field of investigation. Thus, to predict the impact of the indiscriminate use of azithromycin (AZT) and hydroxychloroquine (HCQ) in this pandemic context, we aim to assess their toxicological risks when isolated or in combination, using zebrafish (Danio rerio) as a model system. In summary, we observed that 72 h of exposure to AZT and HCQ (alone or in binary combination, both at 2.5 μg/L) induced the reduction of total protein levels, accompanied by increased levels of thiobarbituric acid reactive substances, hydrogen peroxide, reactive oxygen species and nitrite, suggesting a REDOX imbalance and possible oxidative stress. Molecular docking analysis further supported this data by demonstrating a strong affinity of AZT and HCQ with their potential antioxidant targets (catalase and superoxide dismutase). In the protein-protein interaction network analysis, AZT showed a putative interaction with different cytochrome P450 molecules, while HCQ demonstrated interaction with caspase-3. The functional enrichment analysis also demonstrated diverse biological processes and molecular mechanisms related to the maintenance of REDOX homeostasis. Moreover, we also demonstrated an increase in the AChE activity followed by a reduction in the neuromasts of the head when zebrafish were exposed to the mixture AZT + HCQ. These data suggest a neurotoxic effect of the drugs. Altogether, our study demonstrated that short exposure to AZT, HCQ or their mixture induced physiological alterations in adult zebrafish. These effects can compromise the health of these animals, suggesting that the increase of AZT and HCQ due to COVID-19 pandemic can negatively impact freshwater ecosystems.

Indexed as

COVID-19 Drug TreatmentHydroxychloroquineAnimalsAzithromycinEcosystemHumansMolecular Docking SimulationPandemicsSARS-CoV-2ZebrafishAzithromycinHydroxychloroquineAntibioticAntimalarialDanio rerioEcotoxicitySARs-Cov-2Water pollution

Identifiers

PMID34380260
PMCPMC8164503
OpenAlexW3166853536

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.