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203438

Toxicological Aspects of Fluoroquinolones Administration: A Literature Review

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Biochemistry

Abstract

Fluoroquinolone associated toxicity after along-term fluoroquinolone antibiotic therapy appears as a significant medical and social problem. The objective of this review was mainly to identify, collect and evaluate the available evidence regarding the toxicological aspects of fluoroquinolone with focus on the causes of fluoroquinolone chondrotoxicity in juvenile animals. The present review was conducted using the PubMed/Medline databases. English language publications, original studies and reviews were included. All works about the fluoroquinolones regarding human, in vitro, and animal studies published in the medical and dental literature between 1985 and 2021 were reviewed. The existing data studies demonstrate that fluoroquinolone administration can cause different side effects, and the fluoroquinolone chondrotoxicity in juvenile animals is one of them. The cause could be due to binding of fluoroquinolone with the divalent cations such as Mg2+ and this can induce a deficiency of the functionally available magnesium, increase level of tissue apoptotic markers like activated caspase‐3, reactive oxygen species (ROS) overproduction, mitochondrial damage, enhanced the expression of matrix metalloproteinases, with chondrocytes loss and decrease in the formation of the cartilage extracellular matrix. Depending on these toxicological findings in animal's studies during the postnatal growth, fluoroquinolones are contraindicated during pregnancy, lactation, and in children.

DOI

10.21608/ejchem.2021.99250.4617

Keywords

Fluoroquinolones, antibiotics, Chondrotoxicity, Caspase, Mg 2

Authors

First Name

Ameera

Last Name

Khaleel

MiddleName

K

Affiliation

Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia

Email

ameerakkh2021@gmail.com

City

-

Orcid

-

First Name

Ramizu

Last Name

Shaari

MiddleName

Bin

Affiliation

Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia.

Email

ramizu@usm.my

City

-

Orcid

-

First Name

Mohamad

Last Name

Nawi

MiddleName

Arif Awang

Affiliation

Health Campus, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia.

Email

mohamadarif@usm.my

City

-

Orcid

-

First Name

Ali

Last Name

Al-Yassiri

MiddleName

Mihsen Hussein

Affiliation

Hilla University College, Babylon, Iraq.

Email

dralimihsen82@gmail.com

City

-

Orcid

-

Volume

65

Article Issue

5

Related Issue

29749

Issue Date

2022-05-01

Receive Date

2021-10-03

Publish Date

2022-05-01

Page Start

561

Page End

569

Print ISSN

0449-2285

Online ISSN

2357-0245

Link

https://ejchem.journals.ekb.eg/article_203438.html

Detail API

https://ejchem.journals.ekb.eg/service?article_code=203438

Order

54

Type

Review Articles

Type Code

444

Publication Type

Journal

Publication Title

Egyptian Journal of Chemistry

Publication Link

https://ejchem.journals.ekb.eg/

MainTitle

Toxicological Aspects of Fluoroquinolones Administration: A Literature Review

Details

Type

Article

Created At

22 Jan 2023