Toxicity of cephalosporins to fatty acid metabolism in rabbit renal cortical mitochondria

Interaction of beta-lactam antibiotics with the mitochondrial carnitine/acylcarnitine transporter

The interaction of beta-lactams with the purified mitochondrial carnitine/acylcarnitine transporter reconstituted in liposomes has been studied. Cefonicid, cefazolin, cephalothin, ampicillin, piperacillin externally added to the proteoliposomes, inhibited the carnitine/carnitine antiport catalysed by the reconstituted transporter. The most effective inhibitors were cefonicid and ampicillin with IC50 of 6.8 and 7.6mM, respectively. The other inhibitors exhibited IC50 values above 36 mM. Kinetic analysis performed with cefonicid and ampicillin revealed that the inhibition is completely competitive, i.e., the inhibitors interact with the substrate binding site. The Ki of the transporter is 4.9 mM for cefonicid and 9.9 mM for ampicillin. Cefonicid inhibited the transporter also on its internal side. The IC50 was 12.9 mM indicating that the inhibition was less pronounced than on the external side. Ampicillin and the other inhibitors were much less effective on the internal side. The beta-lactams were not transported by the carnitine/acylcarnitine transporter. Cephalosporins, and at much lower extent penicillins, caused irreversible inhibition of the transporter after prolonged time of incubation. The most effective among the tested antibiotics was cefonicid with IC50 of 0.12 mM after 60 h of incubation. The possible in vivo implications of the interaction of the beta-lactam antibiotics with the transporter are discussed.

Evaluation of a Short-term Rat Proximal Tubule Incubation System for the Detection of Nephrotoxicants

Many nephrotoxic agents act primarily on proximal tubule cells. Accordingly, the optimal conditions for isolating rat proximal tubule fragments by a collagenase digestion technique and their short-term maintenance have been defined, and the viability of the preparation and its sensitivity to toxicants have been determined. Tubular fragment viability was maintained in incubation for up to 6 hours, as assessed by measuring lactate dehydrogenase leakage, levels of intracellular glutathione, and ATP content. In addition, tubular transport function was maintained, as determined by measuring the uptake of p-aminohippuric acid and α-methylglucose, which could be blocked by the selective inhibitors, probenecid and phloridzin, respectively. In this study, the toxicities of allyl alcohol, cephalosporins and cisplatin to proximal tubular fragments were investigated. Allyl alcohol toxicity was greater in tubular fragments isolated from female rats than in those from male rats. Cephaloridine was toxic, while cephalexin and cephalothin were not. These features were consistent with the known in vivo responses to these agents. Toxicity was evident after exposure to cisplatin, with an early reduction in tubular transport being noted. The results highlight the potential of the system described for the isolation and incubation of rat proximal tubule fragments to study xenobiotic-mediated nephrotoxicity. This system could be of benefit in the high-throughput toxicity screening of novel therapeutic agents.

Effects of L-carnitine on the renal tubular transport of cephaloridine

It has been demonstrated recently that cephaloridine (Cld) inhibits the tubular reabsorption of filtered carnitine (Carn) in the rabbit kidney. This interaction has suggested that the limited net cell-to-luminal fluid movement of Cld following its secretory transport across the antiluminal membrane might result from a balance of active Cld reabsorption by a Carn carrier at the brush border approximately equal to its secretion into the tubular fluid, rather than the previously proposed luminal membrane block. Studies were done to determine the effects of L-Carn, 750 mg/kg, i.v. on the tubular secretion and cortical concentrations of Cld, infused i.v. at a dose of 28 mg/kg (Carn:Cld molar ratio = 70:1). The fractional excretions of Cld during three consecutive periods of 10 min each, one before and two following the bolus infusion of Carn, were (means +/- SEM): 1.18 +/- 0.14, 1.20 +/- 0.14, and 1.16 +/- 0.11, respectively (N = 6 each; differences NS). Cortex-to-serum concentration ratios of Cld in control and Carn-treated rabbits were 10.43 +/- 0.32 and 10.16 +/- 0.86, respectively (NS). The data provide evidence against the reabsorptive transport of Cld by a Carn carrier, and do not support a model of balanced secretion and reabsorption as the cause of limited clearance despite significant secretory transport of Cld into the tubular cell.