Clindamycin-induced alteration of ganglionic function. I. Direct effects on ganglion cell properties

Clindamycin inhibits nociceptive response by reducing tumor necrosis factor-α and CXCL-1 production and activating opioidergic mechanisms

Clindamycin, a bacteriostatic semisynthetic lincosamide, is useful in the management of infections caused by aerobic and anaerobic Gram-positive cocci, including bacteremic pneumonia, streptococcal toxic shock syndrome and sepsis. It has been recently demonstrated that clindamycin inhibits in vitro and in vivo inflammatory cytokine production. In the present study, we investigated the effects of clindamycin in acute and chronic models of pain and inflammation in mice and the underlying mechanisms. Intraperitoneal (i.p.) administration of clindamycin (400 mg/kg) increased the animal's latency to exhibit the nociceptive behavior induced by noxious heat (hot plate model). Intrathecal injection of clindamycin (2, 10 and 50 µg) also increased the animals' latency to exhibit the nociceptive behavior. Tactile hypersensitivity and paw edema induced by intraplantar (i.pl.) injection of carrageenan were attenuated by previous administration of clindamycin (200 and 400 mg/kg, i.p.). Clindamycin (100, 200 and 400 mg/kg, i.p.) also attenuated ongoing tactile hypersensitivity and paw edema induced by i.pl. injection of complete Freund's adjuvant (CFA). The antinociceptive activity of clindamycin (400 mg/kg, i.p.) in the hot plate model was attenuated by previous administration of naltrexone (5 and 10 mg/kg, i.p.), but not glibenclamide or AM251. CFA-induced production of TNF-α and CXCL-1 was reduced by clindamycin (400 mg/kg, i.p.). Concluding, clindamycin exhibits activities in acute and chronic models of pain and inflammation. These effects are associated with reduced production of TNF-α and CXCL-1 and activation of opioidergic mechanisms. Altogether, these results indicate that the clindamycin's immunomodulatory effects may contribute to a pharmacological potential beyond its antibiotic property.

Different influences on mitochondrial function, oxidative stress and cytotoxicity of antibiotics on primary human neuron and cell lines

Although antibiotics are generally well tolerated, their toxic effects on the central nervous system have been gained attention. In this study, we systematically investigated the neuron toxicity of antibiotics from six different classes. We show that clinically relevant concentrations of metronidazole, tigecycline, azithromycin and clindamycin but not ampicillin or sulfamethoxazole induce apoptosis of human primary neuron cells and lines. Notably, tigecycline, azithromycin and clindamycin cause neuron cell oxidative damage whereas metronidazole has no effect on reactive oxygen species (ROS) production, suggesting that metronidazole induces neuron death via ROS-independent mechanism. Tigecycline, azithromycin and clindamycin induce mitochondrial dysfunctions via targeting different mitochondrial respiratory complexes, leading to mitochondrial membrane potential disruption and energy crisis. The deleterious effects of antibiotics are reversed by pretreatment of neuron cells with antioxidant. Our work highlights the different influences of antibiotics on mitochondrial dysfunction, oxidative damage and cytotoxicity in neuron cells. We also provide a strategy to prevent the neurotoxicity.

Clindamycin and nicotinic neuromuscular transmission

Upon clindamycin treatment a patient with Parkinson's disease showed marked tremor improvement which may be explained by clindamycin's ability to inhibit in-vitro nicotinergic, but not muscarinic signal transmission.

Characteristics of the galanin-induced depolarization of mudpuppy parasympathetic postganglionic neurons

The depolarization of mudpuppy parasympathetic cardiac neurons, produced by pressure application of the neuropeptide galanin, has been characterized. The amplitude and duration of the depolarization were dependent on the duration of the galanin application. The amplitude of the depolarization increased with hyperpolarization and the reversal potential determined by extrapolation was approximately +10 mV. The amplitude and time course of the galanin-induced depolarization were not changed by substitution of either manganese or magnesium for extracellular calcium, but were decreased by exposure to 50-100 microM d-tubocurarine. It is proposed that the galanin-induced depolarization results from a receptor-activated, nonselective, cation channel; and further, that the receptor initiating depolarization differs from the galanin receptor mediating hyperpolarizing responses in these parasympathetic neurons.

Clindamycin-induced alteration of ganglionic function. II. Effect of nicotinic receptor-channel function

The postsynaptic effects of clindamycin have been analyzed in bullfrog sympathetic ganglion B cells using single electrode current and voltage clamp recordings and two electrode voltage clamp measurements. Clindamycin added to the bathing solution in the concentration range, 2.5 x 10(-4) to 5 x 10(-4) M, inhibited fast ganglionic transmission. In addition, local application of clindamycin decreased depolarizations produced by direct application of acetylcholine and decreased the amplitude of miniature excitatory postsynaptic potentials (MEPSPs) evoked by tetanic stimulation of the preganglionic trunk. In contrast, clindamycin did not change the amplitude or time course of the slow EPSP elicited by preganglionic stimulation (30 Hz for 10 s) or muscarinic depolarizations produced by local acetylcholine application to preparations pretreated with 25-50 microM (+)-tubocurarine. In voltage-clamped ganglion cells, excitatory postsynaptic current (EPSC) amplitude initially was increased and then decreased with increasing concentrations of clindamycin (0.5 x 10(-5) to 2.5 x 10(-4) M). The EPSC time course in control cells was exponential. After exposure to clindamycin, the EPSC decay was composed of two exponential components. The time constant of the fast component decreased and the time constant of the slow component increased with increasing concentrations of clindamycin. The two time constants of EPSCs obtained in clindamycin were independent of membrane voltage between -50 and -100 mV. We concluded that the block of fast ganglionic transmission is primarily due to a postsynaptic site of action, at least part of which is due to a concentration-dependent, but voltage-independent blockade of open nicotinic receptor channel complexes.