Drugs with susceptible sites for free radical induced oxidative transformations: the case of a penicillin

Changes in the behavior of Staphylococcus aureus strains in the presence of oxacillin under the effect of gamma radiation

Staphylococcus aureus (S. aureus) as a major pathogen is implicated in a wide range of foodborne and hospital-acquired infections, its methicillin resistant variants contribute to the spread of β-lactam antibiotic resistance. It is essentially important to destroy these pathogens, their resistance genes and the antibiotics in wastewaters. For this purpose reactions of reactive radicals (advanced oxidation processes), first of all hydroxyl radicals (•OH), are suggested. Here the radiolysis of water supplied these radicals. In the experiments B.01755 oxacillin sensitive and B.02174 resistant S. aureus strains were used to study their behaviorr in suspensions under the effect of irradiation in presence and absence of oxacillin. Oxacillin inactivation depended on concentration of the antibiotic used (0.042 and 1 g dm-3), higher concentration required a higher dose. When 106-109 CFU cm-3 S. aureus suspensions were irradiated with γ-radiation the bacteria were inactivated at low absorbed doses: 4 orders of magnitude decrease ocurred in the number of culturable cells at ∼0.6 kGy dose. Both cell membrane and DNA suffered considerable damages during irradiation. Due to the membrane damage the cells could not be stained, and the DNA content of cells in several days period was released into the solution. In DNA damage the oxacillin resistance mecA gene was also modified, it did not multiply in PCR test. These findings are important from the point of view of applying irradiation technology to stop the spread of antibiotic resistance.

Newly developed gas-assisted sonodynamic therapy in cancer treatment

Sonodynamic therapy (SDT) is an emerging noninvasive treatment modality that utilizes low-frequency and low-intensity ultrasound (US) to trigger sensitizers to kill tumor cells with reactive oxygen species (ROS). Although SDT has attracted much attention for its properties including high tumor specificity and deep tissue penetration, its anticancer efficacy is still far from satisfactory. As a result, new strategies such as gas-assisted therapy have been proposed to further promote the effectiveness of SDT. In this review, the mechanisms of SDT and gas-assisted SDT are first summarized. Then, the applications of gas-assisted SDT for cancer therapy are introduced and categorized by gas types. Next, therapeutic systems for SDT that can realize real-time imaging are further presented. Finally, the challenges and perspectives of gas-assisted SDT for future clinical applications are discussed.

Elimination of oxacillin, its toxicity and antibacterial activity by using ionizing radiation

The chemical changes caused by electron beam and γ irradiations and the biochemical characteristics of degradation products of a frequently used antibiotic oxacillin were investigated and compared with those of cloxacillin by applying pulse radiolysis, chemical and biochemical oxygen demand, total organic carbon content, oxygen uptake rate, toxicity and antibacterial activity measurements. Oxacillin was found to be non-toxic, but poorly biodegradable by the mixed microbial population of the activated sludge of a wastewater treatment plant. Therefore, it can significantly contribute to the spread of β-lactam antibiotic resistant bacteria. However, the products formed by γ-irradiation were more easily biodegradable as they were utilized as nutrient source by the microbes of the activated sludge and the products did not show antibacterial activity. During irradiation treatment of aerated aqueous solutions mainly hydroxyl radicals induce the elimination of antimicrobial activity by making alterations at the bicyclic β-lactam part of these antibiotics. Since the β-lactam part is the same in oxacillin and cloxacillin, the biochemical characteristics of products of the two antibiotics are similar. The attack of hydrated electron takes place on the carbonyl groups. When the irradiation is made under anoxic conditions these reactions may also contribute considerably to alterations at the β-lactam part and thereby to the loss of antibacterial activity.

Antibiotics in a wastewater matrix at environmentally relevant concentrations affect coexisting resistant/sensitive bacterial cultures with profound impact on advanced oxidation treatment

Antibiotic resistance containment strategies at wastewater treatment plants need to be supported by a firm knowledge on the behavior of resistant bacteria within a diverse microbial population in the presence of trace amount of antibiotics. In this study via investigating the population dynamics of resistant/sensitive Staphylococcus aureus co-cultures in several model wastewater matrix systems, valuable insights were obtained into the effect of trace amount of antibiotics (piperacillin and erythromycin) on bacteria, and into the suitability of advanced oxidation treatment (electron beam irradiation) as a remediation measure. It appears that environmentally relevant concentration levels of the antibiotic present in a wastewater matrix leads to a shift in the population in favor of the sensitive subtype, presumably on account of triggering protective biochemical processes in the resistant mutant, which confer no selective advantage since the sensitive strain remains unaffected in this concentration range. The impact of these conditions on the population dynamics can be diminished by using advanced oxidation treatment, considering that degradation products from the wastewater matrix constituents (such as humic acid) might also have an effect. Furthermore, it became also apparent that the presence of trace amount of antibiotics while triggers biological processes in the resistant subtype, concomitantly makes the bacteria more sensitive towards the attack of free radicals during advanced oxidation treatment. The behavior of resistant bacteria under environmental conditions at the cellular and population level clearly merits more attention.

Rate constants of sulfate radical anion reactions with organic molecules: A review

The rate constants of sulfate radical anion reaction (k_SO4-) with about 230 organic molecules of environmental interest are tabulated and discussed, together with both the methods of rate constant determinations and the reaction mechanisms. k_SO4-'s were collected from the original publications. The highest values in the ∼10⁹ M^-1 s^-1 range are published for aromatic molecules. There is a tendency that electron donating substituents increase and electron withdrawing substituents decrease these values. There are just a few compounds with rate constants established using different techniques in different laboratories. k_SO4-'s determined in different laboratories by the direct techniques, pulse radiolysis or laser flash photolysis, in most cases agree reasonably. The values determined by competitive experimental techniques, by complex kinetics calculations, or by modelling show a large scatter. Some of these techniques seem to be questionable for k_SO4- determination. The sulfate radical anion reacts with ketone and amine moieties of molecules by electron transfer. The same mechanism is also suggested for the reaction with aromatic rings. However, in a few cases addition to the double bond and sulfate anion elimination reactions were distinguished. A typical reaction with the aliphatic parts of the molecule is H-abstraction.

Change in hydrophilicity of penicillins during advanced oxidation by radiolytically generated OH compromises the elimination of selective pressure on bacterial strains

Advanced oxidation processes are promising technologies for removal of antibiotic residues from wastewater in terms of their high efficacy. However, recent studies have reported the remaining antibacterial activity of the products at early-stages of treatment. The present study investigates the effect of such products of model β-lactams (amoxicillin, ampicillin, cloxacillin) on bacteria introducing structure-based, and biological approaches involving Gram-positive and Gram-negative bacterial strains. Chemical analysis revealed the destruction of the β-lactam pharmacophore in competition with the reaction at the aromatic ring. Multisite attack occurs on the penicillin skeleton producing OH-substituted products. The enhanced hydrophilicity confers higher diffusion rate through the porin channels of Gram-negative bacteria and through the hydrophilic cell wall of Gram-positive species. Accordingly, an increase in acute toxicity of treated samples was observed at the beginning of the treatment. The same tendency was observed for target-specific antimicrobial activity investigated with antibiotic susceptibility testing (agar-diffusion, bacterial growth). Prolonged treatments yielded products, e.g. polyhydroxylated phenolic compounds, being also deleterious for bacteria. Therefore, the advanced oxidation process should be judiciously optimized.

One-Electron Reduction of Penicillins in Relation to the Oxidative Stress Phenomenon

Certain bactericidal antibiotics target mitochondrial components and, due to the leakage of electrons from the electron transport chain, one-electron reduction might occur that can lead to intermediates passing the electron to suitable acceptors. This study aimed at investigating the one-electron reduction mechanism of selected penicillin derivatives using pulse radiolysis techniques. Penicillins can accommodate the electron on each of their carbonyl carbon. Ketyl radicals are thus produced, which are reducing agents with possibility to interact with suitable biomolecules. A detailed mechanism of the reduction is reported.