2020
DOI: 10.1016/j.bmcl.2020.127218
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The relationship between the structure and toxicity of aminoglycoside antibiotics

Abstract: Aminoglycoside antibiotics, used to treat persistent gram-negative infections, tuberculosis, and life-threatening infections in neonates and patients with cystic fibrosis, can infer acute kidney injury and irreversible hearing loss. The full repertoire of cellular targets and processes leading to the toxicity of aminoglycosides is not fully resolved, making it challenging to devise rational directions to circumvent their adverse effects. As a result, there has been very limited effort to rationally address the… Show more

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Cited by 76 publications
(56 citation statements)
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“…Aminoglycosides suffer several limitations as potential PTC readthrough treatments for rare genetic disorders. At the organismal level, they are known to cause oto-and nephro-toxicity via preferential accumulation and retention in cochlear cells and proximal tubule cells [42][43][44]. At the cellular level, their toxicity has been linked to damage to the lysosomal membrane following uptake by endocytosis and accumulation in this compartment [45][46][47], as well as inhibition of mitochondrial protein synthesis [12,15].…”
Section: Discussionmentioning
confidence: 99%
“…Aminoglycosides suffer several limitations as potential PTC readthrough treatments for rare genetic disorders. At the organismal level, they are known to cause oto-and nephro-toxicity via preferential accumulation and retention in cochlear cells and proximal tubule cells [42][43][44]. At the cellular level, their toxicity has been linked to damage to the lysosomal membrane following uptake by endocytosis and accumulation in this compartment [45][46][47], as well as inhibition of mitochondrial protein synthesis [12,15].…”
Section: Discussionmentioning
confidence: 99%
“…As anticipated on the basis of work by the Wong group in the ribostamycin series, [12] the β‐D‐ribofuranosyl derivative 2 carrying a 3‐ O ‐(2‐aminoethyl) substituent in the ribose ring was more active than the earlier [11] 5‐ O ‐β‐D‐ribofuranosyl derivative and apramycin itself with regards to both the inhibition of the bacterial ribosome (Table 1) and antibacterial activity against wild‐type ESKAPE pathogens (Table 2). However, 2 showed a marked reduction in selectivity for the bacterial over the eukaryotic hybrid ribosomes carrying the human mutant mitochondrial (A1555G) decoding A site [13] (Table 1) indicative of potentially increased ototoxicity [4g,13] . Additionally, the ribofuranosyl moiety of 2 conferred susceptibility to deactivation by the aminoglycoside phosphotransferases (APHs) acting on the ribofuranosyl primary hydroxyl group, the APH(3’,5’’) isozymes [14] .…”
Section: Figurementioning
confidence: 99%
“…Long term antibiotic use can help to manage biofilm infections, but often fails while also increasing risk of antibiotic resistance and toxic side effects 7 . Furthermore, overuse of aminoglycoside antibiotics can lead to nephrotoxic and ototoxic side effects 8 . Thus, the occurrence of biofilm infections can lead to increased hospital time and trauma for patients, as well as increased cost of care.…”
Section: Introductionmentioning
confidence: 99%