1. The antibiotic doxycycline impairs cardiac mitochondrial and contractile function
- Author
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Diederik W. D. Kuster, Michel van Weeghel, Vida Alizadeh Tazehkandi, Luciënne Baks-Te Bulte, Gustav J. Strijkers, Bram F. Coolen, Ntsiki M. Held, Bianca J. J. M. Brundel, Riekelt H. Houtkooper, Mariah R R Daal, Marit Wiersma, Rob C. I. Wüst, Biomedical Engineering and Physics, ACS - Atherosclerosis & ischemic syndromes, AMS - Amsterdam Movement Sciences, Graduate School, ACS - Diabetes & metabolism, ANS - Brain Imaging, Laboratory Genetic Metabolic Diseases, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, ACS - Heart failure & arrhythmias, AMS - Musculoskeletal Health, AMS - Sports, Physiology, AMS - Ageing & Vitality, and Clinical chemistry
- Subjects
0301 basic medicine ,Cytosol/metabolism ,Electron Transport Complex I/metabolism ,Male ,Aging ,Mitochondrial translation ,030204 cardiovascular system & hematology ,Mitochondrion ,Inbred C57BL ,Mitochondria, Heart ,Oxidative Phosphorylation ,lcsh:Chemistry ,Mitochondria, Heart/drug effects ,Mice ,0302 clinical medicine ,Cytosol ,Diastole ,Glucose/metabolism ,Glycolysis ,Myocytes, Cardiac ,Experimental/pathology ,lcsh:QH301-705.5 ,Spectroscopy ,Oxidative Phosphorylation/drug effects ,Doxycycline ,Ejection fraction ,Chemistry ,Electron Transport Complex II ,Nuclear Proteins ,General Medicine ,Computer Science Applications ,Anti-Bacterial Agents ,Mitochondria ,Drosophila melanogaster ,Drosophila melanogaster/drug effects ,Calcium Signaling/drug effects ,Myocardial Contraction/drug effects ,Electron Transport Complex II/metabolism ,medicine.drug ,medicine.medical_specialty ,Myocytes, Cardiac/drug effects ,Calcium/metabolism ,Mitochondrial Proteins/metabolism ,Cell Respiration ,Oxidative phosphorylation ,Catalysis ,Article ,Diabetes Mellitus, Experimental ,Anti-Bacterial Agents/pharmacology ,Inorganic Chemistry ,Contractility ,Mitochondrial Proteins ,Doxycycline/pharmacology ,03 medical and health sciences ,Glycolysis/drug effects ,SDG 3 - Good Health and Well-being ,Internal medicine ,medicine ,Cell Respiration/drug effects ,Diabetes Mellitus ,Animals ,Diabetes Mellitus, Experimental/pathology ,Calcium Signaling ,Calcium handling ,Physical and Theoretical Chemistry ,Molecular Biology ,Diastole/drug effects ,Nuclear Proteins/metabolism ,Myocytes ,Electron Transport Complex I ,Organic Chemistry ,Myocardial Contraction ,Heart/drug effects ,Rats ,Mice, Inbred C57BL ,Aging/metabolism ,030104 developmental biology ,Endocrinology ,Glucose ,Cardiac/drug effects ,lcsh:Biology (General) ,lcsh:QD1-999 ,Cardiac contractility ,Calcium ,Mitochondrial function - Abstract
Tetracycline antibiotics act by inhibiting bacterial protein translation. Given the bacterial ancestry of mitochondria, we tested the hypothesis that doxycycline—which belongs to the tetracycline class—reduces mitochondrial function, and results in cardiac contractile dysfunction in cultured H9C2 cardiomyoblasts, adult rat cardiomyocytes, in Drosophila and in mice. Ampicillin and carbenicillin were used as control antibiotics since these do not interfere with mitochondrial translation. In line with its specific inhibitory effect on mitochondrial translation, doxycycline caused a mitonuclear protein imbalance in doxycycline-treated H9C2 cells, reduced maximal mitochondrial respiration, particularly with complex I substrates, and mitochondria appeared fragmented. Flux measurements using stable isotope tracers showed a shift away from OXPHOS towards glycolysis after doxycycline exposure. Cardiac contractility measurements in adult cardiomyocytes and Drosophila melanogaster hearts showed an increased diastolic calcium concentration, and a higher arrhythmicity index. Systolic and diastolic dysfunction were observed after exposure to doxycycline. Mice treated with doxycycline showed mitochondrial complex I dysfunction, reduced OXPHOS capacity and impaired diastolic function. Doxycycline exacerbated diastolic dysfunction and reduced ejection fraction in a diabetes mouse model vulnerable for metabolic derangements. We therefore conclude that doxycycline impairs mitochondrial function and causes cardiac dysfunction.
- Published
- 2021
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