PMID- 22965463 OWN - NLM STAT- MEDLINE DCOM- 20130104 LR - 20181231 IS - 1531-4995 (Electronic) IS - 0023-852X (Linking) VI - 122 IP - 11 DP - 2012 Nov TI - Prevention of gentamicin-induced apoptosis with the mitochondria-targeted antioxidant mitoquinone. PG - 2543-8 LID - 10.1002/lary.23593 [doi] AB - OBJECTIVES/HYPOTHESIS: Antioxidants have been shown to protect against aminoglycoside-induced hearing loss. Mitoquinone (MitoQ) is a mitochondria-targeted derivative of the antioxidant ubiquinone. MitoQ is attached to a lipophilic triphenylphosphonium (TPP) cation, which enables its accumulation inside the mitochondria several hundred-fold over the untargeted antioxidant. The goals of this study were to determine if MitoQ attenuates gentamicin-induced activation of caspase-3/7 activity as a marker of apoptosis and to determine if MitoQ impacts aminoglycoside antimicrobial efficacy. STUDY DESIGN: Prospective and controlled. METHODS: Antibiotic efficacy and minimum inhibitory concentrations (MICs) of gentamicin against three strains each of Staphylococcus aureus, Haemophilus influenzae, and Pseudomonas aeruginosa were evaluated with and without MitoQ using broth dilution methods. Apoptosis was assessed by caspase-3/7 activity in untreated HEI-OC1 cells and cells exposed to 2 mM gentamicin for 24 hours, with and without a 24-hour preincubation with 0.5 muM each of MitoQ, idebenone (an untargeted ubiquinone), or decylTPP (positive control). RESULTS: Gentamicin MICs for P aeruginosa and H influenzae were not affected by MitoQ at pharmacological levels. MICs for S aureus were enhanced by MitoQ. Cell viability was significantly lower in the gentamicin-treated cells. A significant increase in caspase-3/7 activity was observed in cells treated with gentamicin or with idebenone + gentamicin (P = .005). Preincubation with MitoQ decreased the gentamicin-induced apoptosis of HEI-OC1 cells to a greater extent compared to idebenone (P = .002). CONCLUSIONS: MitoQ attenuates gentamicin-induced apoptosis in HEI-OC1 cells and does not compromise gentamicin antibiotic efficacy. MitoQ holds promise as a means of preventing aminoglycoside ototoxicity. CI - Copyright (c) 2012 The American Laryngological, Rhinological, and Otological Society, Inc. FAU - Ojano-Dirain, Carolyn P AU - Ojano-Dirain CP AD - Department of Otolaryngology, University of Florida College of Medicine, Gainesville, Florida, USA. carolyn.ojano-dirain@ent.ufl.edu FAU - Antonelli, Patrick J AU - Antonelli PJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120910 PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 RN - 0 (Gentamicins) RN - 0 (Organophosphorus Compounds) RN - 1339-63-5 (Ubiquinone) RN - 47BYS17IY0 (mitoquinone) RN - EC 3.4.22.- (Caspase 3) RN - HB6PN45W4J (idebenone) SB - IM MH - Analysis of Variance MH - Apoptosis/*drug effects MH - Caspase 3/metabolism MH - Cell Survival MH - Gentamicins/*toxicity MH - Haemophilus influenzae/drug effects MH - Microbial Sensitivity Tests MH - Mitochondria/*drug effects/enzymology MH - Organophosphorus Compounds/*pharmacology MH - Prospective Studies MH - Pseudomonas aeruginosa/drug effects MH - Staphylococcus aureus/drug effects MH - Ubiquinone/*analogs & derivatives/pharmacology EDAT- 2012/09/12 06:00 MHDA- 2013/01/05 06:00 CRDT- 2012/09/12 06:00 PHST- 2012/01/12 00:00 [received] PHST- 2012/05/02 00:00 [revised] PHST- 2012/06/22 00:00 [accepted] PHST- 2012/09/12 06:00 [entrez] PHST- 2012/09/12 06:00 [pubmed] PHST- 2013/01/05 06:00 [medline] AID - 10.1002/lary.23593 [doi] PST - ppublish SO - Laryngoscope. 2012 Nov;122(11):2543-8. doi: 10.1002/lary.23593. Epub 2012 Sep 10.